FECAL ELASTASE - PANCREATIC

LAB3709

Collect

Stool.

Patient Preparation

Interruption of enzyme substitution therapy recommended in order to avoid the possibility of cross-reaction with porcine enzymes.

Specimen Preparation

Transfer 5 g stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 g)

Unacceptable Conditions

Stool in media or preservative. Swabs.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

Ambient: 5 days; Refrigerated: 1 week; Frozen: 1 year

Performed

Sun, Tue-Fri

Methodology

Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-4 days

Synonyms

  • LAB3709
  • PAN ELAST

Ordering Recommendations

Screen for exocrine pancreatic insufficiency.

Reference Interval


Effective February 21, 2012
Normal201 µg/g or greater
Moderate to mild exocrine pancreatic insufficiency100-200 µg/g
Severe exocrine pancreatic insufficiency99 µg/g or less

CPT Codes

83520
Collection

LAB3709

Collect

Stool.

Patient Preparation

Interruption of enzyme substitution therapy recommended in order to avoid the possibility of cross-reaction with porcine enzymes.

Specimen Preparation

Transfer 5 g stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 g)

Unacceptable Conditions

Stool in media or preservative. Swabs.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

Ambient: 5 days; Refrigerated: 1 week; Frozen: 1 year
Ordering

Performed

Sun, Tue-Fri

Methodology

Quantitative Enzyme-Linked Immunosorbent Assay

Reported

1-4 days

Synonyms

  • LAB3709
  • PAN ELAST

Ordering Recommendations

Screen for exocrine pancreatic insufficiency.
Result Interpretation

Reference Interval


Effective February 21, 2012
Normal201 µg/g or greater
Moderate to mild exocrine pancreatic insufficiency100-200 µg/g
Severe exocrine pancreatic insufficiency99 µg/g or less

Administrative

CPT Codes

83520

FECAL FAT - QUALITATIVE

LAB3652

Collect

Random stool.

Specimen Preparation

Transfer 5 g stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 g)

Unacceptable Conditions

Diapers. Specimens in media or preservatives.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 2 weeks; Frozen: 2 weeks

Performed

Sun-Sat

Methodology

Qualitative Microscopy/Stain

Reported

1-2 days

Synonyms

  • FAT STOOL - Qualitative
  • LAB3652
  • FECFAT

Additional Technical Information

Reference Interval

Normal

Interpretive Data

Neutral fats include the monoglycerides, diglycerides, and triglycerides while split fats are the free fatty acids that are liberated from them. Impaired synthesis or secretion of pancreatic enzymes or bile may cause an increase in neutral fats while an increase in split fats suggests impaired absorption of nutrients.

CPT Codes

82705
Collection

LAB3652

Collect

Random stool.

Specimen Preparation

Transfer 5 g stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 g)

Unacceptable Conditions

Diapers. Specimens in media or preservatives.

Storage/Transport Temperature

Frozen.

Stability (from collection to initiation)

Ambient: 1 hour; Refrigerated: 2 weeks; Frozen: 2 weeks
Ordering

Performed

Sun-Sat

Methodology

Qualitative Microscopy/Stain

Reported

1-2 days

Synonyms

  • FAT STOOL - Qualitative
  • LAB3652
  • FECFAT

Additional Technical Information

Result Interpretation

Reference Interval

Normal

Interpretive Data

Neutral fats include the monoglycerides, diglycerides, and triglycerides while split fats are the free fatty acids that are liberated from them. Impaired synthesis or secretion of pancreatic enzymes or bile may cause an increase in neutral fats while an increase in split fats suggests impaired absorption of nutrients.

Administrative

CPT Codes

82705

FECAL FAT QUANTITATION

LAB3498

Collect

Stool (72 hour collection - desired duration of collection)

Stool (24 or 48 hour collections - acceptable, but not recommended)

All stool for the desired time period must be collected in approved collection container. The containers (with instructions)are available in the PCL Clinical Lab.  

Unacceptable Conditions

Container more than 2/3 full; container leaking; improper container; specimen contaminated with urine.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: Send entire collection in approved collection container . Can use more than one container.

