Test Code LI Lithium Level
Specimen Requirements
Preparation of Patient:
Draw blood 10 to 12 hours after last dose or immediately before next dose.
Container Type:
Gold Top SST Gel & Clot Activator Tube
Specimen Type:
Serum
Specimen Volume:
2.5 mL of Serum minimum 0.5 mL of Serum
Specimen Handling/Transport:
Separate serum from cells within 2 hours of collection.
Transport refrigerated 2-8°C.
Specimen Stability/Storage:
8 hours ambient room temperature
5 days refrigerated 2-8°C
Performing Laboratory
Munson Healthcare Laboratories
Priority, Frequency, & Turnaround
Priority:
STAT, ASAP, Non-Emergent
Frequency:
24 hours 7 days a week
Turnaround:
0 - 1 days
STAT 60 minutes from receipt in lab
Methodology
Colorimetric Endpoint
Reporting
Reference Range:
0.5-1.2 mmol/L
Linearity Range:
0.1-10.0 mmol/L
Critical Decision:
≥ 1.5 mmol/L
Note: Critical values are called to the provider and communicated as critical. Documentation of the call is recorded in the patient record.
Clinical Significance
Lithium is used for the treatment of the manic phase of manic depressive illness. It acts by enhancing reuptake of neurotransmitters, thereby reducing their concentration of the neuronal junction, thus producing a sedating effect on the CNS.
CPT Code(s)
80178