Ethylene Glycol Quantitative

Last Modified: 3/25/2019 2:33:22 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

3.0 mL Plasma from a Green Top Tube - Na Heparin in a Plastic Vial

Collection Instructions: Due to smearing of print while on ice, please label specimen following procedure and a second label in the pocket of transport bag with requisition

Use Betadine or Zephiran as a skin preparation for drawing. Do not use alcohol or alcohol containing solutions as a skin preparation for drawing specimen

Invert tube 8-10 times to mix blood with anticoagulant. 
Send to lab on ice to process ASAP. 
Centrifuge blood for 10 minutes at 1100-1300 g in a swing-bucket unit or 15 minutes for a fixed angle. 
Transfer plasma or serum to an aliquot tube. 
Label with patient name, DOB, test and collect date. 
Indicate whether sample is 'plasma' or 'serum'. 
Minimum Volume: 0.4 mL Plasma
Transport & Storage: Temperature/Stability:

Refrigerated

Rejection Criteria: Do not collect in a Serum Separator Tube (SST or PST)
Reference Range: < 10 mg/dL
Critical Ranges: > or = 10
Test Comments:  
Methodology: GC/MS
Clinical Significance: Ethylene glycol is often used as "anti-freeze" in automobile engines. The ethylene test is ordered when there is a suspicion of recent exposure to ethylene glycol or when there is an unexpected anion gap. The ethylene glycol test is not included in any panels and must be ordered individually.
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 4 to 8 hours
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Indiana University Health
PHL Test Code: ETGL
EPIC Test Code: LAB2861
Send Out Test Code: 6853
Alternate Test Names: Antifreeze; EG; EGlycol ; ETHYL GLYC
Included Tests:  
CPT Coding: 82693

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