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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Gases, Blood Post-Oxygenator

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Gases, Blood Post-Oxygenator  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
BGPOS
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

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