Ketones by Meter, Blood


Sunquest Code:KETONE  
Epic Code:LAB3224Epic Name:Ketone (Beta-Hydroxybutyrate) Quantitative
Synonyms:Beta-Hydroxybutyrate by Meter
Methodology:B-Hydroxybutyrate dehydrogenase reaction (Medisense Precision Xtra)
CPT Code:82010
Test Includes:Test measures B-hydroxybutyrate (B-Ketone), the most important of the three ketone bodies.
Turnaround Time:Performed 24 hours/day.
Special Instructions:Specimen must be sent to lab immediately. Testing must be performed within 30 minutes of collection.


Collection Instructions

Specimen:Whole blood; do not centrifuge
Optimal Volume:1 mL
Minimum\Peds Volume:0.1 mL
Container:Green (lithium heparin, gel) (Green (lithium heparin, no gel), Green (lithium heparin) on ICE, Purple (EDTA), Dry heparin syringe)
Contraindications:High hematocrits (above 60%) may yield falsely lower results and lower hematocrits (below 30%) may cause falsely high results. Test results may be erroneously low if patient is severely dehydrated, or severely hypotensive, in shock, or in hyperglycemic-hypersmolar state.


Processing and Shipping

Specimen Processing:Do not store.
Test Performed at or Referral Lab Chemistry  (Fairview Range - FRMC, UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, UMMC/UMMCH-West Bank)


Interpretive

Critical Range:Greater than 1.5 mmol/L
Reference Range:0.0-0.6 mmol/L
Use:Evaluate ketoacidosis; usually with diabetes mellitus. The method preferentially measures beta-hydroxybutyrate, which is elevated more reliably in diabetics with ketoacidosis, rather than acetoacetate.


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