MyHealth

Manage your account, request prescriptions, set up appointments & more.

LOG IN
Don't have an account
Contact Us

CADMIUM EXPOSURE PANEL - OSHA

Mnemonic

CDEXP PAN

Includes

Cadmium, Blood and Urine, Beta-2-Microglobulin, Urine and Creatinine, Urine

Specimen Collection Requirements

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) AND minimum 40 mL urine using spot technique (single void) in an open-top urine collection cup.

Handling

Transfer specimens to the appropriate transport device using the Cadmium exposure kit, available by contacting Legacy Client Services at 503-413-1234.

Blood: Transport 7 mL whole blood. (Min: 0.5 mL)

Urine for β 2 Microglobulin: Transfer 3 mL aliquot from original urine collection to a 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 (Blue capped aliquot tube). (Min: 0.5 mL)
Label tube as Cadmium.

Urine for Creatinine: Transfer 2 mL aliquot from original urine collection to a standard transport tube. (Min: 0.5 mL)
Label tube as Creatinine.

Transport

Blood: Refrigerated
Urine for β 2 Microglobulin: Frozen
Urine for Cadmium: Refrigerated
Urine for Creatinine: Refrigerated  

Rejection Criteria

Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies).

Stability

Cadmium Blood: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time. 

Cadmium Urine: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year 

Urine Beta-2-Microglobulin: Ambient: 1 hour; Refrigerated: Unacceptable; Frozen: 2 months

Urine Creatinine: Ambient: 24 hours; Refrigerated: 4 days; Frozen: 6 months

Testing Information

Performed

Mon - Fri

Reported

2-6 days

Method

Cadmium, Urine & Blood: Quantitative Inductively Coupled Plasma-Mass Spectrometry

Urine: Spectrophotometry

Urine: Chemiluminescent Immunoassay

Referral Lab

ARUP (25013)

Reference Values

Reference Values

Interpretation provided.

CPT Codes

82300 (x2), 82232, 82570

Last Updated: Thursday, January 5, 2017 03:41:47 AM


Client Services: 503-413-1234