The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Renin Activity (PRA)
Order Code: REN
Order Form: A-1a Miscellaneous Request or IPR Req
  Commercial "Mail-out" Laboratory
6240 RCP
356-3527
Specimen
Plasma
Collection Medium:
Pink top tube (EDTA sprayed)
Minimum:
Adult Preferred Minimum:  2.0 mL
Adult Absolute Minimum: 1.2 mL
Pediatric Minimum 0.6 mL
Rejection Criteria:
Serum, specimens collected in heparin, citrate or oxalate tubes, 
refrigerated specimens, or hemolyzed specimens.
Delivery Instructions:
Deliver to laboratory immediately after collection.  Critical frozen.
Analytic Time:
2 working days (upon receipt)
Reference Range:
Adult, normal sodium diet:
  Supine: 0.2-1.6 ng/mL/hr
  Upright: 0.5-4.0 ng/mL/hr
Newborn (1-7 days): 2.0-35.0 ng/mL/hr
Cord blood: 4.0-32.0 ng/mL/hr
Children, normal sodium diet, supine:
  1-12 months: 2.4-37.0 ng/mL/hr
  13 months-3 years: 1.7-11.2 ng/mL/hr
  4-5 years: 1.0-6.5 ng/mL/hr
  6-10 years: 0.5-5.9 ng/mL/hr
  11-15 years: 0.5-3.3 ng/mL/hr
Comments:
Plasma renin activity measures enzyme ability to convert 
angiotensinogen to angiotensen 1 and is limited by the availability of 
angiotensinogen.  Plasma renin activity is not an accurate indicator of 
enzyme activity when angiotensinogen is decreased.
Test
Limitations:
If an upright sample is collected, patient should be upright (seated or 
standing) for at least two hours.
Do not refrigerate. Do not collect in refrigerated tubes.
Methodology:
Radioimmunoassay
CPT Code:
84244

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Updated: 08/11/2008

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.