electron orbitals in the atom

Scottish Trace Element and Micronutrient Reference Laboratory

Scotland's specialised laboratory for trace elements and vitamins in health and disease

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Micronutrient Monitoring Service

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Aluminium
Arsenic
Cadmium
Chromium
Cobalt
Copper
Iron
Lead
Manganese
Mercury
Nickel
Selenium
Zinc
Vitamin A
Carotenoids
Vitamin B1
Vitamin B2
Vitamin B6
Vitamin C
Vitamin E
Vitamin K
Micronutrients
Mercury Monitoring for Dental Staff
Water for dialysis

A range of analyses is offered to clinicians dealing with patients with nutritional problems. Micronutrient monitoring has been found to be particularly useful in the management of patients on long-term parenteral nutrition (TPN), and those who may be deficient because of an eating disorder or with intestinal malabsorption. Premature infants and elderly individual may also be at risk of micronutrient deficiency. Measurement of selenium and blood glutathione peroxidase (a selenium marker) is particularly recommended as many TPN regimens do not contain sufficient selenium. Selenium depletion is therefore quite common in patients on TPN. A full micronutrient screen is available.

Samples may now be taken through a conventional needle using Vacutainer or other sampling systems. If the patient is receiving peripheral vein infusions, the catheter can be used for collection of the sample

Sample Requirements

Protocol

Tests Offered and Reference Values

Sample Type

Container

Analytes

Ref. Range

Plasma

LiHep,

'Trace Element' tubes.

Not gel tubes.

Zinc

Copper

Selenium

Vitamin A

Vitamin E/Chol

Vitamin C
(ascorbic acid)

12 -18 µmol/l

10 - 22 µmol/l

0.8 to 2.0 µmol/l

1.0 to 3.0 µmol/l

3.5 to 9.5 µmol/mmol

15 to 90 µmol/l

Red Cells

LiHep,

Plasma.

Vitamin B2

Vitamin B6

1.0 - 3.4 nmol/g Hb

250 - 680 pmol/g Hb

Whole Blood

LiHep,

'Trace Element'
tubes.

Not gel tubes

Manganese

Glutathione Peroxidase

70 - 280 nmol/l

20 - 70 U/g Hb