 

Refrigerate during collection, keep cold, deliver to lab

Stability (from collection to initiation)

.

Remarks

Requisition must state collection time in hours and patient's age. Refrigerate specimen during collection, store at 2C to 8C. Note collection time in the apporpriate area on the side of the collection container.

Performed by

Mayo Medical Laboratories

Performed

Varies

Methodology

Extraction/spectrophotometry

Reported

7 - 10 days

Synonyms

  • LAB3498

Performed by

Mayo Medical Laboratories

CPT Codes

82710

Collection

LAB3498

Collect

Stool (72 hour collection - desired duration of collection)

Stool (24 or 48 hour collections - acceptable, but not recommended)

All stool for the desired time period must be collected in approved collection container. The containers (with instructions)are available in the PCL Clinical Lab.  

Unacceptable Conditions

Container more than 2/3 full; container leaking; improper container; specimen contaminated with urine.

Storage/Transport Temperature

Internal: Deliver to lab immediatley
Offsite: Send entire collection in approved collection container . Can use more than one container.

 

Refrigerate during collection, keep cold, deliver to lab

Stability (from collection to initiation)

.

Remarks

Requisition must state collection time in hours and patient's age. Refrigerate specimen during collection, store at 2C to 8C. Note collection time in the apporpriate area on the side of the collection container.

Performed by

Mayo Medical Laboratories

Ordering

Performed

Varies

Methodology

Extraction/spectrophotometry

Reported

7 - 10 days

Synonyms

  • LAB3498
Result Interpretation

Performed by

Mayo Medical Laboratories

Administrative

CPT Codes

82710

FECAL OCCULT BLOOD

LAB694

FOB

Collect

Fecal sample collected in a Polymedco collection device.

Polymedco collection devices MUST be used as follows: 1. Open green cap by twisting and lifting. 2. Scrape the surface of fecal sample with the sampling probe, completely covering the grooved portion. 3. Close sampling bottle by inserting the sampling probe and snap green cap on tightly, do not reopen. 4. Send the inoculated Polymedco collection device to the lab.

Mandatory - write collection date and time on collection device.

Unacceptable Conditions

Specimen not properly identified; raw fecal material; collection in a device other than Polymedco collection device.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab at ambient temperature within 15 days of collection.

Stability (from collection to initiation)

Sample collected in Polymedco collection device: Ambient, 15 days; Refrigerated (2-8 degrees C), 30 days.

Remarks

Intended for the detection of fecal occult blood in feces with one fecal sample collection.

Performed by

PCL Clinical Laboratory - Toxicology

Performed

Daily

Methodology

Immunoassay

Reported

Same day

Synonyms

  • LAB694
  • FOB

Reference Interval

Negative

Performed by

PCL Clinical Laboratory - Toxicology

CPT Codes

82274

Collection

LAB694

FOB

Collect

Fecal sample collected in a Polymedco collection device.

Polymedco collection devices MUST be used as follows: 1. Open green cap by twisting and lifting. 2. Scrape the surface of fecal sample with the sampling probe, completely covering the grooved portion. 3. Close sampling bottle by inserting the sampling probe and snap green cap on tightly, do not reopen. 4. Send the inoculated Polymedco collection device to the lab.

Mandatory - write collection date and time on collection device.

Unacceptable Conditions

Specimen not properly identified; raw fecal material; collection in a device other than Polymedco collection device.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Transport to lab at ambient temperature within 15 days of collection.

Stability (from collection to initiation)

Sample collected in Polymedco collection device: Ambient, 15 days; Refrigerated (2-8 degrees C), 30 days.

Remarks

Intended for the detection of fecal occult blood in feces with one fecal sample collection.

Performed by

PCL Clinical Laboratory - Toxicology

Ordering

Performed

Daily

Methodology

Immunoassay

Reported

Same day

Synonyms

  • LAB694
  • FOB
Result Interpretation

Reference Interval

Negative

Performed by

PCL Clinical Laboratory - Toxicology

Administrative

CPT Codes

82274

FELBAMATE LEVEL

LAB686

Collect

Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA), green (sodium heparin), gray (sodium fluoride/potassium oxalate). Avoid use of separator tubes and gels.

