What is a Bicarbonate Blood Test?

Bicarbonate is a form of carbon dioxide (CO2), a gas waste left when your body burns food for energy. Bicarbonate belongs to a group of electrolytes, which help keep your body hydrated and make sure your blood has the right amount of acidity. Too much or too little bicarbonate can be a sign of a number of conditions, including diarrhea, liver failure, kidney disease, and anorexia.

A bicarbonate test measures how much carbon dioxide is in your blood.

When Would I Have the Test?

It’s usually part of a larger electrolyte test that tells your doctor how much sodium, potassium, and chloride is in your body. They may do this test as part of a regular checkup, or to try to find out why you don’t feel well.

Your doctor might check the CO2 levels in your blood if you have:

• Vomiting or diarrhea that won’t go away
• Trouble breathing
• Weakness or tiredness

If you’re being treated for liver, lung, or digestive conditions, your doctor might check your bicarbonate levels regularly to see if your therapy or medication is working.

How the Test Works

A doctor or nurse will take a sample of your blood from your arm with a needle. Let your doctor know if you take any medications or supplements, because they can affect the results. So can eating grapefruits, tangerines, and other fruits high in acid.

The test uses only the fluid in your blood, not the blood cells or the platelets that help your blood clot. A lab technician will add acid to the liquid to unlock carbon dioxide from the bicarbonate. The amount of bicarbonate is measured by how fast the sample’s acidity changes.

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