Alberta Precision Laboratories

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Organization:

Sub-Page

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:

Blood Gas, Arterial – ABL 90 Flex Plus (Synonym: BGA)

Test Includes:

pH, pO2, O2 Saturation, HCO3, Base Excess, Total Hemoglobin, Oxyhemoglobin, Carboxyhemoglobin, Methemoglobin, Hematocrit, Lactate, Glucose, Sodium, Potassium, Chloride, Anion Gap, Ionized calcium, Ionized calcium normalized, and Barometric Pressure.

Ordering Alert:

These tests are run as a panel only. This test panel is NOT for routine electrolyte, metabolite, or hemoglobin testing.

Collection Alert:

Do not collect at a Patient Service Centre or by Mobile Collection Services.

LABID (Connect Care):

LAB76

Specimen Type:

Blood

Specimen Source:

Arterial

Primary Container:

HEPARINIZED SYRINGE

Minimum Collection Volume:

0.7 mL whole blood

Stability and Storage:

Edmonton Zone:
Room temperature: 30 minutes

South Zone:
If Lactate reported:
Room temperature: 15 minutes
If Lactate not reported:
Room temperature: 60 minutes

Processing:

Avoid / remove air bubbles from heparinized syringes.
Mix well by gentle inversion.

Transportation:

Transport to performing department immediately.
Transport at room temperature.

Testing Schedule:

Daily

Reference Interval:

Parameter	Units	Gender	Reference Interval
pH	N/A	All	7.35 – 7.45
pCO2	mmHg		35 – 45
pO2	mmHg		70.0 – 90.0
HCO3	mmol/L		20 – 27
BE	mmol/L		-4 - 1
tHb	g/L		Refer to CBC and Differential Provincial Reference Intervals and Critical Values - Epic (albertahealthservices.ca)
O2 Sat	%		90 - 100
COHb	%		0.0 – 3.0
MetHb	%		0.0 – 1.5
OxyHb	%		50 - 80
Lactate	mmol/L		Refer to individual analyte test page
Glucose	mmol/L		Refer to individual analyte test page
Ionized Calcium	mmol/L		Refer to individual analyte test page
Ionized Calcium normalized	mmol/L		Refer to individual analyte test page
Sodium	mmol/L		Refer to individual analyte test page
Potassium	mmol/L		Refer to individual analyte test page
Chloride	mmol/L		Refer to individual analyte test page
Anion gap	mmol/L		Refer to Electrolyte Panel test page
Hct	L/L		Refer to CBC and Differential Provincial Reference Intervals and Critical Values - Epic (albertahealthservices.ca)

Critical Value:

Parameter	Units	Gender	Critical Value
pH	N/A	All	Less than 7.20 or greater than 7.60
pCO2	mmHg		Less than 20 or greater than 70
pO2	mmHg		Less than 56.0
HCO3	mmol/L		Less than 10 or greater than 40
tHb	g/L		Refer to CBC and Differential Provincial Reference Intervals and Critical Values - Epic (albertahealthservices.ca)
COHb	%		Greater than 15
MetHb	%		Greater than 10
Lactate	mmol/L		Refer to individual analyte test page
Glucose	mmol/L		Refer to individual analyte test page
Ionized Calcium	mmol/L		Refer to individual analyte test page
Ionized Calcium normalized	mmol/L		Refer to individual analyte test page
Sodium	mmol/L		Refer to individual analyte test page
Potassium	mmol/L		Refer to individual analyte test page

Testing Area:

Biochemistry

Performing Site:

Edmonton Zone:	Fort Saskatchewan Community Hospital
South Zone:	Medicine Hat Regional Hospital

Last Updated On:

Wednesday, November 20, 2024