Plasma Renin Activity
| 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. Plasma Renin Activity | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
REN
Test Workstation :
MAYO
Specimen Type:
Plasma
Tube Type:
Purple top (EDTA) tube
Collection Volume:
5.0 mL (minimum 3.0 mL)
Cause for Rejection:
Gross hemolysis
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Draw blood directly in chilled lavender top (EDTA) tube. Immediately place into an icewater bath until thoroughly chilled. Refrigerate during centrifugation and immediately transfer plasma to plastic vial.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
2-5 days
Additional Info:
Ref. range is age dependent; avail on patient report
CPT Code:
84244
