Heavy Metals Panel 6, Urine with Reflex to Arsenic Fractionated
Also known as: HYMET 6
Use
Useful in the assessment of acute and chronic exposure to arsenic, cadmium, copper, mercury, lead, and zinc. Urinary measurement can help monitor exposure levels and evaluate risk of toxicity. Elevated urine levels indicate exposure that may require further investigation or medical intervention.
Special Instructions
Record total volume and collection time interval on transport tube and test request form. Avoid dietary supplements, vitamins, shellfish, and seafood 48 to 72 hours prior to collection. Avoid collection within 72 hours of iodinated or gadolinium-based contrast media exposure. If elevated results are suspected to be due to contamination, submit a second specimen in a certified trace element-free container.
Limitations
This test may be subject to interference by high concentrations of iodine or gadolinium. Urinary excretion may not exactly reflect exposure for all metals due to variance in individual metabolism and excretion pathways. Random specimens may not be as reliable as 24-hour collections due to potential variability in urine production and analyte concentration.
Methodology
Mass Spectrometry
Biomarkers
LOINC Codes
- 30920-3
- 5633-3
- 21610-1
- 5765-3
- 35674-1
- 2162-6
- 30924-5
- 5587-1
- 13828-9
- 5612-7
- 5611-9
- 6693-6
- 30921-1
- 13465-0
- 13463-5
- 5677-0
- 30931-0
- 27201-3
- 13829-7
- 13466-8
- 19153-6
- 30211-7
Result Turnaround Time
1-5 days
Related Documents
For more information, please review the documents below
Specimen
Urine
Volume
8 mL
Minimum Volume
2 mL
Container
ARUP Trace Element-Free Transport Tubes
Collection Instructions
Collect 24 Hour Urine. Refrigerate during collection or random urine is also acceptable. Transfer 8 mL aliquot from a well-mixed collection.
Patient Preparation
Discontinue nutritional supplements, vitamins, minerals, nonessential medications, and avoid shellfish and seafood for 48 to 72 hours. Avoid collection 72 hours post contrast media exposure.
Storage Instructions
Refrigerated, room temperature, or frozen.
Causes for Rejection
Specimens collected within 72 hours post-contrast media, acid preserved urine, blood or fecal contamination, improper containers.
Stability Requirements
| Temperature | Period |
|---|---|
| Room Temperature | 1 week |
| Refrigerated | 2 weeks |
| Frozen | 1 year |
