Description

The proper collection and handling of a blood sample for zinc levels can help prevent errors that can result in misdiagnosis of a patient with abnormal zinc stores. Incorrect specimen collection or handling usually involves zinc contamination masking a borderline deficiency state.


 

Recommendation

Reason

zinc free vacuum tubes

zinc contamination

stainless steel needles

zinc contamination

zinc free anticoagulants

zinc contamination

avoid contact with rubber stoppers

zinc contamination

avoid hemolysis

release of zinc from within RBCs

separate the plasma or serum from red blood cells within 45 minutes of collection

delayed separation results in increased plasma or serum levels due to leakage from intraerythrocytic stores

use a morning fasting specimen

minimizes diurnal variation

avoid specimens collected during an acute phase reactions (infection, injury, etc.)

fluctuations in serum or plasma levels

 


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