On synovial fluid collection only, patient should fast for eight hours prior to specimen collection

Sterile container

Collect aseptically into a sterile vial/tube

Sterile screw cap vial/tube - 15mL (LabCorp)

• Source

Ambient (preferred) - 14 days

Refrigerated - 14 days

Frozen - 14 days

Freeze/thaw cycles - stable x3

Improper labelling

Enzymatic

See report

Decreased fluid glucose concentration is usually associated with septic or inflammatory processes; in pleural effusion, very low glucose is a facet of rheumatoid effusion: pleural fluid glucose <50 mg/dL characterizes rheumatoid effusion. It is often much less.

Potts et al describe loculated effusions or empyemas with low glucose and low pH. Low glucose is found with empyema, tuberculosis, neoplasia, and rheumatoid effusion. In cases of malignant pleural effusions, when there is low pleural fluid glucose (<60 mg/dL) and pH <7.30, a probability of 90% that the cytologic yield will be positive was reported.