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Test Code LAB11286 Catecholamines, Fractionated - 24 Hour Urine

Important Note

ONLY to be dropped off at the Irving Lab.  

Department

SEND OUTS

Reference Lab Test Number

UCATE

Collection Requirements

24 hour urine collection: The bladder must be emptied at the time the collection is to begin, and this urine is discarded. Thereafter all urine must be collected until the end of the scheduled time.

Preferred method of collection for 24 hour collection: Collect urine with 25 mL of 6N HCl at start of collection to maintain pH between 1 and 3. Refrigerate urine during collection (critical). Mix the collection well before removing aliquot and refrigerate aliquot.

Alternate method of collection for 24 hour collection: Refrigerate urine during collection (critical) and add 25 mL 6N HCl to the entire collection within 4 hours of completing collection. Mix the collection well before checking the pH. Ensure pH is between 1 and 3. Record total volume on test request and on container label. Send 25 mL aliquot (10 mL minimum). Refrigerate.

If other tests are ordered requiring pH other than 1-3 you may acidify a 25.0 mL aliquot of the 24 hour collection.

Primary Collection Container

24 HR Urine container

Alternate Collection Container

Yellow Urine Vacutainer (No Additive)

Transport

Urine refrigerated

Preferred Transport Temperature

Refrigerated

Processing

Send a 25 mL acidified aliquot in a screw-capped plastic urine cup. Record total volume on test requisition and specimen label.

Stability

With Preservatives:

Ambient: 72 hours

Refrigerated: 1 week

Frozen: 1 Month

Minimum Testing Volume

10 mL

Reference Range

Epinephrine:

Age Epinephrine mcg/day <1 year 0-3 1 year 0-4 2-3 years 0-6 4-9 years 0-10 10-15 years 0-20 ≥16 years 0-20

Norepinephrine:

Age Range <1 year 0-10 mcg/day 1 year 1-17 mcg/day 2-3 years 4-29 mcg/day 4-9 years 8-45 mcg/day 10-15 years 13-65 mcg/day ≥16 years 15-80 mcg/day

Total (N+E):

Age Range <1 year 0-13 mcg/day 1 year 1-21 mcg/day 2-3 years 4-35 mcg/day 4-9 years 8-55 mcg/day 10-15 years 14-85 mcg/day ≥16 years 15-100 mcg/day

Dopamine:

Age Range <1 year 0-85 mcg/day 1 year 10-140 mcg/day 2-3 years 40-260 mcg/day 4-9 years 65-400 mcg/day 10-15 years 65-400 mcg/day ≥16 years 65-400 mcg/day

Creatinine:

Male: 1.0-2.0 g/24 hours Female: 0.8-1.8 g/24 hours

Methodology

High Performance Liquid Chromatography

Performed

Monday-Friday

Reported

6 days

CPT Codes

82384, 82570

Additional Information

NOTE: Medications that may interfere with catecholamines and metabolites include amphetamines and ampehtamine-like compounds, appetite suppressants, bromocriptine, buspirone, caffeine, carbidopa-levopa (Sinemet), clonidine, dexamethasone, diuretics, ethanol, isoproterenol, methyldopa (Aldomet), MAO inhibitors, nicotine, nose drops, propafenone (Rythmol), reserpine, theophylline, tricyclic antidepressants, and vasodilators.