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Laboratory: Clinical Biochemistry
Test Name:
CARBOXYHEMOGLOBIN - (B)
Test Code: CBHB
Clinical Information:
Test performed at:  St. Boniface Hospital
 
This test is intended for routine (same day) service requests.
 
Collect blood for carboxyhemoglobin analysis as soon as possible following exposure to carbon monoxide.  Half-life of carboxyhemoglobin in a patient is 320 min when breathing room air and 80 min when breathing 100% oxygen. Once collected, unopened sample is stable for 2 weeks. 
Collection Devices:
DO NOT use grey top Na Fluoride tube.
Specimen Required:
Blood: 4.0 mL
Referral:
Whole Blood: 4.0 mL

Collected in Lithium Heparin, No Gel Tube (Full Tube Collection).  Do not centrifuge.
Requisition:
Reference Values:
Non-Smoker:           <2%
Heavy Smoker:        <15%
Toxic:                     >20%
Lethal:                    >50%
Availability:
Daily or Stat
See Also:
More Information:
Blood is not to be centrifuged.  HSC in-patients and acute samples will be dealt with directly by Respiratory.  Collect out-patient blood for carboxyhemoglobin analysis and send without delay to SBH Chemistry.