Cadmium, Whole Blood
Test Mnemonic
CADM
CPT Codes
- 82300 - QTY (1)
Performing Laboratory
ARUP
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 7 mL | Whole blood | EDTA (Royal blue) | Ambient | HEAVY METALS FORM REQUIRED to meet State Health Department requirements. Patient Prep: Diet, medication and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). Send specimen in original tube. |
Minimum Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 0.5 mL |
Stability
| Environmental Condition | Description |
|---|---|
| Ambient | Indefinitely |
| Refrigerated | Indefinitely |
| Frozen | Unacceptable |
Days Performed
Sun - Sat
Turnaround Time
2 - 4 days
Methodology
| Name | Description |
|---|---|
| Inductively Coupled Plasma / Mass Spectrometry (ICP-MS) |
Reference Range
| Cadmium, Blood | |||||
|---|---|---|---|---|---|
| Sex | Age From | Age To | Type | Range | Range Unit |
| Years | 99 Years | Normal | 0.0 - 5.0 | ug/L |
Special Info
Patient demographics form (Heavy Metal Form) is required to meet State Health Department requirements. Patient Prep: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician). Always use an alcohol swab to cleanse the venipuncture site. Avoid iodine-containing disinfectants. Use only stainless steel phlebotomy needles, and use non-powder gloves when handling and collecting. Specimens collected in tubes other than royal blue (EDTA), or specimens transported in containers other than royal blue (EDTA) tubes or trace element-free transport tubes will be rejected. Heparin anticoagulant is unacceptable. Clotted specimens will be rejected. This test is New York DOH approved.
Clinical Info
Blood cadmium can be used to monitor acute toxicity, and in combination with cadmium and urine and B-2 microglobulin is the preferred method for monitoring occupational exposure. Symptoms associated with cadmium toxicity vary based upon route of exposure and may include tubular proteinuria, fever, headache, dyspnea, chest pain, conjunctivitis, rhinitis, sore throat and cough. Ingestion of cadmium in high concentration may cause vomiting, diarrhea, salivation, cramps, and abdominal pain. Elevated results may be due to skin or collection-related contamination, including the use of a noncertified metal-free collection/transport tube. If contamination concerns exist due to elevated levels of blood cadmium, confirmation with a second specimen collected in a certified metal-free tube is recommended.