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Blood Gas Chloride (Other)

Electrolytes

BG ClBlood Gas ChlorideChloride (blood gas)

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test measures the amount of chloride in a blood sample analyzed on a blood gas device. Chloride is a major electrolyte that helps keep your body’s fluids balanced and supports normal acid–base status. In a blood gas panel, chloride is measured directly in whole blood.

“Other” indicates the sample is not a standard arterial blood gas; it may be venous, capillary, or another clinically appropriate source. The measurement is often ordered together with pH, carbon dioxide, oxygen, sodium, potassium, and bicarbonate to give a real‑time picture of your circulation and metabolism.

Why it matters

Chloride levels can shift with dehydration or fluid overload, kidney problems, losses from the stomach or intestines, and with certain intravenous fluids. Because chloride closely links to bicarbonate, it is a key clue to acid–base disorders, such as metabolic acidosis or alkalosis.

Your care team may order this test if you are acutely ill, have suspected acid–base imbalance, are receiving large volumes of IV fluids, use diuretics, or have ongoing vomiting or diarrhea. It helps guide treatment decisions in emergency, intensive care, perioperative, and other urgent settings.

Understanding your results

Your result is interpreted alongside other measurements, including sodium, potassium, bicarbonate, pH, and carbon dioxide, plus your symptoms and medical history. A higher chloride level can be seen with some types of metabolic acidosis, after large volumes of certain IV fluids, or with specific kidney conditions. A lower level can occur with prolonged vomiting, gastric suction, or some diuretics, and may accompany metabolic alkalosis.

If your value is unexpected, your clinician may confirm it with a repeat test or a central laboratory electrolyte panel, review your medications and IV fluids, and consider urine studies or kidney tests. Small differences can occur between blood gas analyzers and standard laboratory methods, so results are always viewed in clinical context.

Reference ranges

95100 mmol/L
All sexes
0 days – 1 month
99110 mmol/L
All sexes
1 month – 18 years
100110 mmol/L
All sexes
18 years – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Blood Gas Chloride (Other)

  • Sample type and timing

    Arterial, venous, or capillary samples can be used on blood gas analyzers. Rapid testing after collection best preserves accuracy, especially in urgent care settings.

  • Heparin and handling effects

    Excess liquid heparin or sample dilution can artifactually lower electrolytes. Air exposure, clots, or delays to analysis may introduce small method differences.

  • Intravenous fluids

    Large volumes of chloride‑rich fluids, such as normal saline, can raise chloride and influence acid–base balance. Balanced crystalloids may have different effects.

  • Diuretics and medications

    Loop and thiazide diuretics can lower chloride. Acetazolamide and other acid–base active drugs can shift chloride through effects on bicarbonate handling.

  • Gastrointestinal losses

    Prolonged vomiting or gastric suction tends to lower chloride, while significant diarrheal losses can be associated with patterns that raise chloride in the blood.

  • Kidney and acid–base disorders

    Renal tubular disorders and chronic kidney disease can alter chloride balance and the relationship between chloride and bicarbonate in acid–base regulation.

  • Age and clinical status

    Newborns and critically ill patients may have different physiology and treatment exposures. Clinicians interpret chloride with age, disease severity, and therapies in mind.

2026

References

  1. McGill University Health Centre. (2013, December 04). BG Chloride Other (Task CD 1092167). Laboratory reference ranges.
  2. American Association for Respiratory Care. (2013). AARC clinical practice guideline: Sampling for arterial blood gas analysis. Respiratory Care, 58(3), 548–575.
  3. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. (2012). KDIGO clinical practice guideline for acute kidney injury. Kidney International Supplements, 2(1), 1–138.