HDL CHOLESTEROL

Category

Routine Chemistry

Sub Category

Cardiovascular Risk Assessment

Synonym/Aliases

High Density Lipoprotein Cholesterol

Abbreviations

HDL-C

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN2-3 HOURS

Method

HOMOGENEOUS ENZYMATIC SPECTROPHOTOMETRIC TEST

Temp

SAMPLE KEPT AT AMBIENT: 8HOURS; R (2-8℃): 7DAYS; F (-20℃): 14DAYS

Setup

ALL WORKING DAYS

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY. WHERE STIPULATED BY THE ORDERING DOCTOR 9-12 HOURS FASTING IS REQUIRED.

Patient preparation

FASTING IS NOT ROUTINELY REQUIRED. WHERE STIPULATED BY THE ORDERING DOCTOR, 9-12 HOURS FASTING IS REQUIRED

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

CONSENSUS MEDICAL DECISION POINTS ARE PROVIDED ON THE REPORT.

Clinical Utility

CARDIOVASCULAR RISK ASSESSMENT

Test Limitations / Confounders

- N/A

HAPTOGLOBIN

Category

Routine Chemistry

Sub Category

Anemia & Nutrition

Synonym/Aliases

- N/A

Abbreviations

- N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN10 WORKING DAYS

Method

NEPHELOMETRY

Temp

SAMPLE KEPT AT AMBIENT:1DAY; R (2-8℃): 7DAYS; F (-20℃): 14DAYS

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

A POSITIVE ACUTE PHASE REACTANT. CONFIRMING INTRAVASCULAR HEMOLYSIS

Test Limitations / Confounders

- N/A

GLYCATED HEMOGLOBIN

Category

Routine Chemistry

Sub Category

Endocrine

Synonym/Aliases

Hemoglobin A1c; Glycosylated Hemoglobin.

Abbreviations

HBA1C, A1C

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2-3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

SAMPLE KEPT AT ROOM TEMPERATURE

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

EDTA WHOLE BLOOD

Container/ preservative

EDTA (PURPLE 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

AS PER LATEST ADA GUIDELINES.

Clinical Utility

DETECT PREDIABETES AND DIABETES. ASSESS RESPONSE TO DIABETES MELLITUS THERAPY. CAN BE DONE AS PART OF HEALTH AND WELLNESS CHECKS.

Test Limitations / Confounders

HEMOLYTIC ANEMIA & IRON DEFICIENCY ANEMIA CAN FALSELY ALTER HBA1C LEVELS.

GLUCOSE-6-PHOSPHATE DEHYDROGENASE, QUANTITATIVE

Category

Routine Chemistry

Sub Category

Anemia & Nutrition

Synonym/Aliases

G6PD

Abbreviations

G6PD

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 7 WORKING DAYS

Method

SPECTROPHOTOMETRIC

Temp

AMBIENT: 6HOURS; R (2-8℃): 7DAYS; F (-20℃): 14DAYS.

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

CLEAN, LEAK PROOF 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; GROSS LIPEMIA; FROZEN SAMPLES.

Other Instructions

NOT APPLICABLE

Reference intervals

HEMOGLOBIN APPROPRIATE VALUES ARE PROVIDED ON THE REPORT.

Clinical Utility

TO DIAGNOSE GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G6PD) DEFICIENCY

Test Limitations / Confounders

RECENT HEMOLYSIS (RETICULOCYTOSIS) & RECENT TRANSFUSION CAN MASK A DEFICIENCY STATE.

GLUCOSE, FLUID

Category

Routine Chemistry

Sub Category

Fluid Analysis

Synonym/Aliases

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

Abbreviations

FBS

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2-3 HOURS

Method

SPECTROPHOTOMETRIC ENZYMATIC

Temp

AMBIENT: 6HOURS; R (2-8℃): 7DAYS; F (-20℃): 14DAYS.

Setup

ALL WORKING DAYS

Components Parameters

NOT APPLICABLE

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY. SPECIFY EXACT FLUID TYPE.

Patient preparation

NOT APPLICABLE

Sample type

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

Container/ preservative

CLEAN, LEAK PROOF 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.,

Other Instructions

NOT APPLICABLE

Reference intervals

PLEURAL FLUID/ SYNOVIAL FLUID GLUCOSE LEVEL SHOULD BE EQUAL TO PLASMA GLUCOSE; CSF GLUCOSE SHOULD BE ABOUT 2/3 OF PLASMA GLUCOSE LEVEL.

