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Order Code LASF1 Lactic Acid, Spinal Fluid


Specimen Required


Specimen Type: Spinal fluid

Container/Tube: Sterile container

Specimen Volume: 1 mL

Collection Instructions: Centrifuge to remove any cellular material.


Useful For

Aid in differentiating between bacterial and viral meningitis

 

Aid in identifying increased anaerobic glycolysis or hypoxia associated with bacterial meningitis, cerebral infarction, cerebral arteriosclerosis, intracranial hemorrhage, hydrocephalus, traumatic brain injury, cerebral edema, epilepsy, and inborn errors of metabolism

Method Name

Colorimetric

Reporting Name

Lactic Acid, CSF

Specimen Type

CSF

Specimen Minimum Volume

0.5 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
CSF Frozen (preferred) 60 days
  Refrigerated  24 hours
  Ambient  3 hours

Reject Due To

Gross hemolysis OK
Gross lipemia OK

Reference Values

0-2 days: 1.1-6.7 mmol/L

3-10 days: 1.1-4.4 mmol/L

11 days-17 years: 1.1-2.8 mmol/L

>17 years: 1.1-2.4 mmol/L

Method Description

Lactate concentration is determined using an enzymatic colorimetric method. L-lactate is oxidized to pyruvate by the specific enzyme lactate oxidase. Peroxidase is used to generate a colored dye using the hydrogen peroxide generated in the first reaction. The intensity of the color formed is directly proportional to the L-lactate concentration. It is determined by measuring the increase in absorbance.(Package insert: Roche Diagnostics Cobas 6000; LACT2 reagent package insert; Indianapolis, IN 46256. 02/2016)

Day(s) Performed

Monday through Sunday

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

83605