Potassium, WB

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. Potassium, WB
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

KWB MBG1

Specimen Type:

Blood

Tube Type:

Heparinized syringe, Green top (lithium heparin) microtainer

Collection Volume:

0.5 mL microtainer or syringe; (2) 125 uL capillary tubes; If collected in a microtainer, it must be a separate tube with no gel separator

Cause for Rejection:

Clotted, air bubbles

Storage:

Room Temp

Availability:

Daily, 24 hours; STAT

Methodology:

Ion selective electrode direct

Special Instructions:

Deliver immediately to laboratory at room temperature. For Outpatients, test should only be drawn in outpatient locations within the Hospital on the Beeghly campus. If collected at an offsite location, specimen is stable only 1 hour. Call a STAT Courier.

Lab/Phone:

330-746-9623

TAT:

30 minutes

Additional Info:

Reference range: 3.3-5.1 mEq/L

CPT Code:

84132