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Test Code LAB5471 Creatinine ED

Important Note

Note: This is the whole blood Creatinine ED test for the Emergency Department. For the standard creatinine test see CREAT/LAB5382

Performing Laboratory

Asante Rogue Regional Medical Center / Ashland Community Hospital 

Specimen Minimum Volume

0.5 mL

Billing Code

2050474

Specimen Requirements

ARRMC/AACH Draw a Lithium Heparin Dark Green Top Tube

 

Plain Lithium Heparin Dark Green top tube 

Specimen Transport Temperature and Stability

Stable up to 4 hours at room/ambient temperature or refrigerated at 2-10 °C.

Reasons for Rejection

Quantity not sufficient (QNS)

Lack of Two Patient Identifiers:

         1-Patient's First & Last name 

         2-Patient's Date of Birth

Specimen Stability Time Exceeded

Day(s) Test Set Up

Only performed STAT – 15 Min after receipt of specimen in lab

Additional Information

A renal function test, providing an index of glomerular filtration.  Causes of high creatinine include:  renal disease and insufficiency with decreased glomerular filtration (uremia if severe); urinary tract obstruction; reduced renal blood flow including congestive heart failure, shock and dehydration.  Rhabdomyolysis causes high serum creatinine.  Causes of low creatinine include debilitation, decreased muscle mass. 

Limitations:  Certain cephalosporins, especially cefoxitin, cause misleading (high) results.

 

NOTE: An estimate of glomeular filtration, using the 4 parameter MDFD equation (eGFR) is provided with each adult creatinine result.

Methodology

Varies depending on analyzer

Radiometer/Epoc: Amperometric Electrode measurement

Beckman Coulter AU: Enzymatic Kinetic Jaffe Reaction; IDMS standardized

Performing Department

Chemistry

Test Classification and CPT Coding

82565  -  Creatinine; blood