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LACTIC ACID REFLEXIVE TEST FOR SEPSIS CORE MEASURES
MessageUsed for baseline testing in septic patients, when core measures for repeat testing apply.
Test Code
LAB1237164
Includes
When "Lactic Acid with Reflex" (LAB1237164) is ordered, a baseline lactic acid level will be measured.
If the baseline lactic acid is >2.0 mmol/L, a follow-up lacticacid test will be automatically ordered, with a collect time 2 hours in the future.
If the baseline lactic acid is < 2.0 mmol/L, no reflexive follow-up test will be ordered. Any additional testing would be ordered by the care team.
If the baseline lactic acid is >2.0 mmol/L, a follow-up lacticacid test will be automatically ordered, with a collect time 2 hours in the future.
If the baseline lactic acid is < 2.0 mmol/L, no reflexive follow-up test will be ordered. Any additional testing would be ordered by the care team.
Preferred Specimen
One 4 mL gray top tube on ice
Pediatric Volume: One gray top microtainer on ice.
Pediatric Volume: One gray top microtainer on ice.
Instructions
Sample should be immediately placed on ice after collection and transported to the lab without delay. Sample must be centrifuged immediately after collection. Serum/Plasma must be removed from the red cells and put inot aliquot tubes following centrifugation.
Transport Temperature
On Ice
Specimen Stability
Unstable, transport to lab ASAP
Ambient: Unstable Refrigerated: 3 days Frozen: 3 days
Ambient: Unstable Refrigerated: 3 days Frozen: 3 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens not received on ice and/or with gross hemolysis.
Methodology
Lactate to Pyruvate
Setup Schedule
Sunday- Saturday
Performing Laboratory
West Virginia University Hospital, Inc.
Bluefield Pavilion Campus
Berkeley Medical Center
Barnesville Hospital
Braxton County Memorial
Camden Clark Medical Center
Camden Clark Medical Center
Fairmont Medical Center
Garrett Regional Medical Center
Harrison Community Hospital
Jackson General Hospital
Jefferson Medical Center
Princeton Community Hospital
Potomac Valley Hospital
Reynolds Memorial Hospital
Summersville Regional Medical Center
St. Joseph’s Hospital
United Hospital Center
Uniontown Hospital
Wetzel County Hospital
Wheeling Hospital
