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Test Code Gast OB Gastric Fluid, Occult Blood

Aliases

Occult Blood Gastric Fluid

Useful For

A rapid screening test designed for detecting the presence of occult blood and determing the pH of gastric aspirate or vomitus.

Patient Preparation

No special patient preparation required

Collection Method

Gastric aspirate by nasogastric intubation or vomitus collected in a sterile container

Minimum Volume

0.5 mL

Container

Sterile Cup

Preferred Specimen

Gastric aspirate by nasogastric intubation or vomitus collected in a sterile container

Acceptable Specimens

Gastric aspirate by nasogastric intubation or vomitus collected in a sterile container

Reference or Target Ranges

Negative

Reportable Units

  • Positive/Negative
  • pH result

Critical Value

Not defined for this assay

Reasons for Rejection

Hemolysis Threshold N/A
Icterus Threshold N/A
Lipemia Threshold N/A
Other QNS, improperly labeled, improper container

Specimen Stability

Ambient 24 hours
Refrigerated (4°C to 8°C) 5 days
Frozen(-70°C to 0°C) N/A

Performance Information

Days and Time Performed 24/7
Expected Turn Around Time Routine: Within 4 hours of arrival in lab
Stat Availabilty No
Performing Bench UH UA, WCH UA
Methodology/Method Description Gastroccult Cards and Developer – This test kit is impregnated with guaiac resin, When the developing solution of hydrogen peroxide with denatured alcohol is added to guaiac in the presence of hemoglobin the hemoglobin catalyzes the oxidation of guaiac to a blue color.

Additional Information/Important Notes

Sources of Error

  1. Some oral medications (aspirin, indomethacin, phenylbutazone, corticosteroids, reserpine, etc.) can cause an irritation and occult bleeding in some patients. If possible, these substances should be discontinued two days prior to and during testing.
  2. As with any occult blood procedure, “Hemoccult or Gastroccult” cannot be considered conclusive evidence of the presence or absence of gastrointestinal bleeding or pathology. This is designed to be a preliminary screening as an aid to diagnosis and is not intended to replace other diagnostic procedures.

CPT Codes

82271