Test Code LAB55 Bicarbonate (HCO3)/Carbon Dioxide (CO2), Plasma or Serum
Reporting Title
Bicarbonate (CO2)
Methodology
Roche Diagnostics, Enzymatic: RMH, BH, DH, DMH, GCMH, GMC, GMH, MGH, MH, OBH, PMH, WECC, HMH, SH
This test measures bicarbonate (HCO3).
Useful in diagnosis and treatment of acid-base imbalance in the respiratory or metabolic system.
VWH Lab Only:
ISE Electrolyte Buffer reagent, ISE Electrolyte Reference reagent, CO2 Alkaline Buffer and CO2 Acid Reagent, when used in conjunction with SYNCHRON LX® System(s), UniCel® DxC 860i System(s) and SYNCHRON® Systems AQUA CAL 1 and 3, are intended for the quantitative determination of Carbon Dioxide in human serum or plasma.
Performing Laboratory
OhioHealth Laboratory Services - RMH, BH, DH, DMH, GCMH, GMC, GMH, HMH, MGH, MH, OBH, PMH, SH, WECC and VWH Core Laboratories
Specimen Requirements
Submit only 1 of the following specimens:
Preferred:
Serum
Draw blood in a gold-top serum gel tube(s). Spin down and send 1 mL of serum refrigerated.
Note:
1. A speckled-top serum gel tube (s) or a plain, red-top tube(s) is also acceptable.
2. Indicate serum on request form.
3. Label specimen appropriately (serum).
Alternate (Preferred for VWH Lab):
Plasma
Draw blood in a mint green-top (heparin) gel tube(s). Spin down and send 1 mL of heparinized plasma refrigerated.
Note:
1. Indicate plasma on request form.
2. Label specimen appropriately (plasma).
VWH Lab:
3. ISE Electrolyte Buffer reagent, ISE Electrolyte Reference reagent, CO2 Alkaline Buffer and CO2 Acid Reagent, when used in conjunction with SYNCHRON LX® System(s), UniCel® DxC 860i System(s) and SYNCHRON® Systems AQUA CAL 1 and 3, are intended for the quantitative determination of Carbon Dioxide in human serum or plasma.
4. Separated serum or plasma should not remain at room temperature longer than 8 hours. If assays are not completed within 8 hours, serum or plasma should be stored at +2°C to +8°C. Refrigerated specimens are stable for 48 hrs.
Roche Specimen Stability Information:
Stable several days refrigerated when separated from erythrocytes and stored capped tightly;
6 months frozen
Specimen Transport Temperature
Refrigerate/Ambient OK/Frozen NO
Reference Values
Males:
0-3y 17-25mmol/L
4-5y 19-27
6-7y 20-28
8-17y 21-29
≥18 y 21-32
Females:
0-3y 18-25
4-5 y 19-26
6-7 y 20-27
8-9 y 21-28
≥10 y 21-32
SIEMENS USERS
ALL AGES: 21-32
Critical values <10 mmol/L or >40 mmol/L
Alerting category: Always called within 1 hour
VWH Lab:
Serum or Plasma: 22 – 31 mmol/L
Day(s) Test Set Up
Monday through Sunday; Continuously
Test Classification and CPT Coding
82374