Platform
Company
Immunology & Autoimmune
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Currently under review
Pending specialist review and validation.
BG Lactate Arterial measures the amount of lactate in arterial blood. Lactate is a substance your body produces when cells make energy, especially when oxygen delivery is limited or metabolism is stressed. Tracking lactate helps assess how well your tissues are being oxygenated and how your body is handling critical illness.
This test is often performed with an arterial blood gas panel on a point-of-care analyzer. The sample is taken from an artery, usually at the wrist or from an arterial line, and is analyzed promptly to give timely information to your care team.
Clinicians use arterial lactate to evaluate conditions that can reduce oxygen delivery to tissues, such as severe infection, shock, heart or lung problems, and after cardiac arrest. It is also used to monitor response to treatment during resuscitation, for example when giving fluids, oxygen, or antibiotics, and to help guide ongoing care in intensive or emergency settings.
Your provider may order this test if you have symptoms of serious illness, trouble breathing, low blood pressure, or if there is concern for toxin exposure or metabolic imbalance. The arterial blood draw has small risks like brief discomfort, bruising, or, rarely, bleeding, but it provides quick information that can be critical for decision making.
Your results are interpreted in the context of your symptoms, vital signs, and other tests. Higher-than-expected values can occur when tissues are not getting enough oxygen, when the body is under significant stress, or when the liver or kidneys have trouble clearing lactate. They can also rise with strenuous exercise, seizures, or with certain medicines. Lower-than-expected values are usually not concerning on their own.
Trends over time often matter more than a single result. If your level is higher than anticipated, your clinician may repeat the test, check oxygenation and blood pressure, look for infection or dehydration, and adjust treatments. Because lactate can rise if the sample is not handled quickly, a new sample may be taken if the number does not match how you are doing clinically.
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.
Lactate can rise in the tube if the sample is not analyzed promptly. Rapid processing or use of inhibitors minimizes false elevation from ongoing cell metabolism.
Low blood pressure, shock, severe infection, or breathing problems can reduce oxygen to tissues and increase lactate production even before other signs appear.
Epinephrine, beta-agonists, metformin, antiretrovirals, or propylene glycol in some IV drugs may increase lactate or affect its clearance, influencing results.
Recent intense exertion, convulsions, or severe physiologic stress can temporarily raise lactate, which often improves as the triggering condition resolves.
Impaired liver metabolism or reduced kidney function can slow lactate clearance, leading to higher measured levels despite stable production.
This test uses arterial blood. Results can differ from venous samples, so comparing values requires using the same source and method when possible.
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