08 Jun

OSMOLALITY, URINE

vincentochiengde

Category

Routine Chemistry

Sub Category

METABOLIC

Synonym/Aliases

OSMOLALITY FREEZING POINT

Abbreviations

N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 5 WORKING DAYS

Method

FREEZING POINT DEPRESSION

Temp

SAMPLE KEPT AT ROOM TEMPERATURE 1 DAY; 2-8ºC 7 DAYS; FROZEN >30 DAYS.

Setup

ALL WORKING DAYS

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

URINE (SPOT/ RANDOM SAMPLE)

Container/ preservative

STERILE URINE CONTAINER, NO PRESERVATIVE

Sample volume

AT LEAST 5 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE.

Other Instructions

THIS TEST IS NOT SYNONYMOUS WITH URINE OSMOLARITY.

Reference intervals

INTERPRETIVE DATA IS PROVIDED ON THE REPORT.

Clinical Utility

EVALUATING PATIENTS WITH HYPONATREMIA OR SUSPECTED DIABETES INSIPIDUS, SIADH, WATER INTOXICATION, METHANOL INGESTION, ETHYLENE GLYCOL INGESTION ETC.

Test Limitations / Confounders

CORRELATION WITH SERUM OSMOLALITY & ELECTROLYTE RESULTS MAY BE REQUIRED.
08 Jun

OSMOLALITY, SERUM

vincentochiengde

Category

Routine Chemistry

Sub Category

ELECTROLYTES

Synonym/Aliases

OSMOLALITY FREEZING POINT

Abbreviations

N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 5 WORKING DAYS

Method

FREEZING POINT DEPRESSION

Temp

SAMPLE KEPT ATROOM TEMPERATURE 1 DAY; 2-8ºC 7 DAYS; FROZEN >30 DAYS.

Setup

ALL WORKING DAYS

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER

Sample volume

AT LEAST 3 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE.

Other Instructions

THIS TEST IS NOT SYNONYMOUS WITH SERUM OSMOLARITY.

Reference intervals

APPROPRIATE VALUES PROVIDED WITH REPORT

Clinical Utility

EVALUATING PATIENTS WITH HYPONATREMIA OR SUSPECTED DIABETES INSIPIDUS, SIADH, WATER INTOXICATION, METHANOL INGESTION, ETHYLENE GLYCOL INGESTION ETC.

Test Limitations / Confounders

CORRELATION WITH SERUM ELECTROLYTE & URINE OSMOLALITY RESULTS MAY BE REQUIRED.
08 Jun

MYOGLOBIN, SERUM

vincentochiengde

Category

Routine Chemistry

Sub Category

ORGAN FUNCTION CHECKS

Synonym/Aliases

N/A

Abbreviations

N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 7 WORKING DAYS

Method

NEPHELOMETRY

Temp

SAMPLE KEPT AT ROOM TEMPERATURE 6 HOURS, 2-8ºC 7 DAYS, FROZEN 90 DAYS

Setup

ALL WORKING DAYS

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER

Sample volume

AT LEAST 3 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE.

Other Instructions

CENTRIFUGE SST (SERUM GEL TUBES) WITHIN 1-2 HOURS OF COLLECTION. CENTRIFUGE RED TOP VACUTAINERS AND ALIQUOT SERUM WITHIN 1-2 HOURS OF COLLECTION. THE SEPARATION VIAL MUST BE LABELED WITH AT LEAST 2 PATIENT IDENTIFIERS AND THE SAMPLE TYPE.

Reference intervals

BIOMARKER OF SKELETAL & CARDIAC MUSCLE INJURY. FOR EVALUATION SUSPECTED ACUTE CORONARY SYNDROME/ MYOCARDIAL INFARCTION, TROPONIN TESTING IS PREFERRED.

Clinical Utility

BIOMARKER OF SKELETAL & CARDIAC MUSCLE INJURY. FOR EVALUATION SUSPECTED ACUTE CORONARY SYNDROME/ MYOCARDIAL INFARCTION, TROPONIN TESTING IS PREFERRED.

Test Limitations / Confounders

BIOTIN INTERFERENCE MAY OCCUR AND PATIENTS SHOULD STOP BIOTIN SUPPLEMENTS AT LEAST 72 HOURS PRIOR TO TESTING.
08 Jun

MAGNESIUM

vincentochiengde

Category

Routine Chemistry

Sub Category

ELECTROLYTES

Synonym/Aliases

N/A

Abbreviations

MG

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2-3 HOURS

Method

SPECTROPHOTOMETRIC.

Temp

SAMPLE KEPT AT ROOM TEMPERATURE 6 HOURS; 2-8ºC 7 DAYS; FROZEN 30 DAYS

Setup

ALL WORKING DAYS

Components Parameters

N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER

Sample volume

AT LEAST 3 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE (EDTA PLASMA WILL BE REJECTED); INSUFFICIENT SAMPLE; GROSS LIPEMIA; GROSS HEMOLYSIS.

