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Epic Code LAB759 Cyanide Level

Test Name Alias

Amygdalin | Nitroprusside | 4069

Interface Order Alias

10349

Clinical Information

Results include a Thiocyanate level.

Collection Instructions

Specimen Collection: Blood

 

Container(s): 2 x 6 mL Gray Top (Potassium Oxalate and Sodium Fluoride)

Preferred Volume to Collect: 12.0 mL

Minimum Volume to Collect: 7.0 mL

Neonate Volume to Collect: 7.0 mL

Capillary collect ok? Yes

Microtainer acceptable?  Yes

 

Collection Instructions:

  • After collection, gently invert tube 8-10 times.

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

Processed Specimen:Whole Blood

Centrifuge/Spin: No

Aliquot:  No

 

Transport Temperature: Ambient

Specimen Stability

Ambient: 72 hours

Refrigerate: 7 days

Frozen: 14 days

Laboratory Retention: 7 days

Test Frequency

Available 24 hours, usual TAT 1 day.

STAT TAT 4 hours.

 

Reference Range

Normals : 0 – 16 ng/mL Non-smoker

0 – 41 ng/mL Smoker

50 – 500 ng/mL Nitroprusside Treatment

 

Individuals not exposed to cyanide producing foods -

Nonsmokers: less than 10 ng/mL; Smokers: average 40 ng/mL.

 

Cyanide exposed individuals: Levels less than 200 ng/mL have been found to be non-toxic and may be a result of eating cyanide producing foods (almonds, sorghum, cassava, seeds from various fruits). Levels of 500 – 1,000 ng/mL have been associated with tachycardia, hyperpnea, and flushing.

Performing Department

TOXICOLOGY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI

Methodology

Colorimetric

 

This test was developed and its performance characteristics determined by Spectrum Health Toxicology Laboratory. It has not been cleared or approved by the FDA. The laboratory is regulated under CLIA as qualified to perform high-complexity testing. This test is used for clinical purposes. It should not be regarded as investigational or for research.

 

CPT

82600

CDM Code

4054069

Epic Test ID

1230100579

LOINC

Cyanide: 5634-1

Thiocyanate Lvl: 3001-5

Beaker LOINC

CYANIDE: 5634-1
THIOCYANATE LEVEL: 3001-5

Reviewed Date

12/6/2021

Beaker Names

Beaker Procedure Name: CYANIDE
Beaker Display Name: Cyanide Level
BEAKER TEST NAME: CYANIDE
BEAKER TEST REPORT NAME: Cyanide

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW TOXICOLOGY: 6 ML GRAY TOP TUBE A (Preferred)-Ambient