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Test Catalog

Test ID: ELPSR    
Electrolyte Panel, Serum

Useful For Suggests clinical disorders or settings where the test may be helpful

Identifying a suspected imbalance in electrolytes or acid/base imbalance

Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test

The electrolyte panel is ordered to identify electrolyte, fluid, or pH imbalance. Electrolyte concentrations are evaluated to assist in investigating conditions that cause electrolyte imbalances such as dehydration, kidney disease, lung diseases, or heart conditions. Repeat testing of the electrolyte or its components may be used to monitor the patient’s response to treatment of any condition that may be causing the electrolyte, fluid or pH imbalance.

 

Electrolyte and acid-base imbalances can often be indicative of many acute and chronic illnesses. For this reason, the electrolyte panel is often used in the hospital and emergency settings to evaluate patients.

Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

SODIUM

<1 year: not established

> or =1 year: 135-145 mmol/L

 

POTASSIUM

<1 year: not established

> or =1 year: 3.6-5.2 mmol/L

 

CHLORIDE

<1 year: not established

1-17 years: 102-112 mmol/L

> or =18 years: 98-107 mmol/L

 

BICARBONATE

Males

<1 year: not established

1-2 years: 17-25 mmol/L

3 years: 18-26 mmol/L

4-5 years: 19-27 mmol/L

6-7 years: 20-28 mmol/L

8-17 years: 21-29 mmol/L

> or =18 years: 22-29 mmol/L

Females

<1 year: not established

1-3 years: 18-25 mmol/L

4-5 years: 19-26 mmol/L

6-7 years: 20-27 mmol/L

8-9 years: 21-28 mmol/L

> or =10 years: 22-29 mmol/L

 

ANION GAP

<7 years: not established

> or =7 years: 7-15

Interpretation Provides information to assist in interpretation of the test results

With an imbalance of a single electrolyte, such as sodium or potassium, repeat testing may be ordered of that particular electrolyte, can be used to monitor the imbalance until remedied. With an acid-base imbalance, blood gases may be ordered, which will measure the oxygen, carbon dioxide, and pH levels in the arterial blood. These tests assist in evaluating the acuteness of the imbalance and monitoring the response to treatment.

Cautions Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances

No significant cautionary statements

Clinical Reference Recommendations for in-depth reading of a clinical nature

1. Oh MS: Evaluation of renal function, water, electrolytes, and acid-base balance. In Henry's Clinical Diagnosis and Management by Laboratory Methods. 22nd edition. Edited by RA McPherson, MR Pincus. Philadelphia, PA: Elsevier Saunders; 2011:chap 14

2. AACC: Lab Tests Online: Access 03/22/2017. Available at https://labtestsonline.org/understanding/analytes/electrolyes