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Chloride, Blood

Chloride, Blood

Alternate Test Name

CL

Epic Mnemonic
Sunquest Mnemonic

LAB59
CL

Category

Chemistry

Methodology

Ion-Selective Electrode (ISE)

Test Performance Schedule

Sunday - Saturday

Result Availability

Within 24 hours – STAT upon request

Specimen Required

Container

Gold top (SST) or Green top (lithium heparin) tube

Volume

Pref. Vol.: 1.0 mL serum
Min. Vol.:0.5 mL serum

Collection Instructions

Routine venipuncture

Immediately after collection, gently invert tube 5-10 times

Clot 30 minutes

Promptly centrifuge 10 minutes

If no gel barrier is present immediately transfer serum or plasma to a plastic tube and refrigerate

Properly centrifuged gel barrier tube does not require transfer of serum or plasma to separate tube

Transportation Instructions

Refrigerated

Stability

Room Temperature: 5 days
Refrigerated: 5 days

Causes for Rejection

Hemolysis

CPT Codes

82435

Effective/Revised

03/23/2017

Clinical Significance

Electrolytes are involved in most major metabolic functions in the body. Sodium, potassium and chloride are amongst the most important physiological ions and the most often assayed electrolytes. They are supplied primarily through the diet, absorbed in the gastrointestinal tract, and excreted via the kidneys.

 

Chloride is the major extracellular anion and serves to regulate the balance of extracellular fluid distribution. Similarly to the other ions, common causes of decreased chloride include reduced dietary intake, prolonged vomiting and reduced renal reabsorption as well as some forms of acidosis and alkalosis. Increased chloride values are found in dehydration, kidney failure, some forms of acidosis, high dietary or parenteral chloride intake, and salicylate poisoning.

 

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