Clinical Utility

DIAGNOSE BACTERIAL INFECTION

Test Limitations / Confounders

- N/A

FASTING PLASMA GLUCOSE

Category

Routine Chemistry

Sub Category

Endocrine

Synonym/Aliases

Fasting Blood Sugar

Abbreviations

FBS

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2-3 HOURS

Method

SPECTROPHOTOMETRIC; ENZYMATIC

Temp

AMBIENT: 6HOURS; R (2-8℃): 7DAYS; F (-20℃): 14DAYS

Setup

ALL WORKING DAYS

Components Parameters

- N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY. FASTING FOR 8-10 HOURS

Patient preparation

FASTING

Sample type

FLUORIDE/ OXALATE PLASMA

Container/ preservative

FLUORIDE/ OXALATE (GREY 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; NON-FASTING SAMPLE; GROSS HEMOLYSIS OR LIPEMIA.

Other Instructions

FASTING MEANS THAT ONLY WATER AND PRESCRIBED MEDICATION ARE PERMITTED DURING THE FASTING PERIOD.

Reference intervals

AS PER LATEST ADA GUIDELINES.

Clinical Utility

SCREENING FOR PREDIABETES, DIABETES MELLITUS (DM) OR GESTATIONAL DIABETES MELLITUS (GDM). DIAGNOSE HYPOGLYCEMIA; CAN BE DONE AS PART OF HEALTH & WELLNESS ASSESSMENT PACKAGES.

Test Limitations / Confounders

- N/A

ETHANOL (ALCOHOL), SERUM

Category

Routine Chemistry

Sub Category

Drugs/ Tdm/ Toxicology

Synonym/Aliases

Alcohol

Abbreviations

Etoh

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 5 WORKING DAYS

Method

ENZYMATIC

Temp

AMBIENT (6 HOURS), REFRIGERATED (3 DAYS)

Setup

ALL WORKING DAYS

Components Parameters

- N/A

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

- N/A

Sample type

SERUM

Container/ preservative

SERUM SEPARATOR TUBE (SST/ GEL). DO NOT USE SPIRIT / ALCOHOL DURING COLLECTION, USE GEL VACUTAINER & SEPARATE IMMEDIATELY.

Sample volume

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; GROSS LIPEMIA; GROSS HEMOLYSIS.

Other Instructions

CENTRIFUGE SST WITHIN 1-2 HOURS OF COLLECTION.

Reference intervals

APPROPRIATE VALUES PROVIDED WITH REPORT

Clinical Utility

USED TO DIAGNOSE ALCOHOL USE &/ OR INTOXICATION.

Test Limitations / Confounders

FALSELY ELEVATED ALCOHOL LEVELS CAN BE OBSERVED IN DIABETIC PATIENTS WITH UTI. ANALYTE IS VOLATILE AND FALSELY LOWERED VALUES CAN OCCUR ON EXPOSURE TO AIR/ IF ALIQUOTING IS DONE.

ELECTROLYTES, SERUM

Category

Routine Chemistry

Sub Category

Electrolytes

Synonym/Aliases

- N/A

Abbreviations

Na, K, Cl

Type

PROFILE/ PANEL (BUNDLED TESTS)

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

ION SELECTIVE ELECTRODE (ISE)

Temp

AMBIENT (6 HOURS), REFRIGERATED (3 DAYS), FROZEN (14 DAYS)

Setup

ALL WORKING DAYS

Components Parameters

Sodium, Potassium, Chloride

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

- N/A

Sample type

SERUM

Container/ preservative

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

Sample volume

3 ML

Rejection criteria

HEMOLYZED, LIPEMIC, ICTERIC SAMPLES

Other Instructions

ALLOW SAMPLE TO CLOT FOR 30 MINUTES AND SEPARATE WITHIN 1-2 HOURS OF COLLECTION

Reference intervals

APPROPRIATE VALUES PROVIDED WITH REPORT

Clinical Utility

VARIABLE; HELPS DETERMINE WHETHER THERE'S AN ELECTROLYTE IMBALANCE IN THE BODY

Test Limitations / Confounders

PSEUDOHYPERKALEMIA CAN ARISE FROM ERRORS DURING SAMPLE COLLECTION, DIFFICULT COLLECTIONS, SAMPLE MISHANDLING RESULTING IN HEMOLYSIS, MISREPRESENTATION OF EDTA PLASMA (INAPPROPRIATE SPECIMEN TYPE) AS SERUM & IN PATIENTS WITH MARKED LEUKOCYTOSIS. FOR THE LATTER, TESTING SHOULD BE DONE USING LITHIUM HEPARIN PLASMA.

