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Basic Metabolic Panel with Anion Gap : 92498
Test CodeBMPAU or 92498
CPT Codes
80048
Includes
BUN/Creatinine Ratio (calculated), BUN, Calcium, Creatinine with GFR Estimated, Glucose, Sodium, Potassium, Chloride, Carbon Dioxide, Electrolyte Balance
Instructions
Fasting specimen is preferred.
Transport Container
Preferred Specimen
1 mL serum
Minimum Volume
0.5 mL
1 mL serum
Minimum Volume
0.5 mL
Transport Temperature
Room temperature.
Specimen Stability
Room temperature: 72 hours; Refrigerated: 72 hours; Frozen: 28 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Moderate to gross hemolysis
Methodology
Spectrophotometry, Ion Selective Electrodes (ISE)
Setup Schedule
Sunday - Saturday
Report Available
1 day
Reference Range
See Laboratory Report
Clinical Significance
The Basic Metabolic Panel is also commonly ordered during hospital and emergency-room admission, and to monitor the metabolism and vital signs of hospitalized individuals with conditions, such as hypertension, who are being treated with diuretics or other appropriate interventions. [1,2].
Significant changes in electrolytes, acid-base balance, renal function, and blood glucose may be associated with kidney failure, respiratory distress, and impaired cognitive status. Changes in sodium, potassium, and calcium alter the excitability of neurons, cardiac, and skeletal muscles that can produce arrhythmias, weakness, and spasms/tremors [2].
Basic metabolic panel test results are usually evaluated in conjunction with one another for patterns of results. A single abnormal test result could be indicative of something different than if more than 1 of the test results are abnormal. Many conditions can cause abnormal results, including kidney failure, respiratory distress, and diabetes-related complications [2].
References:
1. American Association of Clinical Chemistry. Basic metabolic panel. https://labtestsonline.org/tests/basic-metabolic-panel-bmp. Accessed February 5, 2020.
2. Rao LV, et al. Laboratory tests. In Rao LV, eds. Wallach’s Interpretation of Diagnostic Tests. Pathways to Arriving at a Clinical Diagnosis. 11th ed. New York, NY: Wolters Kluwer; 2020, 6-463.
Significant changes in electrolytes, acid-base balance, renal function, and blood glucose may be associated with kidney failure, respiratory distress, and impaired cognitive status. Changes in sodium, potassium, and calcium alter the excitability of neurons, cardiac, and skeletal muscles that can produce arrhythmias, weakness, and spasms/tremors [2].
Basic metabolic panel test results are usually evaluated in conjunction with one another for patterns of results. A single abnormal test result could be indicative of something different than if more than 1 of the test results are abnormal. Many conditions can cause abnormal results, including kidney failure, respiratory distress, and diabetes-related complications [2].
References:
1. American Association of Clinical Chemistry. Basic metabolic panel. https://labtestsonline.org/tests/basic-metabolic-panel-bmp. Accessed February 5, 2020.
2. Rao LV, et al. Laboratory tests. In Rao LV, eds. Wallach’s Interpretation of Diagnostic Tests. Pathways to Arriving at a Clinical Diagnosis. 11th ed. New York, NY: Wolters Kluwer; 2020, 6-463.
Performing Laboratory
med fusion
