Cyanide

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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. Cyanide
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CYAN

Test Workstation :

MAYO

Specimen Type:

Plamsa

Tube Type:

Gray top (potassium oxalate/sodium fluoride) tube: Whole Blood

Collection Volume:

2.0 mL (minimum 0.5 mL)

Cause for Rejection:

hemolyzed specimens

Storage:

Frozen

Availability:

Sent to Mayo Medical Laboratory

Methodology:

Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

Special Instructions:

Days Performed: MonSun

Lab/Phone:

330-543-8418

TAT:

7-11 days

Additional Info:

Reference range:

Normal (unexposed population):

Non-smoker: less than 0.025 mg/L

Smoker: average 0.41 mg/L

Exposed: Levels of less than 0.2 mg/L have been found to be non-toxic; however, levels of 0.5 to 1.0 mg/L have been associated with tachycardia and flushing.

Toxic: Levels of 1.0 to 2.5 mg/L have been associated with obtundation, coma and respiratory depression with levels greater than 2.5 mg/L, and death with values greater than 3 mg/L.

CPT Code:

82600