ARUP's Laboratory Test Directory

Calcium, Ionized, Whole Blood : 0020140
[ image for: Time Sensitive]
Time Sensitive
[ image for: UUHSC Testing Only]
UUHSC Testing Only


Mnemonic: IONCA-WB

Methodology: Ion-Selective Electrode/pH-Electrode
Performed: Sun-Sat
Reported: Within 24 hours
Specimen Required: Collect:  One 5 mL green (sodium or lithium heparin). Collect on ice.  Testing available to UUHSC clients only.
Pediatric Collect/Transport: Collect two full heparinized capillary tubes (call lab for tube).


Storage/Transport Temperature:  Deliver to the lab within 10 minutes on wet ice.  (Min: 0.5 mL)

Remarks:  Specimens are stable up to four hours on ice. Do not freeze.

Unacceptable Conditions:  Ambient or frozen specimens.

Stability (collection to initiation of testing):  Ambient: Unacceptable; Refrigerated: 4 hours; Frozen: Unacceptable
Reference Interval:
Ionized calcium (ISE):
Birth up to 1 month: 1.10-1.35 mmol/L
1 month-adult: 1.11-1.30 mmol/L

Ionized calcium (calculation at pH 7.4):
Birth up to 1 month: 1.10-1.35 mmol/L
1 month-adult: 1.11-1.30 mmol/L
Note: Differences between the ionized calcium result and the ionized calcium normalized to pH 7.4 are due to the specimen having a pH significantly different from pH 7.4.  Specimen pH may be artificially decreased due to delayed processing and may be increased when the specimen is exposed to air.  Due to these factors, it is recommended that the ionized calcium normalized to pH 7.4 be interpreted with caution and only used when the clinician has knowledge of the patient's acid/base status.  Accurate determination of in vivo pH is best determined by arterial blood gas testing.
CPT Code(s): 82330
Cross References: Ionized Calcium, Whole Blood
 
 

 

 

 
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