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Epic Code LAB2111563 Betahydroxybutyrate, Blood Level

Test Name Alias

Betahydroxybutyrate Blood Level | BOH Blood Level |Ketones | BHB | 8057

Interface Order Alias

10094

Clinical Information

Assay replaces both Acetone and Ketone levels for testing patients for diabetic ketoacidosis.

Collection Instructions

Specimen Collection: Blood

 

Container(s): 4.5 mL Mint Green Top (Lithium Heparin Gel) or 5.0 mL Gold Top (Serum Separator-SST Gel)

Preferred Volume to Collect: 4.5 mL

Minimum Volume to Collect: 2.0 mL

Neonate Volume to Collect: 1.0 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

 

Collection Instructions:

  • After collection, gently invert tube 8-10 times.
  • Specimen should be processed within 2 hours – See Processing Instructions.

 

Processing Instructions (Laboratory, Outpatient or Off-site Collection):

Processed Specimen: Plasma or Serum (1.0 mL)

Centrifuge/Spin: Yes

Aliquot: Yes

Processing Instructions:

  • Plasma is preferred specimen type
  • Green Tube/Plasma: Centrifuge after collection.
  • Gold Tube/Serum: Allow blood to clot for 30 minutes in a vertical position and centrifuge within 2 hours.

Transport Temperature: Refrigerated

Specimen Stability

Ambient: 4 hours

Refrigerate: 48 hours

Frozen: aliquot plasma/serum for longer storage

Laboratory Retention: 72 hours

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

Normal:  0.10 - 0.40 mmol/L

Significant Ketosis:  >1.50 mmol/L

Performing Department

CHEMISTRY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Kelsey Laboratory, Lakeview, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health United Laboratory, Greenville, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Methodology is not available at this time

CPT

82010-LAB-BETA HYDROXYBUTYRATE

CDM Code

4128057

Epic Test ID

1230100381

LOINC

Betahydroxybutyrate: 6873-4

Beaker LOINC

BETAHYDROXYBUTYRATE: 6873-4
HEMOLYSIS INDEX: N/A
LIPEMIA INDEX, SERUM: N/A

Mayo Access Code

SHO8057

Reviewed Date

3/5/2020

Beaker Names

Beaker Procedure Name: BETAHYDROXYBUTYRATE BLOOD LEVEL
Beaker Display Name: Betahydroxybutyrate, Blood Level
BEAKER TEST NAME: BETAHYDROXYBUTYRATE
BEAKER TEST REPORT NAME: Betahydroxybutyrate

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
BW CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
BL CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
BL CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
BR CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
BR CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
GM CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
GM CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
GM CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
KL CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
KL CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
LH CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
LH CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
PH CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
PH CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
RC CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
RC CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
UN CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
UN CHEMISTRY: GOLD (GEL) MICROTAINER (Acceptable)-Refrigerated
UN CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated
UN CHEMISTRY: GREEN LI MICROTAINER (Acceptable)-Refrigerated
ZH CHEMISTRY: GREEN LI HEPARIN PST TUBE R (Preferred)-Refrigerated
ZH CHEMISTRY: GOLD TOP SST TUBE R (Acceptable)-Refrigerated