Patient Preparation

Timing of specimen collection: Pre-dose (trough) draw - At steady state concentration.

Specimen Preparation

Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 1 month; Frozen: 6 months

Performed

Mon-Fri

Methodology

Quantitative High Performance Liquid Chromatography

Reported

1-4 days

Synonyms

  • Felbatol
  • LAB686

Ordering Recommendations

Optimize drug therapy and monitor patient adherence.

Reference Interval

Effective February 19, 2013
Therapeutic RangeNot well established.
Toxic LevelGreater than 200 µg/mL

Interpretive Data

The proposed therapeutic range for seizure control is 30-60 µg/mL. Pharmacokinetics vary widely, particularly with co-medications, age and/or compromised renal function. Felbamate use is associated with an increased incidence of liver failure and aplastic anemia.

CPT Codes

80339 (Alt code: G0480)
Collection

LAB686

Collect

Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA), green (sodium heparin), gray (sodium fluoride/potassium oxalate). Avoid use of separator tubes and gels.

Patient Preparation

Timing of specimen collection: Pre-dose (trough) draw - At steady state concentration.

Specimen Preparation

Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 48 hours; Refrigerated: 1 month; Frozen: 6 months
Ordering

Performed

Mon-Fri

Methodology

Quantitative High Performance Liquid Chromatography

Reported

1-4 days

Synonyms

  • Felbatol
  • LAB686

Ordering Recommendations

Optimize drug therapy and monitor patient adherence.
Result Interpretation

Reference Interval

Effective February 19, 2013
Therapeutic RangeNot well established.
Toxic LevelGreater than 200 µg/mL

Interpretive Data

The proposed therapeutic range for seizure control is 30-60 µg/mL. Pharmacokinetics vary widely, particularly with co-medications, age and/or compromised renal function. Felbamate use is associated with an increased incidence of liver failure and aplastic anemia.

Administrative

CPT Codes

80339 (Alt code: G0480)

FENTANYL + METABOLITE

LAB3217

Collect

Plain Red, Lavender (K2EDTA), Lavender (K3EDTA), Green (Sodium Heparin), Gray (Potassium Oxalate/Sodium Fluoride), or Pink (K2EDTA).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 2 mL)

Unacceptable Conditions

Whole blood. Serum separator tubes, Light Blue (Sodium Citrate), or Plasma separator tubes. Specimens exposed to repeated freeze/thaw cycles.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years

Remarks

Please indicate in the supplied fields:
1.  Dose - List drug amount and include the units of measure
2.  Route - List the route of administration (IV, oral, etc.)
3.  Dose Frequency - Indicate how often the dose is administered (per day, per week, as needed, etc.)
4.  Type of Draw - Indicate the type of blood draw (Peak, Trough, Random, etc.)

Performed

Tue, Thu, Sat

Methodology

Quantitative Liquid Chromatography/Tandem Mass Spectrometry

Reported

1-4 days

Synonyms

  • LAB3217
  • Ionsys
  • norfentanyl
  • Duragesic
  • Fentore
  • Instanyl
  • Actiq
  • fentanyl and norfentanyl blood levels
  • Durogesic
  • pain management
  • Fentanyl and Metabolite
  • Onsolis
  • Sublimaze
  • Innovar
  • CDCO FNSP

Ordering Recommendations

Monitor patient adherence.

Reference Interval

Effective August 17, 2015
Drugs CoveredCutoff Concentrations
Fentanyl0.1 ng/mL
Norfentanyl0.1 ng/mL

Interpretive Data

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry

Positive cutoff:
0.1 ng/mL

For medical purposes only; not valid for forensic use.

The absence of expected drug(s) and/or drug metabolite(s) may indicate non-compliance, inappropriate timing of specimen collection relative to drug administration, poor drug absorption, or limitations of testing. The concentration value must be greater than or equal to the cutoff to be reported as positive. Interpretive questions should be directed to the laboratory.

