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HelpTest Code VLTU Volatile Screen, Random, Urine
Reporting Name
Volatile Scrn, UUseful For
Detecting the presence of acetone, methanol, isopropanol, or ethanol in urine with subsequent quantitation
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Specimen Type
UrineOrdering Guidance
For best clinical correlation, the recommended tests are either VLTS / Volatile Screen, Serum; or VLTB / Volatile Screen, Blood.
Specimen Required
Supplies: Urine Tubes, 10 mL (T068)
Container/Tube: Plastic, 10-mL urine tube
Specimen Volume: 10 mL
Collection Instructions:
1. Collect a random urine specimen.
2. No preservative is required.
Specimen Minimum Volume
1 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Urine | Refrigerated (preferred) | 14 days | |
| Frozen | 28 days | ||
| Ambient | 24 hours |
Reference Values
Methanol:
Not detected (Positive results are quantitated.)
Cutoff concentration: 10 mg/dL
Toxic concentration: ≥10 mg/dL
Ethanol:
Not detected (Positive results are quantitated.)
Cutoff concentration: 10 mg/dL
Isopropanol:
Not detected (Positive results are quantitated.)
Cutoff concentration: 10 mg/dL
Toxic concentration: ≥10 mg/dL
Acetone:
Not detected (Positive results are quantitated.)
Cutoff concentration: 10 mg/dL
Toxic concentration: ≥10 mg/dL
Day(s) Performed
Monday through Saturday
Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.CPT Code Information
80320
G0480 (if appropriate)
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| VLTU | Volatile Scrn, U | 24350-1 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 8826 | Volatile Scrn, U | 12983-3 |
| 30904 | Methanol, U | 5695-2 |
| 30905 | Ethanol, U | 5645-7 |
| 30906 | Acetone, U | 5570-7 |
| 30907 | Isopropanol, U | 9434-2 |
| 34378 | Chain of Custody | 77202-0 |
Interpretation
Methanol:
The presence of methanol indicates exposure that may result in intoxication, central nervous system (CNS) depression, and metabolic acidosis. Ingestion of methanol can be fatal if patients do not receive immediate medical treatment.
Ethanol:
The presence of ethanol indicates exposure that may result in intoxication, CNS depression, and metabolic acidosis.
Isopropanol:
The presence of isopropanol indicates exposure that may result in intoxication and CNS depression. Ingestion of isopropanol can be fatal if patients do not receive immediate medical treatment.
Acetone:
The presence of acetone may indicate exposure to acetone; it is also a metabolite of isopropanol and may be detected during ketoacidosis.
Clinical Reference
1. Langman LJ, Bechtel LK, Holstege CP. Clinical toxicology. In: Rifai N, Chiu RWK, Young I, Burnham CD, Wittwer CT, eds. Tietz Textbook of Laboratory Medicine. 7th ed. Elsevier; 2023:chap 43
2. Mayfield J, Mihic SJ. Ethanol. In: Brunton LL, Knollmann BC. Goodman and Gilman's: The Pharmacological Basis of Therapeutics. 13th ed. McGraw-Hill Education; 2022:chap 27
3. Olson KR, Anderson IB, Benowitz NL, et al. Specific Poisons and Drugs: Diagnosis and Treatment. In: Poisoning and Drug Overdose. 8th ed. McGraw-Hill; 2022:section II
Report Available
1 to 2 daysMethod Name
Headspace Gas Chromatography with Flame Ionization Detector (HSGC-FID)
Testing Algorithm
This test includes analysis of methanol, ethanol, isopropanol, and acetone.Forms
If not ordering electronically, complete, print, and send a Therapeutics Test Request (T831) with the specimen.