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Biochemistry · Individual laboratory test

Bicarbonates (CO2)

The CO₂ value on a chemistry report mainly reflects bicarbonate, a buffer that helps keep blood acidity within a narrow range.

Price for this test on its ownAED 140Test price AED 40
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Dr Nirupama SabhapathyClinical authorDr Nirupama SabhapathySpecialist Clinical Pathology
Two glass vessels meet at their rims as red and clear liquid swirl together.
Sample
Serum
Laboratory turnaround
24 hours
Collection
Dubai
Laboratory
Intel Lab
Bicarbonates (CO2) specimen guide showing serum.

Understanding the test

What does the Bicarbonates (CO2) test measure?

Also called Blood Bicarbonate (CO2)

A clinician may order bicarbonate with electrolytes when investigating prolonged vomiting, altered breathing or a kidney-related change in acid–base balance.

When it may be requested

Kidney follow-up

The kidneys influence bicarbonate balance, making it useful in a wider renal assessment.

Fluid losses

Changes during vomiting or diarrhoea may become clearer when bicarbonate is compared with chloride.

Before your sample

Prepare for collection

SpecimenSerum
Your checklist0 of 2 ready

No special fast is normally required for bicarbonate alone. Hydrate as usual and keep your hand relaxed during collection. Mention vomiting, breathing changes or diuretics.

A clinician takes a small sample of blood from a vein. The laboratory uses serum, the liquid separated from the blood after it clots.

Smart Report

Understanding your result

24 hoursLaboratory turnaround

Intel LabResult guide

Bicarbonates (CO2)

Reading your result

A high or low value indicates a change in the balance of acids and bases. The other electrolytes and, where indicated, blood gas measurements help explain how it arose.

What can affect it

  • The chemistry result cannot replace a blood gas measurement when the clinical question concerns ventilation or blood acidity directly.

From sample to follow-up

Your testing journey

Intel Lab specimen collection kit

Arrange your collection

Choose your location, add the test to your care bag and select a time. If you are booking for someone else, assign the test to them in checkout.

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Intel Lab
Laboratory testBicarbonates (CO2)
Specimen
Serum
Turnaround
24 hours

Open your laboratory report

Look for Bicarbonates (CO2) in your report. Use the sample type and collection time when comparing it with an earlier report.

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clinician and adult patient discussing laboratory results

Discuss the next step

If bicarbonate is unexpected, review recent vomiting, breathing changes and the accompanying chloride and sodium results.

Clinical expertise

Your laboratory team

Patient questions

Before you book

Is this the same as the carbon dioxide in a lung test?

This chemistry test mainly reflects bicarbonate in the blood. When breathing or acid–base balance is the question, a clinician may also need blood gas measurements and other electrolytes.

What does a high bicarbonate level mean?

A high bicarbonate usually means the body has lost acid or the kidneys are holding on to bicarbonate. Repeated vomiting, diuretics, significant dehydration and heavy antacid use are common causes, and in chronic lung disease the kidneys retain bicarbonate to offset retained carbon dioxide. Less often, excess aldosterone or another adrenal disorder is responsible.

Can medicines affect my bicarbonate result?

Yes. Diuretics and heavy or prolonged use of antacids tend to raise bicarbonate, while some medicines used for glaucoma, epilepsy and migraine can lower it. Steroids can also shift the balance. Tell the team about diuretics, antacids, steroids and any recent vomiting or diarrhoea, and do not stop a prescribed medicine before the test unless your doctor advises it.

What can a low bicarbonate result mean?

It can fall when acidic substances build up in the blood, as in diabetic ketoacidosis, or after prolonged diarrhoea causes bicarbonate loss. A change in breathing can also affect it. The accompanying electrolytes and sometimes a blood gas help distinguish these situations.

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Sources & further reading

Written by Dr Nirupama Sabhapathy, Specialist Clinical Pathology. Medically reviewed by Dr Joyce Jose, Specialist Clinical Pathology, on .

Catalogue information and AED price checked on 2 November 2026. Clinical suitability, preparation, collection arrangements and turnaround are confirmed for your selected test.