Triglycerides
| Order Code: | TRIG |
| Order Form: | Laboratory Requisition |
Specimen:
Plasma
Collection Medium:
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| Plasma Separator Tube |
Alternate
Collection Media:
Call laboratory for additional acceptable specimen collection containers.
Minimum:
3 mL whole blood in light green top tube or ONE microtainer for
pediatric patients.
Testing
Schedule:
24 hrs/day, 7 days a week, including holidays.
Analytic Time:
1 hour (upon receipt in laboratory)
Reference Range:
Normal: < 150 mg/dL
Borderline High: 150-199 mg/dL
High: 200-499 mg/dL
Very High: > or = 500 mg/dL
To convert triglyceride values to mm/L, divide by 88.6.
Comments:
Patient must have fasted for 12 hours.
Please print, complete and submit the Advance Beneficiary
Notice (ABN) along with the Laboratory Requisition before shipping
the specimen.
Test
Limitations:
Serum/Plasma
Icterus: Significant negative interference can occur with I index above
10 for conjugated bilirubin and above 27 for unconjugated bilirubin
(approximate conjugated bilirubin concentration of 10 mg/dL or
approximate unconjugated bilirubin concentration of 27 mg/dL).
Hemolysis: No significant interference up to an H index of 500
(approximate hemoglobin concentration: 500 mg/dL).
Lipemia (Intralipid): The L index correlates with sample turbidity and
not to triglycerides level. Serum samples having extremely elevated
triglycerides (greater than 3000 mg/dL) can produce a normal result.*
Prior to being tested for triglycerides, dilute grossly lipemic sera 1
part serum to 5 parts 0.9% NaCl and multiply the results by 6. Not all
samples having this level of triglycerides are grossly lipemic.
High concentrations of unesterified glycerol in the sample can produce
falsely elevated results. This can occur in rare inborn errors of
glycerol metabolism (e.g., glycerol kinase deficiency). In very rare
cases gammopathy, in particular type IgM Walderstroms
macroglobulinemia, may cause unreliable results.
*Shephard MDS, Whiting MJ. Clin Chem. 1990;36(2):325-329.
Methodology:
Enzymatic
Instructions:
Patient must fast 10-12 hours prior to drawing.
Sample
Processing:
Centrifuge at 3000 RPM for 10 minutes.
Aliquot plasma into labeled container and cap.
Aliquot plasma into labeled container and cap.
Sample
Storage:
Refrigerate.
Transport
Instructions:
Place specimen into zip-lock type bag, seal bag.
Place requisition into outside pocket of bag.
Ship ambient or refrigerate.
Place requisition into outside pocket of bag.
Ship ambient or refrigerate.
CPT Code:
84478
See also:
Triglycerides-Other, Body Fluid (e.g., surgical drain, pericardial, peritoneal, peritoneal dialysis, pleural, or synovial)
Triglycerides-Other, Body Fluid (e.g., surgical drain, pericardial, peritoneal, peritoneal dialysis, pleural, or synovial)
See Additional Information:
Fasting Specimen Requirements
Fasting Specimen Requirements
