Test Overview
Test Methodology

i-Stat - ion-selective electrode potentiometry (Na, K, Cl, BUN), amperometry (creatinine, glucose), conductometry (hematocrit), Hemoglobin (calculated, HCT% X0.34)

Test Usage

Point of Care iSTAT testing is available in certain nursing units and procedure areas and is performed by authorized operators in those areas.

Reference Range *

Reference ranges are available in the iStat CHEM 8+ test procedure located on the POC website: https://www.pathology.med.umich.edu/point-of-care

Test Limitations

•Specimens must be free of clots and fibrin strands.
•Prolonged tourniquet application (venous stasis) and forearm excercis may decrease pH due to localized production of lactic acid. This in turn can affect ioniazed calcium.
•Results may be affected in the following situations: hemolysis, traumatic draw, pumping fist during draw, extended delay between drawing and testing specimen, exposure to air, and obtaining specimen from an arm with an IV.
•Results outside the reportable ranges for the system will be display with a "<" or ">" symbol.

Test Details
Analytic Time

2 minutes

Soft Order Code
PBMPP
MiChart Code
Basic Metabolic Panel Plus, Point of Care
Laboratory
Point of Care
Section
Point of Care
Specimen Requirements
Collection Instructions

Collect in lithium or sodium heparin syringe/tube.

Special Handling

Samples must be tested within 30 minutes of collection and immediately after exposing the sample to room air.

Rejection Criteria
Specimens; containing clots, collected in anticoagulant other than lithium or sodium heparin, older than 30 minutes.
Normal Volume
3 mL whole blood
Minimum Volume
95 µL whole blood
Additional Information

For more test specific information, please refer to the test procedure found on the Michigan Medicine POC website: https://www.pathology.med.umich.edu/point-of-care

Billing
CPT Code
Sodium (84295), Potassium (84132), Chloride (81235), Ionized calcium (82330), Glucose (82947), BUN (84520), Creatinine (82565), Hematocrit (85014)
LOINC
Sodium (39791-9), Potassium ( 39789-3), Chloride (2069-3), Ionized Calcium (41645-3), Glucose (41652-9), Urea Nitrogen ( 62999-2), Creatinine ( 38483-4), calc. Hemoglobin (20509-6)
NY State Approved
No