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Test Code LAB118 Total Protein

Clinical System Name

Total Protein

Synonyms

Protein

LAB118

Sample Requirements

Specimen:  Whole Blood

Container(s): Lt. Green/Mint Top Lithium Heparin, Lt. Green/Lithium Heparin Microtainer, Gold SST, Gold Microtainer, Dark Green/Sodium Heparin, Red

Preferred Vol: 1 mL

Minimum Vol: 0.5 mL

 

Note:  Method is affected by lipemia and hemolysis.

Processing Instructions

Reject due to: Gross hemolysis, Age of specimen

Spin: Y

Aliquot: Y

Storage location:  Core 5 Chemistry Refrigerator

 

Off-site collection:  Avoid hemolysis. Specimen should be centrifuged within 2 hours of collection. Spin blood and transfer serum or plasma to plastic tube and refrigerate or freeze.

Stability

Specimen Type Temperature Time
Serum or Plasma RT

≤ 4 h

Serum or Plasma 2-8 C

≤ 3 d

Serum or Plasma -20 C or -70 C

≤ 6 m

Availability

STAT Performed TAT
Y 24/7 1 h

Performing Laboratory

Seattle Children's Laboratory    

Department

Department:  Core Chemistry

Phone Number: 206-987-2617 (Client Services)

CPT Codes

84155

Methodology

Method:  Colorimetric by Vitros 4600

Analytical Volume: 0.02 mL + 0.03 mL dead space

Reference Range

Age g/dL
0 - 14 d 5.4 - 8.5
15 d - 1 y 4.5 - 7.3
1 y - 6 y 6.2 - 7.7
> 6 y 6.5 - 8.3

Description

Total serum protein concentration can be used for evaluation of nutritional status. Causes of high total serum protein concentration include dehydration, Waldenström’s macroglobulinemia, multiple myeloma, hyperglobulinemia, granulomatous diseases, some tropical diseases, collagen diseases, lupus erythematosus, and other instances of chronic infection or inflammation. Low total serum protein concentration may be caused by excessive intravenous fluid administration, cirrhosis or other liver diseases, heart failure, nephrotic syndrome, glomerulonephritis, neoplasia, protein-losing enteropathies, malabsorption, and severe malnutrition.