Bilirubin, Body Fluid
| Sunquest Code: | FBILP | ||
| Epic Code: | LAB4566 | Epic Name: | Bilirubin Fluid |
| Methodology: | Bichromatic end point | ||
| CPT Code: | 82247 | ||
| Turnaround Time: | Performed and reported 24 hours/day. | ||
| Special Instructions: | Bilirubin is photosensitive and samples should be protected from both daylight and fluorescent light to avoid photo-degradation. | ||
Collection Instructions
| Specimen: | Fluid |
| Optimal Volume: | 1.25 mL |
| Minimum\Peds Volume: | 0.6 mL |
| Container: | Plastic leakproof container, sterile (Green (lithium heparin, gel), Green (lithium heparin) on ICE, Red (no gel), Red or gold (gel)) |
| Collection Instructions: | Protect sample from light |
Processing and Shipping
| Specimen Processing: | Protect specimen from light. Aliquot 1.25 mL, 0.2 mL minimum. Store in refrigerator. |
| Shipping Instructions: | Ship at refrigerated temperature. |
| Test Performed at or Referral Lab | Chemistry (Fairview Range - FRMC, UMMC-East Bank, Fairview Northland - FNMC) |
Interpretive
| Reference Range: | No reference ranges have been established. This result should be interpreted in the context of the patient's clinical condition and compared to simultaneous measurement in the patient's blood. |
| Use: | Bile leakage into the body cavity gives a very high fluid bilirubin concentration, many-fold higher than a patient's serum concentrations. Body fluid to serum bilirubin concentration ratios are generally less than 0.6 in transudates with the ratio in exudates being higher. |
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