CPT Codes

80354 (Alt code: G0480)
Collection

LAB3217

Collect

Plain Red, Lavender (K2EDTA), Lavender (K3EDTA), Green (Sodium Heparin), Gray (Potassium Oxalate/Sodium Fluoride), or Pink (K2EDTA).

Specimen Preparation

Separate from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 2 mL)

Unacceptable Conditions

Whole blood. Serum separator tubes, Light Blue (Sodium Citrate), or Plasma separator tubes. Specimens exposed to repeated freeze/thaw cycles.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years

Remarks

Please indicate in the supplied fields:
1.  Dose - List drug amount and include the units of measure
2.  Route - List the route of administration (IV, oral, etc.)
3.  Dose Frequency - Indicate how often the dose is administered (per day, per week, as needed, etc.)
4.  Type of Draw - Indicate the type of blood draw (Peak, Trough, Random, etc.)
Ordering

Performed

Tue, Thu, Sat

Methodology

Quantitative Liquid Chromatography/Tandem Mass Spectrometry

Reported

1-4 days

Synonyms

  • LAB3217
  • Ionsys
  • norfentanyl
  • Duragesic
  • Fentore
  • Instanyl
  • Actiq
  • fentanyl and norfentanyl blood levels
  • Durogesic
  • pain management
  • Fentanyl and Metabolite
  • Onsolis
  • Sublimaze
  • Innovar
  • CDCO FNSP

Ordering Recommendations

Monitor patient adherence.
Result Interpretation

Reference Interval

Effective August 17, 2015
Drugs CoveredCutoff Concentrations
Fentanyl0.1 ng/mL
Norfentanyl0.1 ng/mL

Interpretive Data

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry

Positive cutoff:
0.1 ng/mL

For medical purposes only; not valid for forensic use.

The absence of expected drug(s) and/or drug metabolite(s) may indicate non-compliance, inappropriate timing of specimen collection relative to drug administration, poor drug absorption, or limitations of testing. The concentration value must be greater than or equal to the cutoff to be reported as positive. Interpretive questions should be directed to the laboratory.

Administrative

CPT Codes

80354 (Alt code: G0480)

FERRITIN SERUM/PLASMA

LAB68

FERR

Collect

One 4.5 mL Green top with gel (PST), (lithium heparin plasma).

Pediatric Collection

At least 0.5 mL whole blood collecteed in a microtainer, green top with gel, lithium heparin plasma.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 30 minutes of collection. Transport to laboratory at 2-8 dgrees C.

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour.

After centrifugation: Ambient, 8 hours; Refrigerated, 48 hours; Frozen, Unacceptable.

Plasma aliquot: Ambient, 8 hours; Refrigerated, 48 hours; Frozen (-20 degrees C), 3 months. Thaw samples only once.

Performed by

PCL Clinical Laboratory - Core

Performed

Daily

Methodology

Chemiluminescent EIA

Reported

Same day

Synonyms

  • LAB68

Reference Interval

Males: 24-336 ng/mL

Females: 11-307 ng/mL

Performed by

PCL Clinical Laboratory - Core

CPT Codes

82728

Collection

LAB68

FERR

Collect

One 4.5 mL Green top with gel (PST), (lithium heparin plasma).

Pediatric Collection

At least 0.5 mL whole blood collecteed in a microtainer, green top with gel, lithium heparin plasma.

Unacceptable Conditions

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

Storage/Transport Temperature

Internal: Deliver to lab immediately at ambient temperature.
Offsite: Centrifuge within 30 minutes of collection. Transport to laboratory at 2-8 dgrees C.

Stability (from collection to initiation)

Before centrifugation: Ambient, 1 hour.

After centrifugation: Ambient, 8 hours; Refrigerated, 48 hours; Frozen, Unacceptable.

Plasma aliquot: Ambient, 8 hours; Refrigerated, 48 hours; Frozen (-20 degrees C), 3 months. Thaw samples only once.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Daily

Methodology

Chemiluminescent EIA

Reported

Same day

Synonyms

  • LAB68
Result Interpretation

Reference Interval

Males: 24-336 ng/mL

Females: 11-307 ng/mL

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

82728

FETAL FIBRONECTIN

LAB287

FETAL FIB

Collect

Vaginal swab. Obtain Adeza collection kit.

