Abbott I-Stat - ion selective potentiometry (pH, PCO2), amperometrically (pO2, lactate), calculation (HCO3)
Performed at authorized locations by point of care operators. pH, PO2, PCO2 measurements are used in the diagnosis monitoring, and treatment of respiratory disturbances and metabolic and respiratory-based acid-base disturbances. Lactate measurements are used in (1) the diagnosis and treatment of lactic acidosis in conjunction with measurement of blood acid/base status, (2) monitoring tissue hypoxia and strenuous physical exertion, and (3) diagnosis of hyperlactatemia.
Reference ranges are available in the iStat CG4+ Blood Gas and Lactate test procedure located on the POC website: https://www.pathology.med.umich.edu/point-of-care
•Prolonged tourniquet application and forearm exercise may decrease pH due to localized production of lactic acid.
•Exposure of sample to air will cause an increase in pH , a decrease in pCO2 and increase in pO2.
•Results may be affected in the following situations: hemolysis, traumatic draw, pumping fist during draw, extended delay between drawing and testing thee specimen.
Collect in lithium heparin syringe/tube.
Samples must be tested within 30 minutes of collection and immediately after exposing the sample to room air.
•Samples in anticoagulant tubes other than lithium or sodium heparin.
•Air bubbles in sample.
•Specimens older than 30 minutes
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