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Geisinger Medical Laboratories Test Catalog
BLOOD GAS, CORD BLOOD, ARTERIAL |
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Geisinger Epic Procedure Code: LAB3458
Geisinger Epic ID: 37251
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SPECIMEN COLLECTION |
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Specimen type: |
Whole blood | |
Preferred collection container: |
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Specimen required: |
1 mL whole blood; minimum 0.4 mL. | |
Special notes: |
Expel excess air from syringe. Mix well immediately after collection. Due to sample instability, this test may only be collected and analyzed at a performing laboratory site (see below). | |
| SPECIMEN PROCESSING |
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Transport temperature: |
Room temperature (preferred). Transport immediately. If delay in transport is anticipated, place specimen on an ice slurry. | |
Specimen stability: |
Stable 30 minutes at room temperature, 1 hour on an ice slurry. | |
Rejection criteria: |
Stability limits exceeded (greater than 30 minutes at room temperature) or greater than 1 hour from time of collection when on ice slurry), specimens containing large clots or air bubbles. | |
TEST DETAILS |
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Reference interval: |
pH, 7.23 - 7.33; pCO2, 41 - 57 mmHg; pO2, 12 - 24; Base excess -6 to -2 mmol/L. | |
Critical values/courtesy alerts: |
pH <7.150 | |
CPT code(s): |
82803 | |
| Note: The billing party has sole responsibility for CPT coding. Any questions regarding coding should be directed to the payer being billed. The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only. | ||
Test includes: |
Cord Blood pH, pCO2, pO2, Base excess (calculated) | |
Methodology: |
Potentiometric |
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Synonyms: |
Cord blood, blood gas cord blood BGCA
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Clinical significance: |
Cord blood gases are sometimes drawn from the umbilicus during delivery to document oxygenation status of the newborn during delivery. Acidosis (pH less than 7.1 in an arterial cord blood gas) suggests blood flow / oxygenation from mother to newborn may have been occluded during delivery. The umbilical artery carries deoxygenated blood from the fetus to the placenta in exchange for oxygen. It, therefore, reflects fetal metabolism and well-being. |
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Doctoral Director(s:) |
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM Sheng-Ying (Margaret) Lo, PhD, DABCC |
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| Review Date: | 12/14/2022 | |
Performing Locations
Geisinger Wyoming Valley Medical Center