Phosphatidylglycerol (PG)
Order Code: PG
Order Form: Laboratory Requisition
Specimen:
Amniotic Fluid
Collection Medium:
Miscellaneous container; contact laboratory
Minimum:
Preferred minimum: 5 mL amniotic fluid Absolute minimum: 1 mL anmiotic fluid
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Analytic Time:
3 hours (upon receipt in laboratory)
Reference Range:
Negative: PG absent or <0.5 mcg/ml. Significant risk of RDS Low Positive: Pg > or = to 0.5 mcg/ml. Low risk of RDS High Positive: PG > 2 mcg/ml. Mature
Comments:
Test performed only if amniotic fluid is contaminated with meconium or blood.
Methodology:
Latex Agglutination
Sample Processing:
Submit in leakproof container.
Label transport tube with two patient identifiers, date and time of collection.
Sample Storage:
Ambient or Room Temperature.
Transport Instructions:
Place coolant packs on top of specimen in styrofoam container.
Place requisition into outside pocket of bag.
Ship at ambient temperature.
CPT Code:
84081