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Epic Code LAB95 Lactic Acid, Blood Level

Important Note

Due to specimen integrity, if outpatient Lactic Acid is needed, the patient must be COLLECTED at the 35 Michigan Draw Site or at one of the Regional Hospital Main lab sites.

Test Name Alias

Lactic Acid Blood Level | Lactate | LA | 8254

Interface Order Alias

10188

Icons & Photos

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Collection Instructions

Specimen Collection: Blood

 

SHRL, SHBW, SHBL, SHKL COLLECTION

Container(s): 2 mL or 6 mL Gray top (sodium fluoride)

Preferred Volume to Collect: 2.0 mL

Minimum Volume to Collect: 1.0 mL

Neonate Volume to Collect: 1.0 mL

Capillary collect ok? No

Microtainer acceptable: No

 

Collection Instructions:

  • Do not use tourniquet
  • Do not allow patient to flex or clench fist
  • Avoid hemolysis
  • After collection, gently invert tube 8 - 10 times
  • Deliver on ice immediately to lab within 15 minutes after collection.
  • Specimen must be processed within 15 minutes - see processing instructions below

 

SHBR, SHGM, SHLH, SHPH, SHRC, SHUN, SHZH COLLECTION

Container(s): 4.0 mL Green Top (Lithium Heparin non-gel) or Heparinized syringe 

Preferred Volume to Collect: 4.0 mL

Minimum Volume to Collect: 0.5 mL

Neonate Volume to Collect: 0.5 mL

Capillary collect ok? No

Microtainer acceptable: No

 

Collection Instructions:

  • Do not use tourniquet
  • Do not allow patient to flex or clench fist
  • Avoid hemolysis
  • After collection, gently invert tube 8 - 10 times
  • Deliver on ice immediately to lab within 15 minutes after collection
  • Leave as whole blood - do not follow processing instructions below.

 

Critcare Lactic Acid to Respiratory Care [LAB1230303]

Container(s): 4.0 mL Green Top (Lithium Heparin non-gel) or Heparinized syringe 

  • Specimen must be delivered to Hospital Laboratory or Respiratory within 15 minutes of collection.
  • Call Respiratory Satellite Lab and tube to Respiratory
    • Grand Rapids: Hand Deliver ALL Capillary specimens to HDVCH - 8th floor Respiratory Satellite Lab, Room 89203. Please call first 616-352-6027
    • Butterworth (BW) 5 MHC – 616-352-5756 - Tube Station 881
    • Helen DeVos Children's Hospital (HDVCH) 8 CH – 616-352-6027 - Tube Station 912
    • Blodgett (BIRL) – 616-382-2122 - Tube Station 411
    • Or Hand Deliver to any Respiratory Satellite Lab

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

Container(s): 2 mL or 6 mL Gray top (sodium fluoride)

Processed Specimen: Plasma

 

Centrifuge/Spin: Yes

Aliquot: Yes

 

Processing instructions

  • Specimen must be on ice
  • Transfer plasma to storage tube and freeze specimen

Transport Temperature: Frozen

Specimen Stability

Ambient: 15 minutes

Refrigerate: 72 hours (spun & separated)

Frozen: 4 days

Laboratory Retention: 72 hours

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

0 – 2.0 mmol/L

 

Laboratory Critical Values Table

Performing Department

CHEMISTRY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Big Rapids Laboratory, Big 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

Enzymatic – colorimetric

CPT

83605-LAB-LACTIC ACID

CDM Code

4058254

Epic Test ID

1230100868

LOINC

Lactic Acid: 2524-7

Beaker LOINC

LACTIC ACID: 2524-7
LIPEMIA INDEX, SERUM: N/A

Reviewed Date

3/5/2020

Beaker Names

Beaker Procedure Name: LACTIC ACID
Beaker Display Name: Lactic Acid, Blood Level
BEAKER TEST NAME: LACTIC ACID
BEAKER TEST REPORT NAME: Lactic Acid

Beaker Synonyms

CRITCARE LACTIC ACID|LACTATE

Beaker Collection and Specimen Handling

BEAKER COLLECTION: ON ICE+(1)S/PO/F

Beaker Location, Container and Temperature

BW CHEMISTRY: 2 ML GRAY TOP TUBE
BW CHEMISTRY: SYRINGE (Acceptable)-Ambient
BL CHEMISTRY: 2 ML GRAY TOP TUBE
BL CHEMISTRY: SYRINGE (Acceptable)-Ambient
BR CHEMISTRY: 4 ML GREEN LI HEPARIN TUBE A(Preferred)-Ambient
BR CHEMISTRY: SYRINGE (Acceptable)-Ambient
GM CHEMISTRY: 4 ML GREEN LI HEPARIN TUBE A(Preferred)-Ambient
GM CHEMISTRY: SYRINGE (Acceptable)-Ambient
KL CHEMISTRY: 2 ML GRAY TOP TUBE
LH CHEMISTRY: 4 ML GREEN LI HEPARIN TUBE A(Preferred)-Ambient
LH CHEMISTRY: SYRINGE (Acceptable)-Ambient
PH CHEMISTRY: 4 ML GREEN LI HEPARIN TUBE A(Preferred)-Ambient
PH CHEMISTRY: SYRINGE (Acceptable)-Ambient
RC CHEMISTRY: 4 ML GREEN LI HEPARIN TUBE A(Preferred)-Ambient
RC CHEMISTRY: SYRINGE (Acceptable)-Ambient
UN CHEMISTRY: 4 ML GREEN LI HEPARIN TUBE A(Preferred)-Ambient
UN CHEMISTRY: SYRINGE (Acceptable)-Ambient
ZH CHEMISTRY: 4 ML GREEN LI HEPARIN TUBE A(Preferred)-Ambient
ZH CHEMISTRY: SYRINGE (Acceptable)-Ambient