Unacceptable Conditions

Specimens collected in any other sample device. Any other swab than that collected using Adeza specimen collection kit. Specimens stored at temperature higher than 25 degrees. Unlabeled specimens. Grossly hemolyzed specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send specimen refrigerated (2-8 degrees C).

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 3 days; Frozen: 3 months.

Remarks

Collect between 24 and 35 weeks gestation. See collection instructions provided with collection kit.

Performed by

PCL Clinical Laboratory - Core

Performed

Upon receipt.

Methodology

Immunoassay

Reported

Within one hour of receipt.

Synonyms

  • LAB287

Interpretive Data

If Negative: Test 'rules out' preterm delivery. (<1% will deliver
within the next 14 days.)
If Positive: Test indicates increased likelihood of premature delivery.

Performed by

PCL Clinical Laboratory - Core

CPT Codes

82731

Collection

LAB287

FETAL FIB

Collect

Vaginal swab. Obtain Adeza collection kit.

Unacceptable Conditions

Specimens collected in any other sample device. Any other swab than that collected using Adeza specimen collection kit. Specimens stored at temperature higher than 25 degrees. Unlabeled specimens. Grossly hemolyzed specimens.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send specimen refrigerated (2-8 degrees C).

Stability (from collection to initiation)

Ambient: 8 hours; Refrigerated: 3 days; Frozen: 3 months.

Remarks

Collect between 24 and 35 weeks gestation. See collection instructions provided with collection kit.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Upon receipt.

Methodology

Immunoassay

Reported

Within one hour of receipt.

Synonyms

  • LAB287
Result Interpretation

Interpretive Data

If Negative: Test 'rules out' preterm delivery. (<1% will deliver
within the next 14 days.)
If Positive: Test indicates increased likelihood of premature delivery.

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

82731

FETAL HEMOGLOBIN

LAB1029

FETAL HGB

Collect

One 4.0 mL Purple top tube (EDTA)

Pediatric Collection

Miinimum volume: 1.0 mL whole blood

Unacceptable Conditions

Incorrect container; insufficient sample volume; cord blood; sample not properly identified.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send refrigerated.

Stability (from collection to initiation)

Ambient: 6 hours; Refrigerated: two weeks; Frozen: unacceptable.

Performed by

PCL Clinical Laboratory - Core

Performed

Stats: daily, 24 hours/day; Routines: Daily, day shift only

Methodology

Modified Kleihauer acid elution

Reported

Within 24 hours

Synonyms

  • LAB1029
  • Kleihauer–Betke

Reference Interval

Maternal Blood: 0.00-0.01%

Amniotic Fluid: 0.00%

Performed by

PCL Clinical Laboratory - Core

CPT Codes

85460

Collection

LAB1029

FETAL HGB

Collect

One 4.0 mL Purple top tube (EDTA)

Pediatric Collection

Miinimum volume: 1.0 mL whole blood

Unacceptable Conditions

Incorrect container; insufficient sample volume; cord blood; sample not properly identified.

Storage/Transport Temperature

Internal: Deliver to lab immediately.
Offsite: Send refrigerated.

Stability (from collection to initiation)

Ambient: 6 hours; Refrigerated: two weeks; Frozen: unacceptable.

Performed by

PCL Clinical Laboratory - Core

Ordering

Performed

Stats: daily, 24 hours/day; Routines: Daily, day shift only

Methodology

Modified Kleihauer acid elution

Reported

Within 24 hours

Synonyms

  • LAB1029
  • Kleihauer–Betke
Result Interpretation

Reference Interval

Maternal Blood: 0.00-0.01%

Amniotic Fluid: 0.00%

Performed by

PCL Clinical Laboratory - Core

Administrative

CPT Codes

85460

FETAL LUNG MATURITY

Collect

PREFERRED:  Collect 5-10 mL of amniotic fluid from an amniocetesis.

Deliver to the lab immediately at ambient temperature.

Order: LAMELLAR BODY COUNT (LBC)

Turnaround time <= 1 hour

Testing performed in-house.

