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25605 Lactate, Arterial, Sepsis Protocol

Lactate, Arterial, Sepsis Protocol
Test Code: LACTASP
Synonyms/Keywords
​Lactic Acid (arterial), L-Lactate, LA, Sepsis, Protocol
Useful For

​Measurements of lactic acid are useful in the diagnosis and treatment of lactic acidosis (abnormally high acidity of the blood).

This test code is specifically for Sepsis Protocol patient testing of arterial lactates.  It will order both a baseline arterial lactate (LACT-A) and a 3 hour post baseline lactate (LACA3H).

Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Plasma ​Gray Top Tube (GYTT) ​ ​1 mL ​0.3 mL ​
Collection Processing Instructions
Note: Test is only orderable at St. Clare's and St. Joseph's Hospitals.
 
​Collect Gray Top Tube and transport to the lab promptly after collection.  Centrifuge and remove plasma from the cells within 60 minutes.  Specimen must be drawn WITHOUT a tourniquet and WITHOUT hand clencing.
 
If the baseline LACT-A is <=2.0 mmol/L, the LACA3H is discontinued. 
If the LACT-A is >=2.1, then the LACA3H is collected and reported.
Specimen Stability Information
Specimen Type Temperature Time
​Plasma ​ ​ ​Ambient ​2 hours
​Refrigerate ​48 hours
​Frozen ​>48 hours
Rejection Criteria
Significant icterus
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Diagostic Treatment Center ​Monday through Sunday ​Less than 2 hours ​Photometric Biochromatic Endpoint/Siemens Dimension
​Eau Claire​Monday through Sunday​Less than 2 hoursPhotometric Biochromatic Endpoint/Siemens Dimension​​
​Ladysmith​Monday through Sunday​Less than 2 hours​Photometric Biochromatic Endpoint/Siemens Dimension​
​Lakeview Medical Center​Monday through Sunday​Less than 2 hours​Photometric Biochromatic Endpoint/Siemens Dimension​
​Marshfield ​Monday through Sunday ​Less than 2 hours ​Enzymatic Fixed Assay/Beckman AU
​Neillsville​Monday through Sunday​​Less than 2 hoursPhotometric Biochromatic Endpoint/Siemens Dimension​
Reference Range Information
Performing Location Reference Range
​All Performing Sites ​0-1.6 mmoL/L
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​83605 ​ ​ ​ ​
Synonyms/Keywords
​Lactic Acid (arterial), L-Lactate, LA, Sepsis, Protocol
Ordering Applications
Ordering Application Description
​COM ​Lactate, Arterial, Sepsis
​Centricity ​Lactate, Arterial , Sepsis
​Cerner None
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)		 Pediatric Minimum Volume
(no repeat)
​No ​Plasma ​Gray Top Tube (GYTT) ​ ​1 mL ​0.3 mL ​
Collection Processing
Note: Test is only orderable at St. Clare's and St. Joseph's Hospitals.
 
​Collect Gray Top Tube and transport to the lab promptly after collection.  Centrifuge and remove plasma from the cells within 60 minutes.  Specimen must be drawn WITHOUT a tourniquet and WITHOUT hand clencing.
 
If the baseline LACT-A is <=2.0 mmol/L, the LACA3H is discontinued. 
If the LACT-A is >=2.1, then the LACA3H is collected and reported.
Specimen Stability Information
Specimen Type Temperature Time
​Plasma ​ ​ ​Ambient ​2 hours
​Refrigerate ​48 hours
​Frozen ​>48 hours
Rejection Criteria
Significant icterus
Useful For

​Measurements of lactic acid are useful in the diagnosis and treatment of lactic acidosis (abnormally high acidity of the blood).

This test code is specifically for Sepsis Protocol patient testing of arterial lactates.  It will order both a baseline arterial lactate (LACT-A) and a 3 hour post baseline lactate (LACA3H).

Reference Range Information
Performing Location Reference Range
​All Performing Sites ​0-1.6 mmoL/L
For more information visit:
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Diagostic Treatment Center ​Monday through Sunday ​Less than 2 hours ​Photometric Biochromatic Endpoint/Siemens Dimension
​Eau Claire​Monday through Sunday​Less than 2 hoursPhotometric Biochromatic Endpoint/Siemens Dimension​​
​Ladysmith​Monday through Sunday​Less than 2 hours​Photometric Biochromatic Endpoint/Siemens Dimension​
​Lakeview Medical Center​Monday through Sunday​Less than 2 hours​Photometric Biochromatic Endpoint/Siemens Dimension​
​Marshfield ​Monday through Sunday ​Less than 2 hours ​Enzymatic Fixed Assay/Beckman AU
​Neillsville​Monday through Sunday​​Less than 2 hoursPhotometric Biochromatic Endpoint/Siemens Dimension​
For billing questions, see Contacts
Outreach CPTs
CPT Modifier
(if needed)		 Quantity Description Comments
​83605 ​ ​ ​ ​
For most current information refer to the Marshfield Laboratory online reference manual.