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Test ID ELPSR Electrolyte Panel, Serum


Necessary Information


Patient's age and sex are required.



Specimen Required


Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Specimen Volume: 0.5 mL

Collection Instructions:

1. Serum gel tubes should be centrifuged within 2 hours of collection.

2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.


Secondary ID

113632

Useful For

Identifying a suspected imbalance in electrolytes or acid/base imbalance

Method Name

KS, NAS, CL: Potentiometric, Indirect Ion-Selective Electrode

HCO3: Photometric/Enzymatic

AGAP: Calculated Result

Reporting Name

Electrolyte Panel, S

Specimen Type

Serum

Specimen Minimum Volume

0.4 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated 24 hours

Reject Due To

Hemolysis

Mild reject; Gross reject

Lipemia

Mild OK; Gross OK

Icterus

NA

Other

NA

Clinical Information

The electrolyte panel is ordered to identify electrolyte, fluid, or pH imbalance. Electrolyte concentrations are evaluated to assist in investigating conditions that cause electrolyte imbalances such as dehydration, kidney disease, lung diseases, or heart conditions. Repeat testing of the electrolyte or its components may be used to monitor the patient’s response to treatment of any condition that may be causing the electrolyte, fluid or pH imbalance.

 

Electrolyte and acid-base imbalances can often be indicative of many acute and chronic illnesses. For this reason, the electrolyte panel is often used in the hospital and emergency settings to evaluate patients.

Reference Values

SODIUM

<1 year: not established

≥1 year: 135-145 mmol/L

 

POTASSIUM

<1 year: not established

≥1 year: 3.6-5.2 mmol/L

 

CHLORIDE

<1 year: not established

1-17 years: 102-112 mmol/L

≥18 years: 98-107 mmol/L

 

BICARBONATE

Males

<1 year: not established

1-2 years: 17-25 mmol/L

3 years: 18-26 mmol/L

4-5 years: 19-27 mmol/L

6-7 years: 20-28 mmol/L

8-17 years: 21-29 mmol/L

≥18 years: 22-29 mmol/L

Females

<1 year: not established

1-3 years: 18-25 mmol/L

4-5 years: 19-26 mmol/L

6-7 years: 20-27 mmol/L

8-9 years: 21-28 mmol/L

≥10 years: 22-29 mmol/L

 

ANION GAP

<7 years: not established

≥7 years: 7-15

Interpretation

With an imbalance of a single electrolyte, such as sodium or potassium, repeat testing may be ordered of that particular electrolyte, can be used to monitor the imbalance until remedied. With an acid-base imbalance, blood gases may be ordered, which will measure the oxygen, carbon dioxide, and pH levels in the arterial blood. These tests assist in evaluating the acuteness of the imbalance and monitoring the response to treatment.

Cautions

No significant cautionary statements

Clinical Reference

1. Oh MS: Evaluation of renal function, water, electrolytes, and acid-base balance. In Henry's Clinical Diagnosis and Management by Laboratory Methods. 22nd edition. Edited by RA McPherson, MR Pincus. Philadelphia, PA: Elsevier Saunders; 2011:chap 14

2. AACC: Lab Tests Online: Access 03/22/2017. Available at https://labtestsonline.org/understanding/analytes/electrolyes

Day(s) and Time(s) Performed

Monday through Sunday; Continuously

Analytic Time

Same day/1 day

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Test Classification

This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

80051-Electrolyte Panel (if all 4 are performed)

82435-Chloride (if all 4 are not performed)

84295- Sodium (if all 4 are not performed)

84132-Potassium (if all 4 are not performed)

82374-Bicarbonate (if all 4 are not performed)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
ELPSR Electrolyte Panel, S 24326-1

 

Result ID Test Result Name Result LOINC Value
NAS Sodium, S 2951-2
KS Potassium, S 2823-3
CL Chloride, S 2075-0
HCO3 Bicarbonate, S 1963-8
AGAP Anion Gap 33037-3

NY State Approved

Yes