Acetylcholinesterase, Erythrocytes
RBC Cholinesterase, Cholinesterase, Carbamates, Insecticide poisoning, Organo-Phosphate Poisoning
Test Codes
EPIC: LAB6212, Beaker: XACHR, MAYO: ACHS
Department
Send Outs
Instructions
Due to specimen stability, patients can be drawn Monday – Thursday only. For questions, call the Laboratory at 800-551-0488.
Specimen Collection Criteria
Collect: One Lavender-top EDTA tube.
Send specimen for processing immediately after collection.
Physician Office/Draw Specimen Preparation
Do not centrifuge. Maintain whole blood specimen refrigerated (2-8°C or 36-46°F) prior to transport.
Preparation for Courier Transport
Transport: 4.0 mL whole blood, refrigerated (2-8°C or 36-46°F). (Minimum: 2.5 mL)
Rejection Criteria
- Frozen specimens.
- Lipemic Specimens.
- Hemolyzed specimens.
- Specimens not collected and processed as indicated.
In-Lab Processing
Do not centrifuge. Maintain whole blood specimen refrigerated (2-8°C or 36-46°F) prior to transport.
Transport: 4.0 mL whole blood, refrigerated (2-8°C or 36-46°F). (Minimum: 2.5 mL)
Storage
Specimen Stability for Testing:
Room Temperature (20-26°C or 68-78.8°F): Unacceptable
Refrigerated (2-8°C or 36-46°F): 72 hours
Frozen (-20°C/-4°F or below): Unacceptable
Specimen Storage in Department Prior to Disposal:
Specimen retention time is determined by the policy of the reference laboratory. Contact the Send Outs Laboratory with any questions.
Laboratory
Sent to Mayo Medical Laboratories, Rochester, MN.
Performed
Friday.
Results available in 4-8 days.
Reference Range
31.2 - 61.3 U/g of hemoglobin.
Test Methodology
Spectrophotometric-Thiocholine Production.
Interpretation
Abnormally low activities may indicate exposure to certain insecticides.
Clinical Utility
Red cell cholinesterase is most often used to detect past exposure to organophosphate insecticides with resultant inhibition of the enzyme.
CPT Codes
82482
LOINC: 49230-6
Contacts
Send Outs Laboratory – RO
248-551-9045
Name: Send Outs Laboratory – RO
Location:
Phone: 248-551-9045
Last Updated
6/14/2022
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