Newcastle Laboratories

Paracetamol, serum

Clinical Background:

Paracetamol is a commonly used analgesic which, if taken in excessive amounts, can lead to toxic liver damage and renal impairment. 

Paracetamol is a commonly used analgesic which, if taken in excessive amounts, can lead to toxic liver damage and renal impairment. 

Test Details

  • Discipline:

    Biochemistry

    Biochemistry

  • Specimen Container Adult:

    Serum (SST or plain tube)

    Serum (SST or plain tube)

  • Specimen Container Paediatric:

    Serum (SST or plain tube)

    Serum (SST or plain tube)

  • Minimum Volume Adult:

    1 mL blood

    1 mL blood

  • Minimum Volume Paediatric:

    0.5 mL blood

    0.5 mL blood

  • Special Requirement:

    Sample to be collected at least four hours post ingestion of the paracetamol.

    Sample to be collected at least four hours post ingestion of the paracetamol.

  • Sample Stability:

    Unseparated sample: unknown

    Separated sample: unknown at 15-25°C, 2 days at 2-4°C, 4 weeks at -20°C

     

    Unseparated sample: unknown

    Separated sample: unknown at 15-25°C, 2 days at 2-4°C, 4 weeks at -20°C

     

  • Reference Ranges:

    Therapeutically the range varies but has been reported to be 10 – 30 mg/L.
    High concentrations of paracetamol metabolites or treatment with N-Acetylcysteine (NAC) may result in falsely DECREASED res...

    Therapeutically the range varies but has been reported to be 10 – 30 mg/L.
    High concentrations of paracetamol metabolites or treatment with N-Acetylcysteine (NAC) may result in falsely DECREASED results for creatinine, lactate, triglyceride, cholesterol, HDL-cholesterol and uric acid.

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  • Factors Affecting Result:

    Haemolysis, and some drugs interfere.
    N-acetylcysteine interferes to an unpredictable extent, to give lower concentrations than the true value. Interferences of 10 -20% are typical levels, but can ...

    Haemolysis, and some drugs interfere.
    N-acetylcysteine interferes to an unpredictable extent, to give lower concentrations than the true value. Interferences of 10 -20% are typical levels, but can be very much higher.

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  • Other Info:

    Lithium heparin plasma sample also acceptable

    Lithium heparin plasma sample also acceptable

  • Routine Contact Name:

    Duty Biochemist

  • Routine Telephone:

    0191 282 9719

    0191 282 9719

  • Routine Email:

Availability:

24/7, analysed at RVI

Turn Around:

Urgent: within 1 hour; non-urgent: within 1 day

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