DRUGS OF ABUSE (DAU) – 9 DRUGS (URINE)

Category

Routine Chemistry

Sub Category

Drugs/ Tdm/ Toxicology

Synonym/Aliases

Urine Toxicology;

Abbreviations

DAU

Type

PROFILE/ PANEL (BUNDLED TESTS)

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

IMMUNOCHROMATOGRAPHY

Temp

AMBIENT (6 HOURS), REFRIGERATED (3 DAYS), FROZEN (14 DAYS)

Setup

ALL WORKING DAYS

Components Parameters

Methadone, Benzodiazepines, Phencyclidine (Pcp), Tramadol, Morphine, Opiates (Group Includes Heroin, Codeine, Morphine), Cannabinoids (Thc; Cannabis; Marijuana; Bhang; Weed; Pot; Ganja), Barbiturates, Cocaine (Coke; Crack), Tricyclic Antidepressants (Tca), Methamphetamine (Crystal Meth), Amphetamine.

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

SPOT URINE WITH NO ADDITIVES OR PRESERVATIVES

Sample type

URINE

Container/ preservative

CLEAN, LEAK PROOF CONTAINER

Sample volume

10 ML

Rejection criteria

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

Other Instructions

TEST IS NOT INTENDED FOR USE IN FORENSIC PURPOSE

Reference intervals

NEGATIVE

Clinical Utility

DETECTING DRUG USE OR ABUSE INVOLVING METHADONE, BENZODIAZEPINES, PHENCYCLIDINE (PCP; ANGEL DUST; ROCKET FUEL), TRAMADOL, MORPHINE, OPIATES, CANNABINOIDS, BARBITURATES, COCAINE, TRICYCLIC ANTIDEPRESSANTS (TCA), METHAMPHETAMINES (CRYSTAL METH), AMPHETAMINE.

Test Limitations / Confounders

THIS IS A SCREENING TEST & POSITIVE RESULTS SHOULD BE FOLLOWED UP BY CONFIRMATORY TESTING (SPECIFIC ORDER REQUIRED; SEPARATE CHARGES APPLY). DAU SAMPLES ARE PRONE TO ADULTERATION BY CLIENTS UNDERGOING TESTING & SAFEGUARDS AGAINST THIS SHOULD BE CONSIDERED.

DRUGS OF ABUSE (DAU) – 5 DRUGS (URINE)

Category

Routine Chemistry

Sub Category

Drugs/ Tdm/ Toxicology

Synonym/Aliases

Urine Toxicology;

Abbreviations

DAU

Type

PROFILE/ PANEL (BUNDLED TESTS)

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

IMMUNOCHROMATOGRAPHY

Temp

AMBIENT (6 HOURS), REFRIGERATED (3 DAYS), FROZEN (14 DAYS)

Setup

ALL WORKING DAYS

Components Parameters

Amphetamine, Opiates (Group Includes Heroin, Codeine, Morphine), Cannabinoids (Thc; Cannabis; Marijuana; Bhang; Weed; Pot; Ganja), Benzodiazepines, Cocaine (Coke; Crack).

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

SPOT URINE WITH NO ADDITIVES OR PRESERVATIVES

Sample type

URINE

Container/ preservative

CLEAN, LEAK PROOF CONTAINER

Sample volume

10 ML

Rejection criteria

LEAKING SAMPLE, UNLABELED SAMPLE

Other Instructions

TEST IS NOT INTENDED FOR MEDICAL USE (MONITORING & MANAGING PATIENTS E.G. TO ASSESS DRUG COMPLIANCE, IN REHAB PROGRAMS ETC.) & NOT FOR LEGAL/ FORENSIC PURPOSES.

Reference intervals

NEGATIVE

Clinical Utility

DETECTING DRUG USE/ ABUSE INVOLVING AMPHETAMINE, OPIATES, CANNABINOIDS (THC), BENZODIAZEPINES, COCAINE

Test Limitations / Confounders

THIS IS A SCREENING TEST & POSITIVE RESULTS SHOULD BE FOLLOWED UP BY CONFIRMATORY TESTING (SPECIFIC ORDER REQUIRED; SEPARATE CHARGES APPLY). DAU SAMPLES ARE PRONE TO ADULTERATION BY CLIENTS UNDERGOING TESTING & SAFEGUARDS AGAINST THIS SHOULD BE CONSIDERED.