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Test ID ETHNL Ethanol, Serum

Useful For

Detection of ethanol (ethyl alcohol) in serum to document prior consumption or administration of ethanol

Quantification of the concentration of ethanol in serum correlates with degree of intoxication.

Method Name

Enzymatic, Alcohol Dehydrogenase

Reporting Name

Ethanol, S

Specimen Type

Serum

Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Specimen Volume: 0.5 mL

Collection Instructions:

1. Serum gel tubes should be centrifuged within 2 hours of collection.

2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.

3. Do not use alcohol to clean arm. Use alternative such as Betadine to cleanse arm before collecting any specimen for volatile testing

Specimen Minimum Volume

0.25 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 72 hours
  Frozen  28 days
  Ambient  24 hours

Clinical Information

Ethanol is the single most important substance of abuse in the United States. It is the active agent in beer, wine, vodka, whiskey, rum, and other liquors.

Ethanol acts on cerebral functions as a depressant similar to general anesthetics. This depression causes most of the typical symptoms such as impaired thought, clouded judgment, and changed behavior. As the level of alcohol increases, the degree of impairment becomes progressively increased.

In most jurisdictions in the United States, the level of prima facie evidence of being under the influence of alcohol for purposes of driving a motor vehicle is a blood ethanol concentration 80 mg/dL (0.08 g/dL; 0.08%; 800 mcg/dL).

In the context of medical/clinical assessment, serum is submitted for analysis. On average, the serum or serum concentration of the alcohols is 1.2-fold higher than blood. The serum would contain approximately 0.10 g/dL of ethanol in a blood specimen that contains 0.08 g/dL ethanol.

Reference Values

<10 mg/dL

Legal limit of intoxication: ≥80 mg/dL

Critical value: ≥400 mg/dL

Cautions

On average, the serum concentration of the alcohols is 1.2-fold higher than blood. For example, the serum would contain approximately 0.10 g/dL of ethanol in a blood specimen that contains 0.08 g/dL ethanol

Day(s) Performed

Monday through Sunday; Continuously

Report Available

Same day/1 day

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test has been cleared or approved by the U.S. Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

80301

G0479 (if appropriate)

NY State Approved

No