Lactic Acid (Lactate)
Clinical Chemistry
Description
Lactate is generated by anaerobic glycolysis, mainly in skeletal muscle, the brain, skin, the gut, and erythrocytes. It is disposed of mainly through gluconeogenesis in the liver and kidney, therefore providing an important source of glucose. Blood lactate measurements are usually used in the investigation of metabolic acidosis. However measurement is only indicated if the type of acidosis is not apparent from the clinical context. Measurements of lactate in blood and CSF may be of value in the investigation of suspected mitochondrial disorders, although neither is invariably raised.
Indications
Investigation of metabolic acidosis where lactic acidosis is suspected. Investigation of mitochondrial disorders.
Sample Type
Plasma, Fluoride oxalate ( grey top ), 5 mL
Reference Range
Reference ranges are provided on the report. Alternatively, please contact the laboratory for current ranges.
Turnaround Time
Within 1 day
Testing Frequency
As required.
Patient Preparation
Blood samples should be drawn from a stasis-free vein. However, minimal hemostasis ( less than 30 seconds ) will not affect lactate levels. Avoid the use of a tourniquet, if possible.
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Lactic Acid (Lactate)