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Cyanide, Blood

Test ID: CYAN

Test

Method

Gas Chromatography

Report Includes

Cyanide

Specimens

Whole blood (EDTA)

Clinical Utility

Evaluation of the severity of a cyanide acute intoxication. Extra-professional exposures: Food, absorption of hypotensive drugs, cigarettes. Professional exposure: Fumes of hydrogen cyanide.

Test Version

12-Dec-2023

Specimen

Specimens

Whole blood (EDTA)

Collection Containers

Lavender Top (EDTA)

Sample Volume

4 mL

Minimum Volume

2 mL

Collection & Handling

Collection Instructions

Sampling must be done soon after exposure because the blood half-life of cyanide is short.

Handling Information

Store and send cold.

Stability

Refrigerated 30 days (preferred)
Frozen 2 years

Rejection Criteria

Sample Clotted

Test Version

12-Dec-2023

Performance / Interpretation

Method

Gas Chromatography

Turnaround Time

25 days

Results

Name Units Reference Range Conversion Factor
Cyanide µmol/L
  • Normal concentration non smokers: < 5.0
  • Normal concentration smokers: < 20
  • Toxic: > 19.25
mg/L x 38.4
Reported detection limit: 0.4
Nitroprusside is metabolized in cyanide, the impact of therapeutic drugs containing nitroprusside should be considered when testing for occupational exposure.

Test Version

12-Dec-2023

Interface / Setup

HL7 Interface Codes

Order Code Result Codes Units
CYAN 20958Cyanide - Blood umol/L

Test Version

12-Dec-2023