Acetaminophen

Overview

  • EPIC Code:
  • LAB43
  • Soft Test Code:
  • ACETM
Alternate Names
  • Acetaminophen Level
  • APAP
  • APAP Level
  • Tylenol
Clinical Significance

Acetaminophen is a widely used analgesic and antipyretic found in a number of over-the-counter and prescription products. When consumed in overdose quantities, acetaminophen may cause severe liver and kidney damage, or death.

The patient may have few or no symptoms early after acute overdose of acetaminophen. The only reliable early diagnostic indicator is provided by a quantitative measurement of the serum acetaminophen level. Clinical evidence of liver and kidney damage is usually delayed for 24 hours or more after ingestion, well after the time that the prophylactic antidote, acetylcysteine, can be effectively administered. Acetylcysteine is highly effective in preventing liver damage, especially if administered within 8 to 10 hours after overdose, and improves survival in patients with hepatic failure when initiated 12 to 16 hours after overdose.

The methods historically used to monitor serum acetaminophen concentrations are high-performance liquid chromatography, gas-liquid chromatography, UV spectrophotometry, and colorimetric immunoassay.


Specimen Collection & Preparation

Specimen Requirements:

-OR-

1.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin
Minimum Volume:
0.2 mL Plasma
Collection Instructions:

Avoid Hemolysis


Processing Instructions:

Specimen must be centrifuged and separated from cells within 24 hours of collection.


Transport and Storage:
  • Refrigerated: 3 day

Clinical Interpretation

Reference Range:

10 - 30 ug/mL


Critical Ranges:

> 50 ug/mL


Methodology:
  • Enzymatic Colorimetric

Clinical Significance

Acetaminophen is a widely used analgesic and antipyretic found in a number of over-the-counter and prescription products. When consumed in overdose quantities, acetaminophen may cause severe liver and kidney damage, or death.

The patient may have few or no symptoms early after acute overdose of acetaminophen. The only reliable early diagnostic indicator is provided by a quantitative measurement of the serum acetaminophen level. Clinical evidence of liver and kidney damage is usually delayed for 24 hours or more after ingestion, well after the time that the prophylactic antidote, acetylcysteine, can be effectively administered. Acetylcysteine is highly effective in preventing liver damage, especially if administered within 8 to 10 hours after overdose, and improves survival in patients with hepatic failure when initiated 12 to 16 hours after overdose.

The methods historically used to monitor serum acetaminophen concentrations are high-performance liquid chromatography, gas-liquid chromatography, UV spectrophotometry, and colorimetric immunoassay.


Production Schedule

Sites Performed
  • Parkview DeKalb Hospital
  • Parkview Huntington Hospital
  • Parkview Kosciusko Hospital
  • Parkview LaGrange Hospital
  • Parkview Noble Hospital
  • Parkview Randallia Hospital
  • Parkview Regional Medical Center
  • Parkview Southwest
  • Parkview Wabash Hospital
  • Parkview Whitley Hospital
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Chemistry
Turn Around Time

Same day/1 to 2 days


Stat Eligible

Coding & Compliance

CDM

01425671


CPT Coding

80329 (G0480 for Medicare)