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Test Code CBG Capillary Blood Gases

Additional Codes

Cerner

NextGen

Blood Gases Capillary

Blood Gases Capillary

Alternate Name(s)

CBG

Blood Gases Capillary

Useful For

Blood gas measurements help to evaluate oxygenation and acid base status.

  • pH, pCO2, HCO3–, TCO2, Base Excess and Base Deficit, define acid-base status.
  • pO2 and O2 Content indicates oxygen.
  • CO-oximetry evaluates the ability of the blood to carry oxygen by measuring total hemoglobin and the percentage of functional and dysfunctional hemoglobin species. 
  • Oxyhemoglobin (O2Hb) [OSAT]: The proportion of Hb that is oxygen-loaded.

Methodology

  • Potentiometric
    • pH
    • pCO2
  • Amperometric
    • pO2
  • Calculated
    • HCO3
    • Base Excess
    • 02 Saturation

Patient Preparation

None

Collection Instructions

Standard phlebotomy practices.

Specimen Requirements

Minimum Volume

65 µL

Container

Heparinized Capillary tube free of air bubbles.

Stability

Within 10 minutes of collection

Rejection Criteria

Not Defined 

Result Reporting and Reference Values

TEST

UNITS

SEX

AGE

REFERENCE RANGE

CRITICAL VALUES

Low

High

  pH CAPILLARY

pH units

All

0D-2D

7.33

--

7.49

<7.2

>7.57

2D-30D

7.32

--

7.43

<7.2

>7.57

30D-60D

7.34

--

7.43

<7.2

>7.57

60D-150Y

7.34

--

7.46

<7.2

>7.57

  pCO2 CAPILLARY

mmHG

All

0D-60D

27

--

40

N/A

60D-2Y

26

--

41

N/A

2Y-18Y

36

--

40

N/A

18Y-150Y

26

--

41

N/A

  pO2 CAPILLARY

mmHG

All

0D-3D

54

--

95

<40

>200

3D- 150Y

57

--

94

<40

>200

  HCO3 CAPILLARY

mEq/L

F

0D-30D

17

--

24

N/A

30D-60D

19

--

24

N/A

60D-2Y

16

--

24

N/A

2Y-16Y

21

--

27

N/A

16Y-150Y

18

--

28

N/A

M

0D-30D

17

--

24

N/A

30D-60D

19

--

24

N/A

60D-2Y

16

--

24

N/A

2Y-16Y

21

--

27

N/A

16Y-150Y

21

--

28

N/A

  BASE EXCESS CAP

mmol/L

All

0D-30D

-10

--

2

N/A

30D-2Y

-7

--

2

N/A

2Y-10Y

-2.3

--

2

N/A

10Y-150Y

-2

--

2

N/A

  O2 SATURATION CAP

%

All

0D-150Y

90

--

98

N/A

Reflex Testing

None

Limitations

  • Air bubbles must be removed from the sample immediately.  Contamination with room air will affect results.
  • If a patient is on room air and pO2 + pCO2 is greater than 150 mmHg the laboratory will call and recommend the ABG be redrawn due to possible contamination.
  • Clotting and dilutional effects may be present if the sample collection technique is not performed correctly.
  • The presence of unknown interfering substances, clots or other foreign matter within the blood sample that alters the optical spectrum will result in higher levels of residual spectrum. A sample with an absorbance error will not be reported.
  • Anticoagulants such as EDTA, citrate, oxalate, or fluoride will not be accepted since they significantly affect pH and Ionized Calcium.
  • The substances listed below showed an interference with CO-Oximetry/tBili analytes causing a clinically significant error (> TEa).