ELECTROLYTES FECES

LAB388

Collect

24-hour or random liquid stool.

Specimen Preparation

Mix well and transfer a 5 g aliquot of stool to an unpreserved stool transport vial (ARUP Supply #40910). Available online through eSupply using ARUP Connectâ„¢ or contact Client Services at (800) 522-2787. (Min: 1 g) Do not add saline or water to liquefy specimen.

Unacceptable Conditions

Formed or viscous stool.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month

Performed

Sun-Sat

Methodology

Quantitative Ion-Selective Electrode

Reported

Within 48 hours

Synonyms

  • Fecal Electrolytes
  • Electrolytes, Feces
  • LAB388
  • LYTES FECAL

Reference Interval

Not established.

CPT Codes

84999; 84302; 82438
Collection

LAB388

Collect

24-hour or random liquid stool.

Specimen Preparation

Mix well and transfer a 5 g aliquot of stool to an unpreserved stool transport vial (ARUP Supply #40910). Available online through eSupply using ARUP Connectâ„¢ or contact Client Services at (800) 522-2787. (Min: 1 g) Do not add saline or water to liquefy specimen.

Unacceptable Conditions

Formed or viscous stool.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month
Ordering

Performed

Sun-Sat

Methodology

Quantitative Ion-Selective Electrode

Reported

Within 48 hours

Synonyms

  • Fecal Electrolytes
  • Electrolytes, Feces
  • LAB388
  • LYTES FECAL
Result Interpretation

Reference Interval

Not established.
Administrative

CPT Codes

84999; 84302; 82438

ELECTROLYTES RANDOM URINE

LAB3280

LYTES RANU

Collect

5 mL random urine in urine container, no preservative

Minimum volume: 0.6mL urine

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab at ambient temperature.

Stability (from collection to initiation)

Refer to individual components for stability.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Indirect ISE. Panel includes: Na, K, Cl.

Reported

Same day

Synonyms

  • LAB3280

Reference Interval

Reference ranges not established for random urine specimens.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84300 Sodium; 84133 Potasium; 82436 Chloride

Collection

LAB3280

LYTES RANU

Collect

5 mL random urine in urine container, no preservative

Minimum volume: 0.6mL urine

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab at ambient temperature.

Stability (from collection to initiation)

Refer to individual components for stability.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Indirect ISE. Panel includes: Na, K, Cl.

Reported

Same day

Synonyms

  • LAB3280
Result Interpretation

Reference Interval

Reference ranges not established for random urine specimens.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84300 Sodium; 84133 Potasium; 82436 Chloride

ELECTROLYTES TIMED URINE

LAB3281

LYTES TIMU

Collect

Timed urine collection in sterile container.

Minimum volume: 0.6 mL timed urine

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab at ambient temperature.

Stability (from collection to initiation)

Refer to individual components for stability.

Remarks

Requisition must state date and collection period. Indicate total collection volume if submitting an aliquot.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Indirect ISE. Panel includes: Na, K, Cl.

Reported

Same day

Synonyms

  • LAB3281

Reference Interval

Refer to individual tests (Na, K ,Cl) for reference intervals.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84300 Sodium; 84133 Potassium; 82436 Chloride; 81050 Volume Measurement, if applicable.

Collection

LAB3281

LYTES TIMU

Collect

Timed urine collection in sterile container.

Minimum volume: 0.6 mL timed urine

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab at ambient temperature.

Stability (from collection to initiation)

Refer to individual components for stability.

Remarks

Requisition must state date and collection period. Indicate total collection volume if submitting an aliquot.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Indirect ISE. Panel includes: Na, K, Cl.

Reported

Same day

Synonyms

  • LAB3281
Result Interpretation

Reference Interval

Refer to individual tests (Na, K ,Cl) for reference intervals.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84300 Sodium; 84133 Potassium; 82436 Chloride; 81050 Volume Measurement, if applicable.

ELECTROLYTES WHOLE BLOOD

LAB3000

LYTES WB

Collect

Plastic Arterial blood gas syringe with dry balanced heparin anticoagulan; or sodium or lithium heparin vacutainer, no gel, filled to at least 75% capacity.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume, sample submitted with needle attached (remove immediately post collection); air bubbles in sample, clotted sample.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately.

Offsite: Maintain sample at ambient temperature during transport to the laboratory.

Stability (from collection to initiation)

Ambient: 30 minutes; Refrigerated or on ice: 1 hour

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt

Methodology

Ion Selective Electrode

Reported

Within 1 hour of receipt

Synonyms

  • LAB3000

Reference Interval

NA: 135-147 nmol/L

K: 3.5-4.8 nmol/L

CL: 102-111 nmol/L

Performed by

PCL Clinical Laboratory - Core

CPT Codes

84295 Sodium; 84132 Potassium; 82435 Chloride

Collection

LAB3000

LYTES WB

Collect

Plastic Arterial blood gas syringe with dry balanced heparin anticoagulan; or sodium or lithium heparin vacutainer, no gel, filled to at least 75% capacity.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume, sample submitted with needle attached (remove immediately post collection); air bubbles in sample, clotted sample.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately.

