Alcohol

Centralized Core Laboratory : Chemistry

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Alcohol
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

ALCO ACHM1

Specimen Type:

Blood

Tube Type:

Green top (lithium heparin) tube

Collection Volume:

1.5 mL

Storage:

Refrigerated

Availability:

Daily, 24 hours; STAT

Methodology:

Oxidation Reduction Methanol

Special Instructions:

Do not use alcohol or chlorhexadine wipes to prepare venipuncture site. Soap and water or betadine may be used. Deliver specimen to lab immediately. Levels obtained are for medical use only; not intended for legal use. If collected at an offsite location, send by a STAT Courier to Akron Children's Hospital lab

Lab/Phone:

330-543-8419

TAT:

1 hour

Additional Info:

Reference range: 50-100 mg/dL: Impairment >100 mg/dL: Depression of CNS >400 mg/dL: Fatalities reported

CPT Code:

80301

Synonyms:

Ethanol; ETOH

Search our Site

Need Help?

Operator

Ask Children's

For Healthcare Professionals

I am a...

Quicklinks

Providers

Nurses

Research Institute

Search our site:

Laboratory Services

Alcohol

Centralized Core Laboratory : Chemistry

Starting Locations:

Legal:

About Akron Children's