Cholinesterase, Plasma
Test Code
Clinical Significance
Cholinesterase, Plasma - Approximately 1 in every 2500 individuals has inherited defective or deficiency of the enzyme (pseudocholinesterase) that metabolizes succinylcholine (an anesthetic agent). With "normal" dosage, these individuals have prolonged apnea. Such individuals are responsive at much smaller concentrations of this anesthetic agent than the general population. Low concentrations of pseudocholinesterase are observed in individuals exposed to organophosphorous insecticides and patients with hepatic dysfunction.
Test Resources
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Test Details
Methodology
This test code is for non-California patient testing. For California patient testing, use test code 90368.
Reference Range(s)
| Male | 3334-7031 IU/L | |
| Female | 2504-6297 IU/L | |
Alternative Name(s)
Preferred Specimen(s)
1 mL plasma collected in an EDTA (lavender-top) tube
Minimum Volume
0.5 mL
Collection Instructions
Draw an EDTA (lavender-top) tube of whole blood. Spin tube to separate plasma. Pour plasma into plastic aliquot tube and refrigerated until shipping. Ship plasma sample refrigerated. Do not send packed cells. Do not send one tube of whole blood.
Plasma cholinesterase results are not accurate if plasma sample is not separated from RBCs in a timely manner (within 1 hour). Hemolyzed plasma can lead to apparent increases in plasma cholinesterase activity, and could mask an enzyme deficiency.
Transport Container
Transport tube
Transport Temperature
Refrigerated (cold packs)
Specimen Stability
- Room temperature: 21 days
- Refrigerated: 21 days
- Frozen: 30 days
Reject Criteria
Hemolysis
Setup Schedule
Draw an EDTA (lavender-top) tube of whole blood. Spin tube to separate plasma. Pour plasma into plastic aliquot tube and refrigerated until shipping. Ship plasma sample refrigerated. Do not send packed cells. Do not send one tube of whole blood.
Plasma cholinesterase results are not accurate if plasma sample is not separated from RBCs in a timely manner (within 1 hour). Hemolyzed plasma can lead to apparent increases in plasma cholinesterase activity, and could mask an enzyme deficiency.
Refrigerated: 21 days
Frozen: 30 days