IMPORTANT! Pre-approval needed from state or local health department. Local or State Health Department. Send approval to
NPHL@unmc.edu or call (402) 559-9444.
NPHL has moved to an electronic ordering system, NUlirt, and it is now the preferred method to order all tests. Once ordered, print a "batch list" (see
NUlirt Guide).
Forms Required - Nulirt batch list or NPHL Test Request Form (completed in entirety) must accompany the specimen to include the following information: symptoms and date of onset, pregnancy status, travel and vaccine history. Testing
will not be performed without all required information.
Please call NPHL Client Services at (402) 559-2440 or toll free at (800) 334-0459 for further clarification.
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| Test: |
Metals, Blood (Lead, Cadmium and Mercury, Whole Blood) (BM)
|
| Synonym: |
|
| Method: |
ICP-MS
|
| Availability: |
Emergency Response Only
|
| Specimen: |
Whole Blood
|
| Collection Device: |
Royal Blue (K2EDTA or NA2EDTA)
|
| Volume: |
Minimum: 0.25 mL
|
| Storage/Transport: |
Transported at 4 ºC
|
| Unacceptable: |
- Low volume (<0.25 mL)
- Inappropriate storage temperature,
- Damaged collection containers
- Suspected contamination
|
| Specimen Stability: |
Up to 1 year at -20 ºC
Up to 1 month at 4 ºC
|
| Reference Interval: |
The following reference ranges for this method are taken from the Fourth National Report on Exposures to
Environmental Chemicals. The 95th percental limits are 1.40 µg/mL for Cd, 5.13 µg/mL for Hg, and 3.34 µg/ml for Pb.
| Analyte |
Survey Years |
Geometric Mean |
50th |
75th |
90th |
95th |
N |
| Cd (µg/L) |
07-08 |
0.315 |
0.27 |
0.5 |
1 |
1.52 |
8266 |
| 09-10 |
0.302 |
0.26 |
0.48 |
0.96 |
1.4 |
8793 |
| Hg (µg/L) |
07-08 |
0.769 |
0.74 |
1.48 |
2.95 |
4.64 |
8266 |
| 09-10 |
0.863 |
0.79 |
1.68 |
3.43 |
5.13 |
8793 |
| Pb (µg/dL) |
07-08 |
1.27 |
1.22 |
1.9 |
2.8 |
3.7 |
8266 |
| 09-10 |
1.12 |
1.07 |
1.7 |
2.58 |
3.34 |
8793 |
|
| Reportable Disease: |
|
| Comments: |
FOR EMERGENCY RESPONSE/CHEMICAL TERRORISM ONLY. CALL 24/7PAGER (402) 888-5588 PRIOR TO SAMPLE SUBMISSION.
|
| Revised: |
5/22/2023 |
If you have questions about proper specimen collection, please call
NPHL Client Services at (402) 559-2440 or toll free at (800) 334-0459.
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