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Lab Manual for UCSF Clinical Laboratories

Lab Manual for SFGH

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Item Value
Available Stat? Yes
Test code BHOB
Performed by? Chemistry
Sendout? no
Price range $
In House Availability Daily: Routine and Stat. 24 hours, 7 days.
Interpretation Beta-hydroxybutyrate is produced from beta-fatty acid metabolism in patients suffering starvation, acute alcohol use, or in diabetic ketoacidosis. Beta-hydroxybutyrate accounts for 75% of the ketone bodies released into blood, with acetoacetic acid and acetone accounting for the remainder. This test is more sensitive and specific for ketosis than the Acetest for acetoacetic acid (discontinued test at SFGH) and the ketone dipstick on urinalysis.
Container type gel tube (gold or green top)
Amount to Collect 2 mL
Sample type Blood
Normal range 0.02-0.27 mmol/L.
Synonyms Ketones;
Stability 1 week at 2 - 8°C
Interferences None identified.
Turn around times Turnaround time: 60 min for STATS.
Additional information Values > 2.0 mmol/L are indicative of ketoacidosis.
References 1. Bienia R, Ripoll I. Diabetic ketoacidosis. JAMA 241:510-1, 1979.

2. Bonadio WA, Gutziet MF, Losek JD, et al. Outpatient management of diabetic ketoacidosis. Am J Dis Child 142:448-50, 1988.
CPT coding 82010
Last Updated 10/16/2012 6:45:46 PM
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