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Serum or plasma lactate concentration

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of lactate, a byproduct of energy production in your body, in your blood. It helps doctors assess how well your body is handling oxygen and energy use, especially in conditions like shock, heart failure, or metabolic disorders.

Quick summary

["Lactate levels can signal how your body’s energy systems are functioning, particularly in emergencies or chronic health issues."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
57366-7
Short code
Lactate pre chal SerPl-mCnc
Synonyms
Lactate pre chal SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Critical range
— – 4 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why Is This Test Done?

Doctors may order a lactate test to evaluate conditions affecting how your body uses oxygen and energy. This can include diagnosing or monitoring severe infections, heart or lung problems, low blood pressure (septic shock), or metabolic disorders. It’s also used during surgeries or critical care to track how well your body is responding to treatment.

When Might You Need This Test?

You might need this test if you have symptoms like rapid breathing, confusion, low blood pressure, or signs of severe illness. It’s often done in hospital settings for patients in critical condition, such as after surgery, during heart attacks, or in cases of shock.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for a short time before the blood draw, but this depends on your doctor’s instructions. The test involves a small needle inserted into your arm to collect blood, which is then sent to a lab for analysis.

What Happens During the Test?

A healthcare professional will clean the area of your arm and insert a small needle to draw blood. You may feel a brief pinch, but the procedure is quick. The blood sample is then processed to measure lactate levels.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Lactate Level

Frequently asked questions

What Does a High or Low Lactate Level Mean?
High lactate levels can indicate poor oxygen delivery to tissues, which may happen in conditions like heart failure, severe infections, or low blood pressure. Elevated lactate is often a sign of metabolic stress or inadequate blood flow to organs. Low levels might suggest overproduction of lactate or lab errors, though this is less common.
How Does This Test Help Doctors?
Lactate levels help doctors monitor how well your body is handling energy and oxygen. In critical care, it’s a key marker for conditions like sepsis or heart attacks, guiding treatment decisions such as fluid management or oxygen therapy.
Can Lactate Levels Change Over Time?
Yes, lactate levels can rise quickly in emergencies and may need repeated testing to track progress. Your doctor will use these results to adjust treatment plans, such as increasing fluids, improving oxygen levels, or treating infections.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy