Lactate/Pyruvate
Test Mnemonic
LACPYR
CPT Codes
- 83605 - QTY (1)
- 84210 - QTY (1)
Includes
- Lactate
- Pyruvate
Performing Laboratory
Cleveland Clinic Laboratories
Specimen Requirements
| Volume | Type | Container | Collect Temperature | Transport Temperature | Special Instructions |
|---|---|---|---|---|---|
| 4 mL | Blood | Potassium oxalate/sodium fluoride (Gray) | Refrigerated | Please refer to special information for processing instructions. |
Stability
| Environmental Condition | Description |
|---|---|
| Ambient | 8 hours *Stability information is for TCA treated sample. |
| Frozen | 3 days *Stability information is for TCA treated sample. |
| Refrigerated | 6 days *Stability information is for TCA treated sample. |
Days Performed
Mon - Fri
Turnaround Time
1 - 4 days
Methodology
| Name | Description |
|---|---|
| Enzyme Immunoassay (EIA) |
Reference Range
| Lactate | |||||
|---|---|---|---|---|---|
| Sex | Age From | Age To | Type | Range | Range Unit |
| Days | 90 Days | Normal | 1.0 - 3.5 | mmol/L | 3 Months | 24 Months | Normal | 1.0 - 3.3 | mmol/L | 2 Years | 17 Years | Normal | 1.0 - 2.4 | mmol/L | 18 Years | 99 Years | Normal | 0.5 - 2.2 | mmol/L | Years | 99 Years | Urgent | >4.0 for all locations except Main Campus | mmol/L |
| Pyruvate | |||||
| Sex | Age From | Age To | Type | Range | Range Unit |
| Years | 99 Years | Normal | 0.03 - 0.10 | mmol/L |
Special Info
Place whole blood on ice immediately after collection. Deproteinize whole blood within 30 minutes of collection to stop additional evolution of lactate/pyruvate. Specimen processing/deproteinization instructions: Collect one 5 mL gray (sodium fluoride/potassium oxalate) tube. Within 30 minutes of draw, add 1 mL well mixed blood to 2 mL cold 12 % TCA. Repeat with separate 1 mL of oxalated whole blood into a second tube of cold 12 % TCA. (Note: 1:2 ratio of blood to 12 % TCA must be maintained for accurate quantitation). Vortex precipitation tubes vigorously and refrigerate or place on wet ice for 10 minutes. After 10 minutes of cold incubation, centrifuge for 10 minutes at 1000G. Decant supernatant into a clean, well-sealed transport tube. Label tube as “TCA Precipitate”. Precipitated sample can be transported at refrigerated temperature. *Stability Information is for precipitated sample.