Salicylate

Test Code
SALIC


Alias/See Also
Acetylsalicylic Acid, Aspirin


CPT Codes
#N/A

Preferred Specimen
Light GREEN (PST)


Patient Preparation

Serum levels drawn less than 6 hours after a toxic dose can be used to confirm overdose. 

Repeat testing within 2 - 3 hours is recommended to ensure that absorption is complete and to determine the effectiveness of the therapeutic intervention.

After therapeutic doses of salicylates, peak levels are reached at 2 hours.



Other Acceptable Specimens
Serum (Red) or Gold (SST) or Orange (OJ) or Tiger Top Serum


Instructions
Slight hemolysis acceptable.


Specimen Stability
Specimens should be separated and tested immediately after collection. Samples are generally considered stable for 7 days when stored at 2 - 80 C. Samples are stable for 6 months when stored at < -200 C.


Setup Schedule
24x7


Reference Range
Therapeutic Range:  3-25 mg/dL
Critical Value:           >30 mg/dL


Clinical Significance
Salicylate testing may be ordered when it is suspected that someone has ingested a large amount of aspirin or other drugs containing salicylate.
Testing may be ordered when a person is experiencing symptoms associated with an acute or chronic salicylate overdose.  Symptoms may include:  Nausea and vomiting, rapid breathing, ringing in ears (tinnitus), sweating, dizziness, and confusion.
 
Testing may be done when patients are suspected of overdosing.
Testing may be performed frequently (every 2-3 hours) to monitor overdose or toxicity.


Performing Laboratory
CRMC Laboratory
CCMC Laboratory



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.