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Laboratory Test Reference Guide

Laboratory Information

Test Name

Bilirubin (Blood Gas)

Specimen Collection

Pre Testing Requirements

Available in NICU, Delivery Suite, Ward E2, Ward E5

Specimen Collection and Transport Protocols

Remove at least 3 ml of blood to waste prior to collecting the blood sample from a line

Adult Specimen

1.0 ml blood in an adult blood gas syringe or 0.5 ml in a paediatric blood gas syringe

Paediatric Specimen

Either 0.5 mL blood in a paediatric blood gas syringe or 45 uL into a plastic capillary tube

Test Information

Department

POCT

Test Availability

Mon - Sun, 24hrs

Laboratory Turnaround Time

30 minutes

Method

Blood gas analyser

Unit of measurement

µmol/L

Reference interval

Age

Total   Bilirubin

(µmol/L)

Comment

Cord Blood

≤   50

Action cut points for treatment and monitoring of newborn hyperbilirubinaemia.

 

Refer   to neonatal unit protocol.

Up to 24 hrs

≤   150

≥ 24  hrs     to    < 48 hrs

≤   200

≥ 48  hrs     to    < 72 hrs

≤   250

≥ 3   days   to    < 7 days

≤   300

≥ 7   days   to    < 3 weeks

≤   100

≥ 3   weeks to  < 4 weeks

≤   50

≥ 4   weeks

            < 25

Uncertainty of measurement

± 5%

Additional Information

Conjugated fractions can be determined on request if the total bilirubin is elevated.

This analysis cannot be performed if there is excessive haemolysis.

Samples for bilirubin can have values decreased by up to 50% per hour by light exposure. 

Minimum Volume

45 uL collected into a plastic capillary tube

Electronic Information

Registration Code

BILBG

HL7 mapping code

$BILBG