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Epic Code LAB29 Lithium Level

Important Note

Mint Green Top (Lithium Heparin Gel) tube is not acceptable

Test Name Alias

Lithium Blood Level | 8270

Interface Order Alias

10198

Ordering Instructions

Inpatients: Please contact your local inpatient pharmacy for information regarding appropriate timing for blood drug level orders, if needed.

Please include a copy of the original order with specimen.

Collection Instructions

Specimen Collection: Blood

Containers: 5.0 mL Gold Top (Serum Separator-SST Gel-Preferred) or 6.0 mL Red Top (no additive)

Preferred Volume to Collect: 5.0 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 1.0 mL

Capillary collect ok? Yes

Microtainer acceptable: Yes

Collection Instructions:

  • Indicate date and time of last dose
  • After collection, gently invert tube 8-10 times
  • Specimen should be processed within 4 hours - See Processing Instructions
  • Mint Green Top (Lithium Heparin Gel) tube is not acceptable

 

Processing Instructions (Laboratory, Outpatient or Off-site collection)

Processed Specimen: Serum

Centrifuge/Spin: Yes

Aliquot: Yes

Processes Minimum Volume: 0.5 mL serum

Processing Instructions:

  • Allow blood to clot for 30 minutes in a vertical position and centrifuge within 4 hours.

Transport Temperature: Ambient

Specimen Stability

SERUM (Specimen should be processed within 4 hours)

Ambient: 24 hours

Refrigerate: 72 hours 

Frozen: 6 months

Laboratory Retention: 72 hours

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

0.60-1.20 mmol/L

Laboratory Critical Values Table

Performing Department

CHEMISTRY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Colorimetric

CPT

80178

CDM Code

4058270

Epic Test ID

1230100892

LOINC

Lithium Lvl: 14334-7

Beaker LOINC

LIPEMIA INDEX, SERUM: N/A
LITHIUM LEVEL: 14334-7

Mayo Access Code

SHO8270

Additional Information

Mint Green Top (Lithium Heparin Gel) tube is not acceptable.

Reviewed Date

3/23/2022

Beaker Names

Beaker Procedure Name: LITHIUM LEVEL
Beaker Display Name: Lithium Level
BEAKER TEST NAME: LITHIUM
BEAKER TEST REPORT NAME: Lithium

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW CHEMISTRY: GOLD TOP SST A (Preferred)-Ambient
BW CHEMISTRY: RED TOP A (Acceptable)-Ambient
BR CHEMISTRY: GOLD TOP SST A (Preferred)-Ambient
BR CHEMISTRY: RED TOP A (Acceptable)-Ambient
GM CHEMISTRY: GOLD TOP SST A (Preferred)-Ambient
GM CHEMISTRY: RED TOP A (Acceptable)-Ambient
LH CHEMISTRY: GOLD TOP SST A (Preferred)-Ambient
LH CHEMISTRY: RED TOP A (Acceptable)-Ambient
PH CHEMISTRY: GOLD TOP SST A (Preferred)-Ambient
PH CHEMISTRY: RED TOP A (Acceptable)-Ambient
RC CHEMISTRY: GOLD TOP SST A (Preferred)-Ambient
RC CHEMISTRY: RED TOP A (Acceptable)-Ambient
ZH CHEMISTRY: GOLD TOP SST A (Preferred)-Ambient
ZH CHEMISTRY: RED TOP A (Acceptable)-Ambient