(If the LBC result falls within the "Intermediate" range, testing will reflex to an L/S Ratio with PG Profile and be forwarded to Swedish Medical Center for testing. Also, samples contaminated with blood and/or meconium will be forwarded to SMC for LSPG Profile testing.)

---------------------------------------------------------------------------------------

ACCEPTABLE: Collect 5-10 mL of amniotic fluid from a vaginal pool.

Deliver to the lab immediately at ambient temperature.

Order: LSPG PROFILE - L/S Ratio with PG Profile

Turnaround time: Cutoff at SMC is 1200 M-F, 1100 on Sat

Report time: Before 1600 M-Sa

Effective 4/1/15: Testing performed at Swedish Medical Center (SMC)

Patient Preparation

This is not an orderable test. This is information for order clarification.

Specimen Preparation

If amniotic fluid is received from an amniocentesis, a LAMELLAR BODY COUNT will be performed on the sample in-house and reflexed to Swedish Medical Center if result is "Intermediate" or sample is contaminated with blood and/or meconium.

If a vaginal pool sample is submitted it will be forwarded to SMC for L/S RATIO W/PG PROFILE testing.

Storage/Transport Temperature

LAMELLAR BODY COUNTS:  5-10 mL amniocentesis fluid at room temperature. Minimum volume for LBC only is 0.5 mL.

LSPG PROFILE:  5-10 mL amniotic fluid (vag pool or amniocentesis).

Minimum volume is 4.0 mL.

Vaginal pool samples submitted with less than 4.0 mL of specimen are unacceptable for testing.

Performed by

LAMELLAR BODY COUNTS - PCL Core Hematology

LSPG PROFILE - Swedish Medical Center Lab

Reference Interval

See individual components.

Performed by

LAMELLAR BODY COUNTS - PCL Core Hematology

LSPG PROFILE - Swedish Medical Center Lab

Collection

Collect

PREFERRED:  Collect 5-10 mL of amniotic fluid from an amniocetesis.

Deliver to the lab immediately at ambient temperature.

Order: LAMELLAR BODY COUNT (LBC)

Turnaround time <= 1 hour

Testing performed in-house.

(If the LBC result falls within the "Intermediate" range, testing will reflex to an L/S Ratio with PG Profile and be forwarded to Swedish Medical Center for testing. Also, samples contaminated with blood and/or meconium will be forwarded to SMC for LSPG Profile testing.)

---------------------------------------------------------------------------------------

ACCEPTABLE: Collect 5-10 mL of amniotic fluid from a vaginal pool.

Deliver to the lab immediately at ambient temperature.

Order: LSPG PROFILE - L/S Ratio with PG Profile

Turnaround time: Cutoff at SMC is 1200 M-F, 1100 on Sat

Report time: Before 1600 M-Sa

Effective 4/1/15: Testing performed at Swedish Medical Center (SMC)

Patient Preparation

This is not an orderable test. This is information for order clarification.

Specimen Preparation

If amniotic fluid is received from an amniocentesis, a LAMELLAR BODY COUNT will be performed on the sample in-house and reflexed to Swedish Medical Center if result is "Intermediate" or sample is contaminated with blood and/or meconium.

If a vaginal pool sample is submitted it will be forwarded to SMC for L/S RATIO W/PG PROFILE testing.

Storage/Transport Temperature

LAMELLAR BODY COUNTS:  5-10 mL amniocentesis fluid at room temperature. Minimum volume for LBC only is 0.5 mL.

LSPG PROFILE:  5-10 mL amniotic fluid (vag pool or amniocentesis).

Minimum volume is 4.0 mL.

Vaginal pool samples submitted with less than 4.0 mL of specimen are unacceptable for testing.

Performed by

LAMELLAR BODY COUNTS - PCL Core Hematology

LSPG PROFILE - Swedish Medical Center Lab

Ordering
Result Interpretation

Reference Interval

See individual components.

Performed by

LAMELLAR BODY COUNTS - PCL Core Hematology

LSPG PROFILE - Swedish Medical Center Lab

Administrative

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