Gases, Blood Pre-Oxygenator
| PATIENT INFO |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Gases, Blood Pre-Oxygenator | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
BGPRE
Test Workstation :
BGAS
Specimen Type:
Blood
Tube Type:
Heparinized syringe. NO GEL SEPARATOR TUBES.
Collection Volume:
0.5 mL Heparinized syringe
Minimum Volume:
0.5 mL Heparinized syringe
Preferred Volume:
1 mL Heparinized syringe
Cause for Rejection:
Clotted, air bubbles, tubes with gel separator.
Storage:
Room Temperature
Availability:
Daily, 24 hours; STAT
Methodology:
Ion selective electrode/Calculations
Special Instructions:
Air bubbles should be expelled from the syringe. Can only be ordered on ECMO patients in the NICU; follow ECMO protocol for collection. Deliver immediately to laboratory at room temperature.
Lab/Phone:
330-543-8418
TAT:
8 minutes
Additional Info:
Reference range: Not Established; Dr. interpretation only
CPT Code:
82805
Panel Includes:
pH, pCO2, pO2, HCO3, O2Saturation