Offsite: Maintain sample at ambient temperature during transport to the laboratory.

Stability (from collection to initiation)

Ambient: 30 minutes; Refrigerated or on ice: 1 hour

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt

Methodology

Ion Selective Electrode

Reported

Within 1 hour of receipt

Synonyms

  • LAB3000
Result Interpretation

Reference Interval

NA: 135-147 nmol/L

K: 3.5-4.8 nmol/L

CL: 102-111 nmol/L

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

84295 Sodium; 84132 Potassium; 82435 Chloride

ENTAMOEBA HISTOLYTICA AB, IGG

LAB3132

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as "acute" or "convalescent."

Unacceptable Conditions

Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Notes

In the case of extraintestinal complications, a positive antibody can indicate amebiasis even though stool findings are negative.

Performed

Tue, Fri

Methodology

Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-5 days

Synonyms

  • Amebiasis histolytica Antibody
  • E. histolytica Antibody
  • LAB3132
  • AMB

Ordering Recommendations

Aid in the detection of amebic liver abscess. Test is not useful for intestinal infection.

Reference Interval

Effective February 6, 2017

8 U or less: Negative - No significant level of detectable E. histolytica IgG antibody.
9 - 11 U: Equivocal - Repeat testing in 10-14 days may be helpful.
12 U or greater: Positive - IgG antibody to E. histolytica detected, suggestive of a current or past infection.

Interpretive Data

Seroconversion between acute and convalescent sera is considered strong evidence of recent infection.  The best evidence for infection is a significant change on two appropriately timed specimens where both tests are done in the same laboratory at the same time.

CPT Codes

86753
Collection

LAB3132

Collect

Serum separator tube.

Specimen Preparation

Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as "acute" or "convalescent."

Unacceptable Conditions

Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)

Notes

In the case of extraintestinal complications, a positive antibody can indicate amebiasis even though stool findings are negative.
Ordering

Performed

Tue, Fri

Methodology

Semi-Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-5 days

Synonyms

  • Amebiasis histolytica Antibody
  • E. histolytica Antibody
  • LAB3132
  • AMB

Ordering Recommendations

Aid in the detection of amebic liver abscess. Test is not useful for intestinal infection.
Result Interpretation

Reference Interval

Effective February 6, 2017

8 U or less: Negative - No significant level of detectable E. histolytica IgG antibody.
9 - 11 U: Equivocal - Repeat testing in 10-14 days may be helpful.
12 U or greater: Positive - IgG antibody to E. histolytica detected, suggestive of a current or past infection.

Interpretive Data

Seroconversion between acute and convalescent sera is considered strong evidence of recent infection.  The best evidence for infection is a significant change on two appropriately timed specimens where both tests are done in the same laboratory at the same time.

Administrative

CPT Codes

86753

ENTEROVIRUS PCR PLASMA

LAB3245
ENTPCRPLS

Collect

One 6.0 mL Pink top, plasma (EDTA).

Specimen source must be identified on order or requisition.

Pediatric Collection

At least 0.5 mL of whole blood collected in a 1.0 mL pink top microtainer (EDTA) or other blood tube with EDTA anticoagulant

Unacceptable Conditions

Sample not properly identified; insufficient sample volume; contaminated specimen; clotted sample; tubes not filled to 80-100% capacity; improper storage conditions; gross hemolysis, samples stored in fixatives.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day refrigerated or on ice.  If delivery is not expected within 24 hours, freeze plasma (separated from red cells) at 70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 48 hours; Frozen (-70 degrees C): 6 months.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Performed

Monday through Friday

Methodology

Real-time polymerase chain reaction (PCR)

Reported

Within 24 hours if received Monday through Friday

Synonyms

  • LAB3245
  • ENTPCRPLS

Interpretive Data

Not Detected (negative)

Detected (positive)

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

CPT Codes

87498

Collection

LAB3245
ENTPCRPLS

Collect

One 6.0 mL Pink top, plasma (EDTA).

Specimen source must be identified on order or requisition.

