Biochem blood gases

Syringes arterial venous mix, check for clot/nsq run, repeat criticals second result replaces the first in beaker (sometimes , see >100 pCO2) For critical K+ must centrifuge a microtainer to check for hemolysis after repeating.

QC done on analyzer. keep an eye on number of tests/pack

Small volume syringes Pull back label, inspect. gently move plunger back to allow metal ball to get out of the way. MIX MANUALLY between hands Aspirate and rotate to allow the probe to completely empty syringe for cord only, there's a specific NSQ for repeat comment for the critical pH Clots/Aspiration error Remove filter cap (behind splash shield) Gently eject blood into kimwipe to check for clot (?all analytes good to report even with clot?) pCO2 is calculation, reportable range is >100 repeat on another ABL to confirm critical.

Troubleshooting arterial gas should always be O2 saturation above 90. can call the floor to confirm if labeled as artery but is low O2 to confirm ordering error.

Lactate, whole blood, fluids and CSF. hitachi PST spun food for up to 72hrs capillary, mix for two min with magnet, fleece. remove before aspirate

intralab comparison hemoglobin aliquot for hematology plasma spun for lytes and glucose, false bottom tube replace ABL cartridge, don't do sensor first (45 mins)

Code emerge, call to give results ten mins Code Stroke ten mins no call needed