Basic metabolic panel

Edit links
Source: Wikipedia, the free encyclopedia.
Basic metabolic panel
MedlinePlus003462
LOINC24320-4, 24321-2, 51990-0

A basic metabolic panel (BMP) is a blood test consisting of a set of seven or eight biochemical tests and is one of the most common lab tests ordered by health care providers. Outside the

physical exam
.

The basic metabolic panel is a simpler version of the comprehensive metabolic panel (CMP), which includes tests for liver function.

Components

The version with seven tests is often referred to by medical professionals in the United States as the "CHEM-7", or "SMA-7" (Sequential Multiple Analysis-7).[1]

The seven parts of a CHEM-7 are tests for:

These levels, taken as a set, can be rapidly performed to indicate several common acute conditions requiring immediate specific medical treatment, such as

congestive heart failure, kidney failure or liver failure, various substance overdoses or adverse reactions, and others. A Chem-7 is thus a vital tool when attempting to stabilize a patient.[citation needed
]

Calcium (Ca2+) is often considered part of the BMP,[9][10] though, by definition, it is not part of the CHEM-7. A basic metabolic panel including calcium is sometimes colloquially referred to as a "CHEM-8". Calcium, as an alkaline earth metal, is also an electrolyte, but abnormalities are more commonly associated with malnutrition, osteoporosis, or malignancy, especially of the thyroid.[citation needed]

In countries that do not use the CHEM-7 panel, a UEC typically does not include chloride or bicarbonate as standard components, but will often include an

estimated glomerular filtration rate
(eGFR), and in some laboratories, glucose is also not included but is available as a separate test.

Reporting

Pathophysiology sample values
BMP/ELECTROLYTES:
Na+
= 140 		Cl− = 100 BUN = 20 /
Glu = 150
\
K+ = 4 CO2 = 22 PCr = 1.0
ARTERIAL BLOOD GAS
:
HCO3− = 24 paCO2 = 40 paO2 = 95 pH = 7.40
ALVEOLAR GAS:
pACO2 = 36 pAO2 = 105 A-a g = 10
OTHER:
Ca = 9.5 Mg2+ = 2.0 PO4 = 1
CK = 55 BE = −0.36 AG = 16
SERUM OSMOLARITY/RENAL
:
PMO = 300 PCO = 295
POG
= 5
BUN:Cr
= 20
URINALYSIS:
UNa+ = 80 UCl− = 100 UAG = 5
FENa
= 0.95
UK+ = 25 USG = 1.01 UCr = 60 UO = 800
PROTEIN/GI/LIVER FUNCTION TESTS:
LDH = 100 TP = 7.6 AST = 25 TBIL = 0.7
ALP = 71 Alb = 4.0 ALT = 40 BC = 0.5
AST/ALT = 0.6 BU = 0.2
AF alb
= 3.0 		SAAG = 1.0
SOG
= 60
CSF:
CSF alb = 30 CSF glu = 60 CSF/S alb = 7.5 CSF/S glu = 0.6

The results of a basic metabolic panel are traditionally represented in a standard grid:

Na+ Cl− BUN
K+ HCO3 creatinine

Glucose (and sometimes calcium, magnesium, and phosphorus) are listed to the right of this grid, but there is greater variation in how these values are reported.[citation needed]

See also

References

  1. ^ MedlinePlus Encyclopedia: 003462
  2. ^ MedlinePlus Encyclopedia: 003481
  3. ^ MedlinePlus Encyclopedia: 003484
  4. ^ MedlinePlus Encyclopedia: 003485
  5. ^ MedlinePlus Encyclopedia: 003469
  6. ^ MedlinePlus Encyclopedia: 003474
  7. ^ MedlinePlus Encyclopedia: 003475
  8. ^ MedlinePlus Encyclopedia: 003482
  9. ^ "BASIC METABOLIC PANEL, SERUM". Archived from the original on March 13, 2005. Retrieved 2007-08-26.
  10. ^ "Basic Metabolic Panel-Topic Overview". Retrieved 2007-08-26.

External links

Retrieved from "https://en.wikipedia.org/w/index.php?title=Basic_metabolic_panel&oldid=1203172597"