Test Code LAB47 AMMONIA
Additional Codes
Internal: 10165
External: AMMON
Beaker: LAB47
PERFORMED AT
SBH LABORATORY
SRH LABORATORY
SMH LABORATORY
HDH LABORATORY
Specimen Requirements
Container Type: EDTA Plasma (Lavender Top)
Specimen Type: Plasma
Preferred Volume: 5 mL
Emergency Minimum Volume: 1 mL
Patient Prep: Smoking should be avoided prior to sample collection. Have wet ice at draw site. Tube to be placed immediately into wet ice upon draw. Keep on ice until specimen is processed (within 20 min).
Collection Procedure: Do not collect with syringe; draw directly into vacutainer EDTA tube. Fill tube completely and keep specimen capped. Cannot be collected by heelstick method. If specimen is to be delivered directly to hospital laboratory, it must be put on wet ice immediately after collection and received within 20 minutes if unspun.
Specimen Processing: SEPARATE PLASMA FROM THE CELLS WITHIN 20 MINUTES OF COLLECTION (by spinning in Stat-Spin for 3 minutes or by centrifuging for 10 minutes using pre-cooled bucket liner). Place in separate plastic tube and FLASH freeze. Store and transport frozen. Once frozen, the specimen does not need to be picked up STAT.
Unacceptable Conditions: Grossly Hemolyzed specimens. Specimens collected in sursep tubes. Heel/Finger stick collections.
Ammonia concentrations can increase in vitro due to breakdown of plasma components. Specimens outside of acceptable stability as mentioned below will be rejected.
Stability:
Temperature | Time |
---|---|
WHOLE BLOOD: ON-ICE | 20 min |
PLASMA: Room Temp | 30 min |
PLASMA: Refrigerated | 2 hours |
PLASMA: Frozen (-20 øC) | 3 days |
PLASMA: Frozen (-70 øC) | 4 weeks |
Method
Enzymatic
Synonyms
NH3
CPT Codes
82140
Department
Chemistry
Test Schedule
Daily & STAT
Reference Lab
SCHS
Remarks
Hepatic coma and the terminal stages of cirrhosis are often marked by elevated blood ammonia. It is also used in the diagnosis of Reye Syndrome.