Other Instructions

SERUM GEL TUBES SHOULD BE CENTRIFUGED WITHIN 1-2 HOURS OF COLLECTION. RED-TOP TUBES SHOULD BE CENTRIFUGED AND ALIQUOTED WITHIN 1-2 HOURS OF COLLECTION.

Reference intervals

AGE AND GENDER APPROPRIATE VALUES PROVIDED WITH REPORT

Clinical Utility

EVALUATION OF SUSPECTED HYPOMAGNESEMIA, HYPERMAGNESEMIA.

Test Limitations / Confounders

- N/A
08 Jun

LIVER FUNCTION TESTS

vincentochiengde

Category

Routine Chemistry

Sub Category

ORGAN FUNCTION CHECKS

Synonym/Aliases

N/A

Abbreviations

LFT

Type

PROFILE/ PANEL (BUNDLED TESTS)

Results

RESULTS READY WITHIN 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

SAMPLE KEPT ATROOM TEMPERATURE 6 HOURS; 2-8ºC 7 DAYS; FROZEN 30 DAYS

Setup

ALL WORKING DAYS

Components Parameters

AST, ALT, ALP, GGT, TOTAL PROTEIN, ALBUMIN, BILIRUBIN (TOTAL, DIRECT, INDIRECT).

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER

Sample volume

AT LEAST 3 ML

Rejection criteria

HEMOLYZED SAMPLES

Other Instructions

SST/ GEL VACUTAINERS SHOULD BE CENTRIFUGED WITHIN 1-2 HOURS OF SAMPLE COLLECTION. RED TOP TUBES SHOULD BE CENTRIFUGED AND ALIQUOTED WITHIN 1-2 HOURS OF COLLECTION. BILIRUBIN IS PHOTOSENSITIVE AND SAMPLES SHOULD BE KEPT AWAY FROM DIRECT SUNLIGHT.

Reference intervals

ANALYTE SPECIFIC AGE AND GENDER APPROPRIATE VALUES ARE PROVIDED ON THE REPORT.

Clinical Utility

EVALUATING FOR LIVER INJURY OR HEPATOBILIARY DISEASE. MAY ALSO BE PERFORMED AS PART OF HEALTH & WELLNESS ASSESSMENTS.

Test Limitations / Confounders

SPURIOUS INCREASES IN ENZYME RESULTS CAN OCCUR DUE TO THE PRESENCE OF MACRO ENZYMES (E.G. MACRO AST, MACRO ALT, MACRO GGT). RESULTS SHOULD BE CORRELATED WITH CLINICAL FINDINGS.
08 Jun

LIPASE

vincentochiengde

Category

Routine Chemistry

Sub Category

General

Synonym/Aliases

Serum Lipase

Abbreviations

- N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2-3 HOURS

Method

ENZYMATIC SPECTROPHOTOMETRIC

Temp

SAMPLE KEPT AT AMBIENT: 6HOURS; R (2-8℃): 7DAYS; F (-20℃): 30DAYS

Setup

ALL WORKING DAYS

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER

Sample volume

AT LEAST 2 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; GROSS LIPEMIA; GROSS HEMOLYSIS.

Other Instructions

NOT APPLICABLE

Reference intervals

AGE & GENDER APPROPRIATE VALUES ARE PROVIDED ON THE REPORT

Clinical Utility

SENSITIVE & SPECIFIC MARKER OF PANCREATIC INJURY.

Test Limitations / Confounders

PRESENCE OF MACRO LIPASE CAN LEAD TO SPURIOUSLY INCREASED LIPASE LEVELS.
08 Jun

LACTIC ACID, PLASMA

vincentochiengde

Category

Routine Chemistry

Sub Category

Metabolic

Synonym/Aliases

Lactate

Abbreviations

- N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 5 WORKING DAYS

Method

SPECTROPHOTOMETRIC

Temp

SAMPLE KEPT AT R (2-8℃): 72 HOURS; F (-20℃):30DAYS

Setup

ALL WORKING DAYS

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY. COLLECT IN FLUORIDE (GREY TOP) VACUTAINER WITHOUT TOURNIQUET; SEPARATE FLUORIDE/ OXALATE PLASMA IMMEDIATELY AND FREEZE

Patient preparation

NOT APPLICABLE

Sample type

FLUORIDE/ OXALATE PLASMA SEPARATED IMMEDIATELY AND FROZEN

Container/ preservative

FLUORIDE/ OXALATE (GREY TOP) VACUTAINER

Sample volume

AT LEAST 2 ML

Rejection criteria

SAMPLES AT ROOM TEMPERATURE; LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; GROSS LIPEMIA;

Other Instructions

AVOID STASIS DURING SAMPLE COLLECTION E.G. AVOID FIST CLENCHING & IF POSSIBLE COLLECT WITHOUT TOURNIQUET.

