Laboratory Test Information Guide

Details for Catecholamines, Plasma (Norepinephrine, Epinephrine, Dopamine)

Test Name: Catecholamines, Plasma (Norepinephrine, Epinephrine, Dopamine)
Alternate Name(s): Dopamine
Epinephrine
Norepinephrine
Adrenaline
Noradrenaline
Laboratory: Core
Specimen Type: 2 x 6 mL Pink (EDTA) top Vacutainer tubes
Collection Information: Patient must refrain from eating, using tobacco and drinking caffeinated beverages for at least 4 hours before the specimen is drawn. Catechol drugs may interfere, including alpha methyldopa, alpha-methyl-para-tyrosine, isoproteronal, dobutamine, and carbidopa.

Patient must be supine for at least 30 minutes prior to and during specimen collection.

Pre-chill Vacutainers, place on ice immediately after blood collection, and deliver to lab on ice.

7 mL of EDTA plasma are requested. Minimum volume of EDTA plasma required is 5 mL.
Requisition: GENERAL LABORATORY REQUISITION
Test Schedule: Referred out Monday-Thursday
Turnaround time from when specimen
is received in testing laboratory:
 
Routine
10 days
Stat
 
 
Reference Range: Supine position only:
Norepinephrine: 0.5 - 3.1 nmol/L
Epinephrine: < 1.1 nmol/L
Dopamine: < 0.13 nmol/L

Note: Higher catecholamine concentrations are observed in specimens collected from upright or standing adults.

Please note new method and reference intervals as of July 1, 2021.
Effective Date: 2009-11-25
Revised Date: 2021-07-01
Critical Value:  
Interpretive Comments: Either steadily or paroxysmally elevated in pheochromocytoma. Antihypertensive medication should be discontinued at least 24 hrs before collection. Vasodilating drugs increase plasma catecholamine levels and some beta blockers cause analytical interference. When feasible, these agents should be withdrawn for 48 hours prior to sampling. This test is highly sensitive for diagnosis of pheochromocytoma during periods of hypertension. Circulating Norepinephrine and Dopamine are marginally increased if patient is on vasodilating drugs. Levels also increased in essential hypertension.
Special Processing: 7 mL of EDTA plasma are requested, separated into 2 aliquots. Minimum volume of EDTA plasma required is 5 mL.
Comments:  
Method of Analysis: LC-MS/MS
Critical Information Required:  
Storage & Shipment: Store and ship plasma frozen.
System Codes: 
Cerner
CAT
 
Referred To: In-Common Laboratories

Questions? Comments? Contact Laura Gopaul