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Test Code Li LITHIUM

Patient Preparation

No special preparation required

Collection Method

Venous collection

Minimum Volume

Adults

1.0 mL

Pediatric

0.5 mL

Container

Lt Green / Plasma Separator / Lithium Heparin

Preferred Specimen

Light Green Top (lithium heparin) plasma

Acceptable Specimen(s)

Serum:
-Gold Top SST
-Red Top
Plasma:
-Lt Green top (lithium heparin)

Reference or Target Ranges

Therapeutic

1.00 – 1.20 mmol/L

Reportable Units

mmol/L

Critical Value

> 1.50 mmol/L

Reasons for Rejection

Hemolysis Threshold:

375 - 750 mg/dL

Icterus Threshold:

 40 mg/dL (unconjugated)

 

40 mg/dL  (conjugated)

Lipemia Threshold:

500 mg/dL

Other:

QNS, contaminated, improperly labeled, improper specimen type

Specimen Stability

Ambient

24 Hours

Refrigerated         

7 Days

Frozen

6 Months

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

Additional Information / Important Notes

Peak levels occur 2-4 hours after an oral dose. The half-life in serum in 48-72 hours and it is cleared through the kidneys. Reducted renal function can prolong clearance time.

Methodology/Method Description

Atellica CH Analyzer

CPT Codes

80178