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Test Code UPE/LAB438 Electrophoresis, Protein, 24 Hr Urine

Performing Laboratory

Asante Rogue Regional Medical Center

Specimen Requirements

24 hour urine, 24 hour urine container with no preservative

24 Hour Urine Container Instructions

24 Hour Urine Container with no preservatives

 

Container MUST be labeled with: Office Location, Patient’s First and Last Name and Date of Birth

 

Instruct patient:

  • To label container with Date and time collection started, Date and time collection finished. 
  • Void and DISCARD the first-morning specimen and to record exact time of voiding.
  • Patient should collect all subsequent voided urine for remainder of day and night.
  • Collect first-morning specimen on day 2 at same time as noted on day 1.
  • Collection is complete.
  • Keep urine refrigerated during entire collection. Screw lid on securely.

Plastic urine container (aliquot of at least 10 mL urine from 24 hour collection).


Record total volume and collection period on container.

Specimen Minimum Volume

20 mL preferred; 10 mL minimum

Specimen Transport Temperature and Stability

Refrigerate (2°-8°C), send to laboratory immediately.

Fresh samples are recommended for analysis. 

Samples are stable 7 days if refrigerated at 2°-8° C; one month if frozen.

Day(s) Test Set Up

Test is batched Monday through Friday, A.M. shift.

Reasons for Rejection

Grossly bloody

Additional Information

Use:  Diagnosis and evaluation of myeloma, macroglobulinemia of Waldenström, lymphoma, amyloidosis. 
A serum electrophoresis should be reviewed concurrently if one has not been recently studied. In nonselective glomerular proteinuria, the urine electrophoretic pattern is often a nonspecific one which may be called “mirror image” to that of the serum.

 

Note: The UPE is a generic pattern only, separating albumin and globulin resulted as % of total protein. If a monoclonal peak is present, it will be noted as "present". The UIFE (immunofixation of urine) provides a specific identification of a paraprotein, if present.

Methodology

Sebia gel electrophoresis

Performing Department

Special Chemistry

Test Classification and CPT Coding

84166  Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF

Billing Code

2070514