Alberta Precision Laboratories

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Organization:

Alberta Precision Laboratories

Message Alert:

PLEASE NOTE: This Test Directory is in an interim state and due to changes pertaining to the DynaLIFE transition, performing site for routing has not been updated. Please refer to Laboratory Information System for appropriate routing.

Test Name/Synonym:

Viral Hemorrhagic Fever (VHF) Blood Gases, Lactate - Blood - Calgary Zone (CLS)

Test Code:

CG4+V FOR VENOUS COLLECTIONS CG4+A FOR ARTERIAL COLLECTIONS

Primary Container:

See Collection Information Below

Specimen Collection Requirements:

Lithium Heparin Whole Blood or 2 dry lithium heparin syringes.
Do not centrifuge tube.

Minimum sample 300 µL Lithium Heparin Whole Blood

VHF chemistry panels (WBCMP and WBLPP), blood gases, ionized calcium, lactate, BHCG and Troponin I can all be performed on 1mL lithium heparin whole blood.

Processing:

Sample must be analyzed within 60 minutes of collection.

Testing Schedule:

Test performed on a daily basis.

Reference Interval:

pH:

Arterial:
Less than 30 days:	7.35 - 7.45
30 days - 150 yrs:	7.36 - 7.44
Venous:
8 years - 150 yrs:	7.30 - 7.40
Capillary:
Less than 30 days:	7.32 - 7.42
30 days - 150 yrs:	7.32 - 7.38

pCO2 (mmHg):

Arterial:
Less than 30 days:	30 - 40
30 days - 150 yrs:	30 - 40
Venous:
8 years - 150 yrs:	36 - 46
Capillary:
Less than 30 days:	35 - 45
30 days - 150 yrs:	35 - 45

pO2 (mmHg):

Arterial:
Less than 30 days:	50 - 70
30 days - 150 yrs:	70 - 88
Capillary:
Less than 30 days:	30 - 40
30 days - 150 yrs:	35 - 45

HCO3 (mmol/L):

0 min - 150 yrs:

20 - 24

BE (mmol/L):

0 min - 150 yrs:

-5 to +1

O2 Saturation (%):

Arterial:
Less than 30 days:	92 - 96
30 days - 150 yrs:	88 - 100
Venous:
Less than 30 days:	85 - 88
30 days - 150 yrs:	50 - 80

Lactate (mmol/L)

0 min - 150 yrs:

0.5 - 2.2

Testing Area:

Chemistry

Performing Site:

ACH, SHC

Additional Test Information:

If Ebola Virus Disease (EVD) or other viral hemorrhagic fever (VHF) is suspected, the ordering physician MUST contact the local zone Medical Officer of Health by the fastest means possible.
ANY and ALL laboratory testing for patients with suspected EVD or VHF MUST be coordinated and approved through the local zone Medical Officer of Health.

CG4+V panel includes pH, pCO2, base excess, HCO3, sO2, lactate

CG4+A panel includes pH, pCO2, pO2, base excess, HCO3, sO2, lactate

CLS staff: Refer to the VHF Documents section of the BCERP manual for enhanced safety procedures.