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Metabolism & organs

Carbon dioxide (CO2) test

Mostly bicarbonate, the blood's main buffer; part of the metabolic panel used to assess acid-base balance. Included with every panel.

At a glance

Price

Included with every panel

Baseline labs come free with any panel you build.

Results

In about 5 days

Most results are ready in about 5 days. Some specialty markers can take up to 21 days.

Preparation

Check before your draw

This marker has no preparation tag, but it can still need preparation. Contact us before your draw if you’re not sure.

Blood draw

Walk in at Quest

Your lab order arrives by email. Most Quest locations take walk-ins, so bring it with a photo ID.

What it measures

Measures bicarbonate, a form of carbon dioxide that helps keep the acid level of your blood steady. Your kidneys and lungs work together to keep it in balance.

Why it matters for women

In pregnancy you naturally breathe more deeply, so this level can run a little lower than usual. Repeated vomiting, including severe nausea in pregnancy, can push it up, while long-lasting diarrhea or kidney problems can pull it down.

You might check it if…

  • you’ve been vomiting a lot or had ongoing diarrhea
  • you take water pills or other medicines that affect fluids
  • a doctor is keeping an eye on your kidneys
  • you’re pregnant and struggling with severe nausea

What your result may mean

High Carbon dioxide (CO2): what it may mean

High CO2 (bicarbonate) may suggest metabolic alkalosis, when the blood can become less acidic than normal, or it may be the body making up for a breathing problem. Repeated vomiting, including severe nausea in pregnancy, can push it up, and so can water pills (diuretics). Long-term lung conditions can raise it too, because the kidneys may hold on to bicarbonate. Muscle cramps, twitching or weakness can happen, or there may be no symptoms. A clinician may read it with your sodium, potassium and chloride.

Low Carbon dioxide (CO2): what it may mean

Low CO2 (bicarbonate) may suggest metabolic acidosis, when acid can build up in the blood, or the body making up for fast breathing. It can be seen with kidney disease, severe diarrhea or uncontrolled diabetes. In pregnancy you can naturally breathe more deeply, so a slightly lower level may be expected. A blood tube that isn't filled all the way can also lower the reading a little. Fast breathing, tiredness or nausea can appear, depending on what's behind it.

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These notes provide context and do not diagnose a condition. Not yet available in NY, NJ, RI, HI, ND, SD or WV.