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Mar 15, 2015

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100

UWHC,UWMF,

Clinical Hub,Tools & Resources,UWHC Lab Test Directory,Blood Gas

Calcium, Ionized

Calcium, Ionized (XICAL) Blood Gas Lab Test

Name: Calcium, Ionized

Test Name: Calcium, Ionized

Health Link Test Code: XICAL

LIS Test Code: ICA

CPT Code(s): 82330

Methodology: Ion Selective Electrode

Days Performed: Daily, 24 hours.

Stat In-Lab Turnaround Time: 1 hour.

Specimen: Blood

Collection Container: Red cap with yellow ring (SST)

Also Acceptable: Red top

Collection Instructions:

Draw without tourniquet if possible. Tube MUST be allowed to fill completely. For faster turnaround, see 'Calcium, Ionized, Whole Blood'.

Collection Volume: Full 4 mL tube

Pediatric Collection Volume: Full 2 mL tube

Stability Ambient:

Unopened, uncentrifuged- 2 hours; Unopened, centrifuged- 4 hours

Stability Refridgerated:

Unopened, centrifuged- 4 days

Sample Analyzed: Serum

Testing Volume: 4 mL

Pediatric Testing Volume: 2 mL

Specimen Processing:

Centrifuge to form a complete barrier.

Outreach Specimen Processing:

Transport specimen to UWHC Hospital Laboratory with coolant pack if coming from clinic location.

Specimen Transport:

Transport specimen to laboratory immediately.

Unacceptable Criteria:

Green top tubes are not acceptable. Microtainer tubes are not acceptable.

Interpretation:

 Age 1 month and up:  
 Actual ICA   4.60-5.20 mg/dL

 Calculated ICA corrected to pH 7.4

 4.70-5.25 mg/dL

  

Interpretation Type: Reference Interval

Test Limitations:

Add-on requests for serum ionized calciums will not be accepted if sample has been previously opened and exposed to air. The alternative will be to add a whole blood ionized calcium (WBICA) to a blood gas previously drawn and sent to lab.

Critical Calls: yes