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Test ID FKMS Ketamine and Metabolite Screen, Serum/Plasma

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
FKMSC Ketamine and Metabolite Confirm No No

Testing Algorithm

If Ketamine and Metabolite Screen is positive, then Ketamine and Metabolite Confirm (FKMSC) will be performed at an additional charge.

Method Name

Gas Chromatography/Mass Spectrometry (GC/MS)

Reporting Name

Ketamine and Metabolite Screen

Specimen Type

Varies

Submit only 1 of the following specimens:

 

Serum

Draw blood in a plain red-top tube(s), (Serum gel tube is not acceptable.) Spin down and send 5 mL serum refrigerated in a plastic preservative-free vial.

 

Plasma

Draw blood in a lavender-top (EDTA) tube(s) or green-top (heparin) tube(s), (Plasma gel tube is not acceptable.) Spin down and send 5 mL EDTA or heparinized plasma refrigerated in a plastic preservative-free vial.

Specimen Minimum Volume

2.4 mL

Specimen Stability Information

Specimen Type Temperature Time
Varies Refrigerated (preferred) 30 days
  Frozen  210 days
  Ambient  30 days

Reference Values

Reporting limit determined each analysis

Units: ng/mL

 

Ketamine:

            Synonyms:       Ketalar

 

 Reported levels during anesthesia:        500 – 6500 ng/mL

 

Norketamine:

            Synonyms:       Ketamine Metabolite

 

The intravenous administration of 2 mg/kg of Ketamine followed by continuous infusion of 41 mcg/kg/minute produced an average steady-state plasma concentration of 2200 ng Ketamine/mL and an average peak Norketamine level of 1050 ng/mL which occurred near the end of the 3 hour infusion.

Day(s) Performed

Tuesday, Thursday

Report Available

7 days

Performing Laboratory

NMS Labs

CPT Code Information

80304 – Screen

80357 – Confirmation, if appropriate

NY State Approved

Yes