Alcohols Panel (Methanol, Ethanol, Isopropanol, Acetone)
Label Mnemonic: ALCH
Epic Lab Code: LAB551
Downtime Form: A-1a Miscellaneous Request
Chemistry
6240 RCP
356-3527
Specimen(s):
Plasma
Collection Medium:
Plasma Separator Tube 4.5 mL
Alternate Collection Media:
Call laboratory for additional acceptable specimen collection containers.
Minimum:
3 mL whole blood in light green top tube or TWO Microtainer® devices
Rejection Criteria:
Medico-legal specimens are not accepted.
Testing Schedule:
This test is not run routinely and requires approval of Clinical Pathology Resident on-call (pager #3724 M-F 08:00-17:00; pager #3404 all other times).
Turn Around Time:
4 hours (upon receipt in laboratory)
Reference Range:
Ethanol intoxication begins in the 50-100 mg/dL range.

Critical Values:
  Methanol 10 mg/dL or greater
  Isopropanol 10 mg/dL or greater
  Ethanol 300 mg/dL or greater
Comments:
This procedure individually quantitates methanol, ethanol, isopropanol and acetone.

References:
(1) Brent J et al.  Fomepizole for the treatment of methanol 
    poisoning. New Engl J Med 344: 424-429, 2001.

(2) Lynd LD et al. An evaluation of the osmole gap as a screening 
    test for toxic alcohol poisoning. BMC Emerg Med 8: 5, 2008. 

(3) Krasowski MD et al.  A retrospective analysis of glycol and toxic
    alcohol ingestion: utility of anion and osmolal gaps.  BMC Clin
    Pathol 12: 1, 2012.

Profile result codes: methanol, ethanol, acetone, isopropanol. 
Methodology:
Gas Chromatography
CPT Code:
80320