NUT ASSMT

Nutrition Assessment

Performing Lab:
Saint Luke's Regional Laboratories
Patient Preparation:

1. This panel should only be ordered on patients currently admitted to the hospital.
2. The patient must be FASTING overnight (12 - 14 hours).

Container Type:
Grey top (potassium oxalate/sodium fluoride) for glucose and serum gel tube or green top (heparin) tube for all other tests
Specimen Type:

Serum and/or plasma (see note about grey top tube for glucose)

Preferred Volume:
2 mL
Minimum Volume:
0.5 mL
Collection Procedure:

1. The specimen (serum gel or green) must be centrifuged within 2 hours of collection.
2.  Note: If there is to be a delay in processing, send the grey top    (potassium oxalate/sodium fluoride) plasma for glucose testing.
3.  Protect the specimen (serum gel or green) from light.
4.  Indicate the tube type (grey, serum gel, green) on the request form.
5.  Label the specimen appropriately (grey, serum gel, green).

Store and Transport:
Room Temperature: < 12 hours
Refrigerated: > 12 hours
Unacceptable Condition:

Severe lipemia and/or hemolysis will interfere with this assay.

CPT Codes:

80069 - Renal panel (EAP 30014820)
82247 - Bilirubin Total (EAP 30010720)
82465 - Cholesterol (EAP 30011380)
83735 - Magnesium (EAP 30013780)
84075 - Alkaline Phosphatase (EAP 30010160)
84134 - Prealbumin (EAP 30014440)
84450 - AST (EAP 30010560)
84460 - ALT (EAP 30010100)
84478 - Triglycerides (EAP 30015460)

Test Schedule:
See individual test listings
Test Includes:
Anion Gap; Calcium: Carbon Dioxide; Chloride; Urea Nitrogen (BUN); Creatinine;
Glucose; Potassium; Sodium; Albumin; Bilirubin, total; Cholesterol, total;
Magnesium; Alkaline phosphatase; Phosphorus; Prealbumin (PAB); Aspartate
Aminotransferase (AST/SGOT); Alanine Aminotransferase (ALT/SGPT);
Triglycerides
Reference Ranges:

ANION GAP 5 - 17

See individual test listings for other reference values.

Lab Personnel

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