Pediatric Collection

At least 0.5 mL of whole blood collected in a 1.0 mL pink top microtainer (EDTA) or other blood tube with EDTA anticoagulant

Unacceptable Conditions

Sample not properly identified; insufficient sample volume; contaminated specimen; clotted sample; tubes not filled to 80-100% capacity; improper storage conditions; gross hemolysis, samples stored in fixatives.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day refrigerated or on ice.  If delivery is not expected within 24 hours, freeze plasma (separated from red cells) at 70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 48 hours; Frozen (-70 degrees C): 6 months.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Ordering

Performed

Monday through Friday

Methodology

Real-time polymerase chain reaction (PCR)

Reported

Within 24 hours if received Monday through Friday

Synonyms

  • LAB3245
  • ENTPCRPLS
Result Interpretation

Interpretive Data

Not Detected (negative)

Detected (positive)

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Administrative

CPT Codes

87498

ENTEROVIRUS QUALITATIVE BY PCR

LAB3246
ENTPCR
 

Collect

CSF, Stool, and Respiratory sample types. Specimen source must be identified on order or requisition.

 

If submitting blood, collect in a Pink top tube (EDTA) and refer to test LAB3245 ENTEROVIRUS PCR PLASMA.

Pediatric Collection

0.5 mL

Unacceptable Conditions

Sample not properly identified, insufficient sample volume, contaminated specimen, clotted sample, gross hemolysis, non sterile or leaking containers, and samples containing fixatives.

For plasma, refer to test LAB3245 ENTEROVIRUS PCR PLASMA.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 48 hours; Frozen (-70 degrees C): 6 months.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Performed

Monday through Friday

Methodology

Real-time polymerase chain reaction (PCR)

Reported

Within 24 hours if received Monday through Friday

Synonyms

  • LAB3246
  • ENTPCR

Interpretive Data

Not Detected (negative)

Detected (positive)

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

CPT Codes

87498

Collection

LAB3246
ENTPCR
 

Collect

CSF, Stool, and Respiratory sample types. Specimen source must be identified on order or requisition.

 

If submitting blood, collect in a Pink top tube (EDTA) and refer to test LAB3245 ENTEROVIRUS PCR PLASMA.

Pediatric Collection

0.5 mL

Unacceptable Conditions

Sample not properly identified, insufficient sample volume, contaminated specimen, clotted sample, gross hemolysis, non sterile or leaking containers, and samples containing fixatives.

For plasma, refer to test LAB3245 ENTEROVIRUS PCR PLASMA.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport same day refrigerated or on ice. If delivery is not expected within 24 hours, freeze at -70 degrees C and ship on dry ice.

Stability (from collection to initiation)

Ambient: Unacceptable; Refrigerated: 48 hours; Frozen (-70 degrees C): 6 months.

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Ordering

Performed

Monday through Friday

Methodology

Real-time polymerase chain reaction (PCR)

Reported

Within 24 hours if received Monday through Friday

Synonyms

  • LAB3246
  • ENTPCR
Result Interpretation

Interpretive Data

Not Detected (negative)

Detected (positive)

Performed by

PCL Clinical Laboratory - Molecular Diagnostics

Administrative

CPT Codes

87498

EOSINOPHIL SMEAR NASAL/SPUTUM

Collect

Nasal Smear: Specimen collected on glass slide. A minimum of two smears is required. Cotton swab smears are not satisfactory.

Collection

Collect

Nasal Smear: Specimen collected on glass slide. A minimum of two smears is required. Cotton swab smears are not satisfactory.

Ordering
Result Interpretation
Administrative

EOSINOPHIL SMEAR, URINE

LAB3295

Collect

15 mL Random urine in a plastic urine container.

 

 

Pediatric Collection

1.0 mL minimum volume.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; sample older than 24 hours.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately.

 

Off-site: Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 24 hours; Frozen: Unacceptable.

Remarks

Urine eosinophil stain is performed when urine WBC/hpf is outside normal limits (greater than 0-5 WBC/hpf). If urine WBC result is within normal limits the test will be cancelled and credited.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Microscopy/Wright's stain

Reported

Within 8 hours

Synonyms

  • URINE EO
  • LAB3295

Reference Interval

EO% Urine: Rare

WBC/hpf: None seen or 0-5 WBC/hpf

 

Performed by

PCL Clinical Laboratory - Core

CPT Codes

89050

Collection

LAB3295

Collect

15 mL Random urine in a plastic urine container.

 

 

Pediatric Collection

1.0 mL minimum volume.

Unacceptable Conditions

Sample not properly identified; incorrect container; insufficient sample volume; sample older than 24 hours.

Storage/Transport Temperature

Internal: Deliver to laboratory immediately.

 

Off-site: Send at 2-8 degrees C.

Stability (from collection to initiation)

Ambient: 2 hours; Refrigerated: 24 hours; Frozen: Unacceptable.

Remarks

Urine eosinophil stain is performed when urine WBC/hpf is outside normal limits (greater than 0-5 WBC/hpf). If urine WBC result is within normal limits the test will be cancelled and credited.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Microscopy/Wright's stain

Reported

Within 8 hours

Synonyms

  • URINE EO
  • LAB3295
Result Interpretation

Reference Interval

EO% Urine: Rare

WBC/hpf: None seen or 0-5 WBC/hpf

 

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

89050

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