Diagnostics

Question 0

Serum Cortisol

4 pm

Answer 0

3-13 mcg/dL
Or
83-359 nomol/L

Question 1

Serum Cortisol

8:00 am

Answer 1

5-23 mcg/dL
Or
138-635nmol/L

Question 2

Urine Cortisol

Answer 2

Less than (< 100mcg/24hr
Or
276 nmol/day (SI units)

Question 3

ACTH

Am

Answer 3

Less than (<80 pg/ml
Or
80 pmo/L (SI Units)

Question 4

ACTH

PM

Answer 4

Less than (< 50 pg/mL
Or
<11 pmo/L (SI units)

Question 5

Serum Glucose

Answer 5

< 200

Question 6

Serum NA

Answer 6

136 - 145

Question 7

Serum K

Answer 7

3.5 -5.0

Question 8

WBC

Answer 8

5,000 - 10,000

Question 9

17 - Hydrocorticosteroids

Answer 9

Male 3-10mg/24hr h
Female 2-8mg/24hr
High - Cushing
Low- Addison disease

Question 10

17- HYDTOXYCORTICOSTEROIDS

17(OHS) interfering factors

Answer 10

Stress : E-P (infection
DO NOT EAT LICORICE (cause increased adrenal activity)
Drugs that cause increase -

Question 11

17 - Ketosteroid

Answer 11

Male 6-20
Female 6-17
Monitors andrenal hyperplasia

Question 12

VMA

Answer 12

< 6.8/24hr
Interfering factors
Foods- Tea, coffee, vanilla, chocolate, cocoa, cider vinegar, licorice, soda
STOP TAKING LEVADOPA 24hrs before the specimen is obtained

Question 13

Free Catecholamines

Answer 13

< 100 mcg/24hr

Question 14

Epinephrine

Answer 14

< 20 mcg/24hr

Question 15

Norepinephrine

Answer 15

<100 mcg/24hr

Question 16

Dopamine

Answer 16

Adult/elderly

65-400 mcg/24hr

Question 17

Metanephrine

Answer 17

< 1.3mg/24hr

Question 18

Normetanephrine

Answer 18

15-80 mcg/24hr

Question 19

BEFORE VMA

RESTRICTIONS

Answer 19

2 or 3 days before and throughout the 24-hr collection
Avoid- coffee, tea, bananas, chocolate, cocoa, licorice, citrus fruit, all foods and fluid containing vanilla and aspirin.
USE PRESERVATIVE KEEP ON ICE
Let them have foods afterwards