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St. John Health System
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Cadmium Exposure (OSHA) Urine and Blood

Order Name OSHA CAD U
Test Number: 4306925
Revision Date 10/15/2018
Test Name Methodology LOINC Code
Cadmium Exposure (OSHA) Urine and Blood
See Test Notes  
SPECIMEN REQUIREMENTS
Instructions Patient Preparation: To avoid contamination, please collect specimens at the beginning of work shift. Blood and urine should be collected the same day.
Collect: Royal blue (K2EDTA or Na2EDTA) AND minimum 40 mL urine using spot technique (single void) in an open-top urine collection cup.
Specimen Preparation: Transfer specimens to the appropriate transport device using the Cadmium exposure kit, ARUP supply #16450, available online through eSupply using ARUP Connect™ or by contacting RML Client Services.
Blood: Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL).
Urine for Beta-2-Microglobulin: Transfer 3 mL aliquot from original urine collection to an ARUP Standard Transport Tube. Adjust the pH of this specimen immediately after pouring off collection, so the pH is between 6 and 8. Use 1M HCl or 5 percent NaOH to adjust the urine pH. Label tube as β2 Microglobulin. Freeze within one hour of collection.
Urine for Cadmium: Transfer 7 mL aliquot from original urine collection to ARUP Trace Element-Free Transport Tubes (Min: 0.5 mL) Label tube as Cadmium.
Urine for Creatinine: Transfer 2 mL aliquot from original urine collection to an ARUP Standard Transport Tube. (Min: 0.5 mL) Label tube as Creatinine.
Unacceptable Conditions:
Blood: Specimens collected in tubes other than Royal Blue (EDTA). Specimens transported in containers other than Royal Blue (EDTA) tube or Trace Element-Free Transport Tube. Heparin anticoagulant. Clotted specimens.
Urine: Specimens transported in non-trace element free transport tube (with the exception of the original device). Specimens collected within 72 hours after administration of iodinated or gadolinium-based contrast media. Specimens containing blood or fecal materials.
Stability (collection to initiation of testing): Blood: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
Urine for Beta-2-Microglobulin: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 2 months
Urine for Cadmium: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
Urine for Creatinine: Ambient: 2 days; Refrigerated: 1 month; Frozen: 6 months
GENERAL INFORMATION
Testing Schedule Mon-Fri 
Expected TAT 1-5 days 
Notes Methodology: Cadmium, Urine & Blood: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Creatinine, Urine: Spectrophotometry Beta-2 Microglobulin.  Urine: Chemiluminescent Immunoassay.

Reference Lab: ARUP
Test Code: 25013
Click Here to view information on the ARUP website.
Internal Comments This was a specific client build back in the day, so it was not posted online... 
This test was DC'd  10/15/18 so it was never published- JK
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Reference Lab