Forearm Non-Ischemic Exercise Test
Order Name
NON-ISCHEMIC
Test Number: 2001125
Revision Date 10/01/2022
Test Number: 2001125
Revision Date 10/01/2022
| Test Name | Methodology | LOINC Code |
|---|---|---|
|
Lactate Baseline
|
Colorimetric | 59004-2 |
|
Ammonia Baseline
|
GLDH/UV | 16362-6 |
|
Lactate 1 minute
|
Colorimetric | 59005-9 |
|
Ammonia 1 minute
|
GLDH/UV | 16362-6 |
|
Lactate 3 minute
|
Colorimetric | 59006-7 |
|
Ammonia 3 minute
|
GLDH/UV | 16362-6 |
|
Lactate 5 minute
|
Colorimetric | 59007-5 |
|
Ammonia 5 minute
|
GLDH/UV | 16362-6 |
|
Lactate 10 minute
|
Colorimetric | 59011-7 |
|
Ammonia 10 minute
|
GLDH/UV | 16362-6 |
| SPECIMEN REQUIREMENTS | ||||
|---|---|---|---|---|
| Specimen | Specimen Volume (min) | Specimen Type | Specimen Container | Transport Environment |
| Preferred | 1 mL (0.5) | Plasma | Both Gray (Sodium fluoride) and Green (Lithium Heparin) | Refrigerated |
| Instructions | Scheduled collections with the Main Lab at Siegfried Tower Patient Service Center (918) 744-2500 option 1 for x15531. 1923 S. Utica Ave. Siegfried Tower (5th floor), Tulsa, OK. 74104 Collect both a Gray (Sodium fluoride) tube for Lactate and Green (Lithium Heparin) tube for Ammonia Level for each collection time listed. Place tubes on ice and deliver to lab immediately following procedure below. Testing Procedure 1. Collect a baseline lactate and ammonia level. 2. Patient exercises forearm by squeezing a ball for 90 seconds. 3. Collect a lactate and ammonia level 1 minute after the forearm exercise is completed. Place on ice. 4. Collect a lactate and ammonia level 3 minutes after the forearm exercise is completed. Place on ice. 5. Collect a lactate and ammonia level 5 minutes after the forearm exercise is completed. Place on ice. 6. Collect a lactate and ammonia level 10 minutes after the forearm exercise is completed. Place on ice. For more information please refer to this test in our Specialized Test section of our website |
|||
| GENERAL INFORMATION | |
|---|---|
| Testing Schedule | Mon - Fri |
| Expected TAT | 1-2 days |
| Clinical Use | Useful as a screening test for defects in glycogenolysis and other defects on glycogen metabolism such as myophoserylase deficiency. |
| Notes | Lactate and ammonia are drawn simultaneously at different intervals. For more information on this test, access our "Specialized Tests" section. |
| CPT Code(s) | 83605x5, 82140x5 |
| Lab Section | Chemistry |