Reference intervals

INTERPRETIVE DATA IS PROVIDED ON THE REPORT.

Clinical Utility

DIAGNOSE & MONITOR LACTIC ACIDOSIS IN HYPOXIC (SHOCK, HYPOVOLEMIA, HEART FAILURE, ETC) & METABOLIC STATES (E.G. DIABETIC KETOACIDOSIS, ETHANOL INTOXICATION, METHANOL POISONING, SALICYLATES)

Test Limitations / Confounders

TEMPERATURE SENSITIVE ANALYTE.
08 Jun

LACTATE DEHYDROGENASE, FLUID. SPECIFY EXACT SAMPLE TYPE.

vincentochiengde

Category

Routine Chemistry

Sub Category

Fluid Analysis

Synonym/Aliases

Pleural Fluid Ldh; Peritoneal/ Ascitic Fluid Ldh; Synovial/ Joint Fluid Ldh; Pericardial Fluid Ldh.

Abbreviations

LDH, FLUID

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 to 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

SAMPLE KEPT AT AMBIENT (PREFERRED OVER REFRIGERATED); R (2-8℃): 48 HOURS.

Setup

ALL WORKING DAYS

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

VARIABLE I.E. PLEURAL FLUID, PERITONEAL/ ASCITIC FLUID; SYNOVIAL/ JOINT FLUID ETC.

Container/ preservative

STERILE CONTAINER

Sample volume

AT LEAST 2 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; FROZEN SAMPLE.

Other Instructions

NOT APPLICABLE

Reference intervals

INTERPRETIVE DATA IS PROVIDED ON THE REPORT. FOR APPLICATION OF LIGHT'S CRITERIA TO DISTINGUISH TRANSUDATES & EXUDATES IN PLEURAL FLUID, CONCURRENT SERUM LDH ORDERING & TESTING IS REQUIRED.

Clinical Utility

DIFFERENTIATING BETWEEN TRANSUDATES & EXUDATES.

Test Limitations / Confounders

- N/A
08 Jun

LACTATE DEHYDROGENASE, SERUM

vincentochiengde

Category

Routine Chemistry

Sub Category

General

Synonym/Aliases

LDH

Abbreviations

LDH

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 to 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

SAMPLE KEPT AT AMBIENT (PREFERRED OVER REFRIGERATED); R (2-8℃): 48 HOURS.

Setup

ALL WORKING DAYS

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER

Sample volume

AT LEAST 2 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; GROSS LIPEMIA.

Other Instructions

NOT APPLICABLE

Reference intervals

AGE & GENDER APPROPRIATE VALUES ARE PROVIDED ON THE REPORT.

Clinical Utility

AN ENZYME FOUND IN MOST ORGANS & CELLS. LEVELS ARE RAISED IN HEMATOLOGIC MALIGNANCIES, HEMOLYTIC ANEMIA. MONITORING CHANGES IN TUMOR BURDEN AFTER CHEMOTHERAPY.

Test Limitations / Confounders

PRESENCE OF MACRO LDH CAN LEAD TO SPURIOUSLY INCREASED LDH LEVELS. LACKS TISSUE SPECIFICITY.
08 Jun

IRON

vincentochiengde

Category

Routine Chemistry

Sub Category

Anemia & Nutrition

Synonym/Aliases

Serum Iron

Abbreviations

FE; FE2+

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 24 HOURS

Method

SPECTROPHOTOMETRIC.

Temp

SAMPLE KEPT AT AMBIENT: 2-3 HOURS; R (2-8℃): 7DAYS; F (-20℃): 30DAYS.

Setup

ALL WORKING DAYS

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

NOT APPLICABLE

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL) OR PLAIN (RED TOP) VACUTAINER

Sample volume

AT LEAST 2 ML

Rejection criteria

LABELING ISSUE (UNLABELED/ MISLABELED); MISSING REQUEST FORM; MISMATCH BETWEEN REQUEST FORM & SAMPLE DETAILS; MISSING AGE/ GENDER; WRONG SAMPLE TYPE; INSUFFICIENT SAMPLE; GROSS LIPEMIA; GROSS HEMOLYSIS.

Other Instructions

NOT APPLICABLE

Reference intervals

AGE & GENDER APPROPRIATE VALUES ARE PROVIDED ON THE REPORT.

Clinical Utility

ASSESSING IRON STATUS; CAN BE ORDERED AS PART OF IRON STUDIES PROFILE IN THE ASSESSMENT OF SUSPECTED IRON DEFICIENCY ANEMIA (IDA), ANEMIA OF CHRONIC DISEASE (ACD) & IRON OVERLOAD STATES.

Test Limitations / Confounders

IRON LEVELS ARE AFFECTED BY DIET & DIURNAL VARIATION.
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