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Test Code LA CSF; LA LACTIC ACID

Aliasis

Lactate

Patient Preparation

Lactate levels increase rapidly with exercise. Time required to return to normal lactate values depends on the physical fitness of the subject. Thirty (30) minutes at rest is usually sufficient.

Special Collection Instructions

  • Blood should be drawn from a stasis-free vein (minimal hemostasis < 30 seconds will not impact levels) and store it in an ice bath.
  • Avoid turniquet use if possible. Deliver to lab immediately.
  • Centrifuge within 15 minutes of collection. If testing or transport delays longer than 15 minutes occur, separate plasma from cells and store according to specimen stability.

Collection Method

Venous and CSF

Minimum Volume

1 mL

Container

Grey Top / Sodium Fluoride Potassium Oxalate

Sterile CSF Tube

Preferred Specimen

Grey top / Sodium Fluoride

Acceptable Specimen(s)

Plasma:
-Grey
-Light Green
-Lavender

Sterile CSF tube

Reference or Target Ranges

Plasma (Adults)

0.5 – 2.20 mmol/L

CSF (Adults)

0.60 – 2.20 mmol/L

Reportable Units

mmol/L

Critical Value

Plasma

>4.0 mmol/L

CSF

>4.0 mmol/L

Reasons for Rejection

Hemolysis Threshold:

300-1000 mg/dL

Icterus Threshold:

 5.18 – 9.2 mg/dL (unconjugated)

 

3.75 – 7.5 gm/dL (conjugated)

Lipemia Threshold:

1000 mg/dL

Other:

QNS, contaminated, improperly labeled, improper specimen type

Not received within 15 minutes of collection

Specimen Stability

Plasma

 

Refrigerated

1 Day

Frozen

30 Days

CSF

 

Refrigerated

24 Hours

Frozen

1 Month

 

Performance Information

Days and Time Performed

24/7

Expected Turn Around Time

Stat: 1 Hour, Routine: 4 Hours

Stat Availability

Yes

Performing Bench

CRMC Chemistry

Methodology/Method Description

Atellica

Methodology/Method Description

Atellica CH Analyzer

CPT Codes

86305