Alert

Acetaminophen

No Gel in Red Top Bullet

Tube Type

Test ID   LAB43
EPIC Order
  ACETAMINOPHEN LEVEL
CPT Code(s)   82329
Group/Individual Test   Individual
Laboratory   Core Laboratory
Tube Station   30 Routine; 888 STAT
Specimen Routine: 2 mL blood/royal blue top; see Comments for additional information
  micro: 300 µL blood/red top pediatric bullet
Availability
Routine:
24 hrs/day
  STAT: Yes
Turnaround Time   STAT 1hr; Routine 2hrs
Reference Range Therapeutic: 10 - 30 µg/mL
  Toxic:
Adults, 4 hrs post ingestion >150 µg/mL 
Adults, 12 hrs post ingestion >40 µg/mL
 
 
Comments
--Red Top Pediatric Tubes must NOT contain Serum Separator Gel

--Pediatric, 2 hr. post-ingestion (liquid) >225 µg/mL
--Must be correlated with time since ingestion

--Results >30 µg/mL are called to physician as critical values.
--If time of ingestion is unknown, toxicity can be assessed by using 2 serial levels to calculate elimination T1/2 .
--T1/2 >4h is associated with overdose.

--When extended-release tablets have been used, two levels should be drawn: the first at 4hrs or more post ingestion, and the second 4-6hrs after the first.
 
 
INTERNAL REFERENCE TESTING SPECIMEN HANDLING INSTRUCTIONS:  
 Centrifuge, aliquot, refrigerate

Reviewed by ivette_marrero on January 27, 2017

Note: Reference ranges provided on this web site are for guidance only, and may not reflect the most recent changes. Refer to laboratory reports for current reference data.

UNC Hospitals
McLendon Clinical Laboratories
101 Manning Drive
Chapel Hill, NC 27514

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