Acute Renal_Pulmonary Failure Panel
General Information
- Lab Name
- Acute Renal Pulm Failure Panel
- Lab Code
- PRFAIL
- Epic Name
- Renal Pulmonary Failure Panel, Acute
- Description
The PRFAIL battery is ONLY available with Lab Medicine Resident approval.
The PRFAIL battery will be run on a prioritized schedule with Lab Medicine Resident approval. When ordered with LMR priority approval, testing will be performed on the day of the order, when feasible, or the next working day Monday- Friday (except UW holidays).
Price includes a surcharge to cover the costs associated with prioritized testing.Prioritized testing for anti MDA5 may be ordered separately with approval of the LMR. A prioritized test for anti-MDA5 may be indicated for suspected autoimmune lung disease patients with acute pulmonary disease without acute kidney disease, especially if results of testing for antibodies to GBM, MPO and PR3 are all negative or indeterminate.
See individual panels and tests (ANCAP, AGBM, ANARC, AMDA5) for routine orders. Rapid turnaround for anti-GBM, anti-MPO, anti-PR3, anti-dsDNA qualitative, and ANA subsets. ANCA by IFA, anti MDA5 and quantitative anti-dsDNA testing performed with next scheduled run.
If the interest is to order the individual components of the PRFAIL panel without prioritized testing we recommend that individual ‘ANA subset’ tests be ordered together as the ANARC (ANA Reflex Comprehensive panel), rather than ordering individual ANA subset tests. The ANCA panel can be ordered (which includes antiPr3 and anti-MPO, and the ANCA immunofluorescence test (ANCAIF). Anti-GBM can also be ordered as a separate test.- Synonyms
- ANA, ANCA, Anti GBM, double stranded DNA, dsDNA, Goodpastures Syndrome, microscopic polyangiitis, MPA, MPO, native DNA, neutrophil cytoplasmic antibodies, PR3, Wegener's granulomatosis
- Components
-
Code Name APR3L Anti PR3 Level APR3C Anti PR3 Comment AMPOL Anti MPO Level AMPOC Anti MPO Comment AGBML Anti GBM Level AGBMC Anti GBM Comment ADNABQ Anti dsDNA by Multiplex, qual ACHROM Anti Chromatin ARIB Anti Ribosomal P ASM Anti Sm ASMRNP Anti Sm/RNP ARNP Anti RNP ASSA Anti SSA/Ro ASSB Anti SSB/La ACENTB Anti Centromere B ASCL70 Anti Scl70 AJO Anti Jo1 ANCAIF Antineutrophil Cytoplasmic Antibody by IF DNAEL Anti dsDNA, by EIA DNAHS Anti dsDNA,High Salt/Avidity
Interpretation
- Method
See individual components
- Reference Range
- See individual components
- Ref. Range Notes
See individual components
Ordering & Collection
- Specimen Type
- Blood
- Collection
-
10 mL blood in RED TOP or GOLD SST tube
- Quantity
-
Requested: 4 mL serum
Minimum: 3 mL serum
Processing
- Receiving Instructions
The PRFAIL battery REQUIRES Lab Medicine Resident approval.
Only one aliquot label will be generated, please refrigerate serum.
Outside Laboratories: Centrifuge RED top or SST and place serum in an aliquot tube. Ship refrigerated.
- Misc Sendout
Performance
- Lab Department
- Immunology(IMM)
- Frequency
- Lab Medicine Resident approval required. Monday-Friday
- Available STAT?
- No. Testing will be performed on next working day Monday- Friday. Lab Medicine Resident approval required.
- Performing Location(s)
-
UW-MT Immunology
206-520-4600Clinical Lab, Room NW220,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195
Billing & Coding
- CPT Codes
- 83516x2, 83520x3, 86036, 86225, 86235x8
- LOINC
- 18727-8
- Interfaced Order Code
- UOW3946