Lead, Urine


Sunquest Code:UPB  
Epic Code:LAB3852Epic Name:Lead Urine
Methodology:Inductively coupled plasma/mass spectrometry
CPT Code:----------CPTCODES HERE----------
Turnaround Time:Specimens are sent to reference laboratory Mon-Sat; results are reported in 1-3 days.
Compliance:

This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

Associated Links:

Urine Collection Procedure



Collection Instructions

Specimen:Urine, 24 hour or random collection
Optimal Volume:Submit entire 24 hour collection; analysis requires 1 mL
Container:3 L plastic jug (Plastic leakproof container, sterile)
Collection Instructions:Specimen should be refrigerated during collection. ARUP studies indicate that refrigeration of urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Patient Preparation:Diet, medication and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician). High concentrations of iodine may interfere with elemental testing.
Collection of urine specimens from patients receiving iodinated or gadolinium-based contrast media should be avoided for a minimum of 72 hours post-exposure. Collection from patients with impaired kidney function should be avoided for a minimum of 14 days post-contrast media exposure.
Causes for Rejection:Specimen in contact with metal, acid preserved urine. Urine collected within 48 hours after administration of gadolinium (Gd) contrast media (may occur with MRI studies).Samples not aliquoted into ARUP metal-free plastic vials.


Processing and Shipping

Specimen Processing:Mix collection well before aliquot is taken. Aliquot 8 mL, 1 mL minimum into 2 ARUP blue top metal free plastic vials. Regular aliquot tubes will be rejected. Record total volume and collection duration on transport tube and request form. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Lab Sendouts  (ARUP)
Referral Lab number:25060


Interpretive

Reference Range:
Lead, Urine (per 24 hours) 0.0-8.1 µg/d
Lead, Urine (per volume) 0.0-5.0 µg/L
Lead, Urine (ratio to CRT) 0.0-5.0 µg/gCRT
Quantification of urine excretion rates before or after chelation therapy has been used as an indicator of lead exposure. Urinary excretion of >125 mg of lead per 24 hours is usually associated with related evidence of lead toxicity.
Use:Lead poisoning.


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