Lipid Panel Reflex to Direct LDL Panel


Sunquest Code:BLIPR  
Epic Code:LAB3327Epic Name:Lipid Reflex to Direct LDL Panel
Synonyms:Cholesterol; Triglycerides; Fasting Lipids; FLP; LIP A; BLIPR
Methodology:See individual test listings
Test Includes:Cholesterol, triglycerides, HDL cholesterol, LDL cholesterol calculation on measurement.
Turnaround Time:Refer to individual test listings.


Collection Instructions

Specimen:Blood
Optimal Volume:2.5 mL
Minimum\Peds Volume:1 mL
Container:Green (lithium heparin, gel) (Green (lithium heparin) on ICE, Red (no gel), Red or gold (gel))
Patient Preparation:Fasting or non-fasting samples can be used for risk assessment in primary prevention and for assessment of baseline LDL-C levels before the inititation of a statin primary and secondary prevention. If triglyceride levels are 400 mg/dL or higher, a repeat lipid profile in the fasting state should be performed.
If fasting is needed, please follow the instructions below for preparation:
  Please do not eat 10-12 hours before your appointment if you are coming in fasting for labs on lipids, cholesterol or glucose (sugar). This does not apply to pregnant women.
Water, tea or black coffee (with nothing added) is okay. Do not drink other fluids, diet soda or chew gum.
If you have concerns about taking your medications, please send a message by clicking on Secure Messaging, Message Your Care Team.


Processing and Shipping

Specimen Processing:Separate serum/plasma from cells asap. Centrifuge and aliquot 1.25 mL, 0.3 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Test Performed at or Referral Lab Chemistry  (University of Minnesota Health Maple Grove Clinics, UMMC-East Bank, Oxboro Bloom, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, UMMC/UMMCH-West Bank)


Interpretive

Reference Range:
 
Cholesterol, Total  
0-19 y Desirable: <170 mg/dL
Borderline high: 170-199 mg/dL
High: ≥200 mg/dL
20 y & older Desirable: <200 mg/dL
Borderline High: 200-239 mg/dL
High: ≥240 mg/dL
 
Triglycerides  
0-9 y Desirable: <75 mg/dL
Borderline high: 75-99 mg/dL
High: ≥100 mg/dL
10-19 y Desirable: <90 mg/dL
Borderline high: 90-129 mg/dL
High: ≥130 mg
20 y & older Desirable: <150 mg/dL
Borderline High: 150-199 mg/dL
High: 200-499 mg/dL
Very High: ≥500 mg/dL
 
HDL Cholesterol  
0-19 y Desirable: ≥45 mg/dL
Low: <40 mg/dL
Borderline low: 40-44 mg/dL
20 y & older Males: ≥40 mg/dL

Females: ≥50 mg/dL
 
LDL Cholesterol
if reflexed
 
0-19 y Desirable: 0-110 mg/dL
Borderline high: 110-129 mg/dL
High: ≥130 mg/dL
20 y & older Desirable: <100 mg/dL
Above Desirable: 100-129 mg/dL
Borderline High: 130-159 mg/dL
High: 160-189 mg/dL
Very High: ≥190 mg/dL
 
Non-HDL
Cholesterol
 
0-19 y Desirable: <120 mg/dL
Borderline high: 120-144 mg/dL
High: ≥145 mg/dL
20 y & older Desirable: 130 mg/dL
Above Desirable: 130-159 mg/dL
Borderline High:160-189 mg/dL
High: 190-219 mg/dL
Very High: ≥220 mg/dL
   
Use:
For management of blood choleesterol in adults and in children and adolescents, please refer to the newest guidelines on the Managment of Blood Cholesterol, published in 2018.
Adult reference ranges for Total Cholesterol, LDL Chholesterol, HDL Cholesterol, Non- HDL Cholesterol and Triglycerides are taken from the National Lipid Association guidelines published in 2004 (National Lipid Association Executive Summary) and the Adult Treatment Panel (ATP) III published in 2001 (Full Report and At-A-Glance Quick Desk Reference).
Pediatric reference ranges for Total Cholesterol, LDL Chholesterol, HDL Cholesterol, Non- HDL Cholesterol and Triglycerides are taken from the 2011 National Heart, Lung and Blood Institute Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents.  


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