Label Mnemonic: | HDLP |
Epic code: | LAB101 |
Downtime form: | Doctor/Provider Orders - Pathology Core and Specialty Care Nursery |
6240 RCP
356-3527
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Plasma Separator Tube 4.5 mL |
3 mL whole blood from light green top tube or 1 Microtainer® for pediatric patients
Guidelines from the National Lipid Association and the National Cholesterol Education Program for cardiovascular risk for adults 18 years of age and older:
Males: 40 mg/dL or higher
Females: 50 mg/dL or higher
Fasting for at least 8 hours prior to collection is recommended.
This test is also performed in the Iowa River Landing (IRL) clinical laboratory (for specimens drawn at that site).
Criterion: Recovery within plus or minus 10% of initial value. Icterus: No significant interference up to an I index of 60. Hemolysis: No significant interference up to an H index of 1200 (approximate hemoglobin concentration: 1200 mg/dL). Lipemia (Intralipid): No significant interference up to an L index of 2000. There is poor correlation between turbidity and triglycerides concentration. Ascorbic acid: No significant interference up to 50 mg/dL. In rare cases, elevated immunoglobulin concentrations can cause unreliable results. Abnormal liver function does affect lipid metabolism; consequently, HDL and LDL results are of limited diagnostic value. In some patients with abnormal liver function, the HDL result may significantly differ from the DCM (designated comparison method) result. No interference was found at therapeutic concentrations using common drug panels. Statins and fibrates tested at therapeutic concentration ranges did not interfere. N-acetylcysteine at the therapeutic concentration when used as an antidote and the acetaminophen metabolite N-acetyl-p-benzoquinone imine (NAPQI) independently may cause falsely low results. Venipuncture immediately after or during the administration of metamizole may lead to falsely low results.
Enzymatic
Assay updated to Roche HDL Generation 4 on 06/04/18
Fasting Specimen Requirements