Chemical Pathology

Notes

Phosphate can be measured in urine but is generally not helpful. One exception is when an assessment of the tubular reabsorption of phosphate (TRP) is required. This requires simultaneous blood and urine samples with the urine collected as a spot sample.

Sample requirements

For adults, blood taken into a 5 mL gold top gel tube (or rust top for the Acute Unit)

5ml gold tube


For children, blood taken into a 3.5 mL rust top tube

3.5ml rust top tube


For neonates, blood taken into a 0.8 mL minicollect lithium heparin tube. Please list the tests of particular interest so that some priority can be given to analysis if plasma volumes are small.

Minicollect lithium heparin tube


For TRP, a minimum of 5mL urine into a white top 25 mL Universal container

25 mL universal container


Storage/transport

Do not store. Send blood and urine samples at ambient temperature to the laboratory the same day.

Required information

Relevant clinical details.

Turnaround times

The assays are run throughout the day and night.

The in-lab turnaround time is normally less than 24 hours.

The test can be ordered as an urgent request.

Reference ranges

Age Reference range (mmol/L)
< 5 days 1.50 – 2.60
5 days – 3 years 1.20 – 2.10
3 years – 10 years 1.20 – 1.80
10 years – 15 years 1.10 – 1.75
> 15 years 0.80 – 1.50

Further information

To learn more about phosphate visit Lab Tests Online or access the Phosphate monograph of the Association for Clinical Biochemistry and Laboratory Medicine

Page last updated: 14/01/2023