Newcastle Laboratories

Blood Gases, arterial

Clinical Background:

Arterial blood gas testing is done to evaluate lung function by measuring blood pH, oxygen (O2) and carbon dioxide (CO2); to monitor treatment for lung diseases; to detect an acid-base imbalance in...

Arterial blood gas testing is done to evaluate lung function by measuring blood pH, oxygen (O2) and carbon dioxide (CO2); to monitor treatment for lung diseases; to detect an acid-base imbalance in your blood, which may indicate a respiratory, metabolic, or kidney disorder; to evaluate the effectiveness of oxygen therapy. They are used to detect an acid-base imbalance, such as can occur with kidney failure, heart failure, uncontrolled diabetes, severe infections, and drug overdose. An arterial blood sample is usually collected from the radial artery in the wrist, located on the inside of the wrist, below the thumb, where the pulse can be felt.

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Test Details

  • Discipline:

    Biochemistry

    Biochemistry

  • Specimen Container Adult:

    Lithium heparin syringues

    Lithium heparin syringues

  • Specimen Container Paediatric:

    Lithium heparin syringues

    Lithium heparin syringues

  • Minimum Volume Adult:

    1 mL blood

    1 mL blood

  • Minimum Volume Paediatric:

    Full capillary

    Full capillary

  • Special Requirement:

    Samples should not contain air bubbles

    Samples should not contain air bubbles

  • Sample Stability:

    30 minutes

    30 minutes

  • Transport Requirements:

    Do not send through the air tube system.

    Do not send through the air tube system.

  • Reference Ranges:

    pH

    0-28d:         7.18 - 7.51                           

    1-5 m:         7.18 - 7.50                           

    6-11 m:       7.27 - 7.40                           

    12 m+:        7.35 - 7.42

    pCO2 (k...

    pH

    0-28d:         7.18 - 7.51                           

    1-5 m:         7.18 - 7.50                           

    6-11 m:       7.27 - 7.40                           

    12 m+:        7.35 - 7.42

    pCO2 (kPa)

    0 - 2y: 3.5 - 5.5

    3y+: As adult

    Adult: 4.5 - 6.1

    Base Excess (mmol/L)

    0 - 4w: -10 to -2

    5w - 2y: -7 to +0.2

    3y+: As adult

    Adult: -3 to +3

    Standard bicarbonate (mmol/L)

    0 - 2y: 20 - 26

    3y+: As adult

    Adult: 21 - 25

    Actual bicarbonate (mmol/L)

    0 - 2y: 16 - 24

    3y+: As adult

    Adult: 21 - 25

    pO2 (kPa)

    Adult: 11.0 - 14.4

    Oxygen saturation (%)

    Newborn: 85 - 90

    Thereafter: As adult

    Adult: 96 - 97

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  • Other Info:

    Non-glass capillary tube coated with lyophilised lithium heparin or electrolyte-balanced heparin samples also acceptable

    Non-glass capillary tube coated with lyophilised lithium heparin or electrolyte-balanced heparin samples also acceptable

  • Routine Contact Name:

    Duty biochemist

  • Routine Telephone:

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

    Freeman: 0191 244 8889

    RVI: 0191 282 9719

  • Routine Email:

Availability:

24/7, analysed at RVI and Freeman

Turn Around:

Within 30 minutes

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