ASPARTATE AMINOTRANSFERASE

Category

Routine Chemistry

Sub Category

Organ Function Checks

Synonym/Aliases

Serum Glutamic-oxaloacetic Transaminase

Abbreviations

SGOT; GOT; AST

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

SPECTROPHOTOMETRIC.

Temp

TEMPRATURE KEPT REFRIGIRATED

Setup

DAILY

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 SEPARATED WITHIN 1 HOUR AFTER COLLECTION

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

DIAGNOSE & MONITOR LIVER DISEASE. MAY ALSO BE DONE AS PART OF A HEMOLYTIC SCREEN.

Test Limitations / Confounders

PRESENCE OF MACRO AST CAN LEAD TO SPURIOUSLY INCREASED AST LEVELS.

ANTI-DNASE B

Category

Routine Chemistry

Sub Category

Infectious

Synonym/Aliases

- N/A

Abbreviations

ALP

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

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

Setup

DAILY

Components Parameters

-Not Applicable

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

-NOT APPLICABLE

Sample type

SERUM SEPARATED WITHIN 1 HOUR AFTER COLLECTION

Container/ preservative

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

Sample volume

SERUM SEPARATED WITHIN 1 HOUR AFTER COLLECTION

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

EVALUATION OF SUSPECTED PANCREATITIS

Test Limitations / Confounders

PRESENCE OF MACROAMYLASE CAN GIVE RISE TO SPURIOUS HYPERAMYLASEMIA.

AMYLASE, SERUM

Category

Routine Chemistry

Sub Category

Inflamation

Synonym/Aliases

- N/A

Abbreviations

ALP

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

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

Setup

DAILY

Components Parameters

-Not Applicable

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

-NOT APPLICABLE

Sample type

SERUM SEPARATED WITHIN 1 HOUR AFTER COLLECTION

Container/ preservative

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

Sample volume

SERUM SEPARATED WITHIN 1 HOUR AFTER COLLECTION

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

EVALUATION OF SUSPECTED PANCREATITIS

Test Limitations / Confounders

PRESENCE OF MACROAMYLASE CAN GIVE RISE TO SPURIOUS HYPERAMYLASEMIA.

AMYLASE, FLUID

Category

Routine Chemistry

Sub Category

Fluid Analysis

Synonym/Aliases

- N/A

Abbreviations

ALP

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

COLIRMETRIC

Temp

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

Setup

DAILY

Components Parameters

-Not Applicable

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

-NOT APPLICABLE

Sample type

FLUID

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

AGE & GENDER APPROPRIATE VALUES ARE PROVIDED ON THE REPORT

Clinical Utility

DIAGNOSIS AND MONITORING TREATMENT OF LIVER, BONE, INTESTINAL AND PARATHYROID DISEASES.

Test Limitations / Confounders

- N/A

ALKALINE PHOSPHATASE

Category

Routine Chemistry

Sub Category

General

Synonym/Aliases

- N/A

Abbreviations

ALP

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

ENZYMATIC

Temp

AMBIENT: NA; R (2-8℃): 1DAY; F (-20℃): 14DAYS

Setup

DAILY

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

SERUM SEPARATED WITHIN 1 HOUR AFTER COLLECTION

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

DIAGNOSIS AND MONITORING TREATMENT OF LIVER, BONE, INTESTINAL AND PARATHYROID DISEASES.

Test Limitations / Confounders

- N/A

ALDOLASE

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

ENZYMATIC

Temp

AMBIENT: 2-3 HOURS; R (2-8℃): 1DAY; F (-20℃):7 DAYS

Setup

DAILY

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

PLAIN TUBE

Sample volume

SERUM SEPARATED WITHIN 1 HOUR AFTER COLLECTION

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

DIAGNOSE LIVER DISEASE, HYPOALBUMINEMIA. NEGATIVE ACUTE PHASE REACTANT.

Test Limitations / Confounders

- N/A

ALBUMIN, SERUM

Category

Routine Chemistry

Sub Category

Organ Function Checks

Synonym/Aliases

- N/A

Abbreviations

- N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

AMBIENT:2-3 HOURS R (2-8℃):7DAYS F (-20℃):14DAYS

Setup

DAILY

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

DIAGNOSE LIVER DISEASE, HYPOALBUMINEMIA. NEGATIVE ACUTE PHASE REACTANT.

Test Limitations / Confounders

- N/A

ALBUMIN, FLUID

Category

Routine Chemistry

Sub Category

Fluid Analysis

Synonym/Aliases

- N/A

Abbreviations

- N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

AMBIENT: 2-3 HOURS; R (2-8℃): 7DAYS; F (-20℃): 14DAYS

Setup

DAILY

Components Parameters

-Not Applicable

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

-NOT APPLICABLE

Sample type

FLUID

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

AGE & GENDER APPROPRIATE VALUES ARE PROVIDED ON THE REPORT

Clinical Utility

FLUID EVALUATION TO DISTINGUISH BETWEEN TRANSUDATES & EXUDATES/ NARROW DOWN DIFFERENTIAL DIAGNOSIS.

Test Limitations / Confounders

FOR ASCITIC FLUID, SERUM-ASCITES ALBUMIN GRADIENT (SAAG) IS RECOMMENDED. THIS REQUIRES CONCURRENT COLLECTION AND ORDERING OF SERUM ALBUMIN & ASCITIC FLUID ALBUMIN.

ALANINE AMINOTRANSFERASE

Category

Routine Chemistry

Sub Category

Organ Function Checks

Synonym/Aliases

Serum Glutamate Pyruvate Transaminase; Serum Glutamic Pyruvic Transaminase

Abbreviations

ALT; SGPT; GPT

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 2 TO 3 HOURS

Method

SPECTROPHOTOMETRIC

Temp

TRANSPORT TEMPRATURE BE REFRIGIRATED

Setup

DAILY

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

SCREEN, DIAGNOSE AND MONITOR HEPATITIS & LIVER DYSFUNCTION.

Test Limitations / Confounders

PRESENCE OF MACRO ALT CAN LEAD TO SPURIOUSLY INCREASED ALT LEVELS.

ADENOSINE DEAMINASE, PLEURAL FLUID

Category

Routine Chemistry

Sub Category

Fluid Analysis

Synonym/Aliases

Ada, Pleural Fluid

Abbreviations

- N/A

Type

INDIVIDUAL TEST

Results

RESULTS READY WITHIN 5 WORING DAYS

Method

ENZYMATIC

Temp

AMBIENT: 2-3 HOURS; R (2-8℃): 7DAYS; F (-20℃): 14DAYS

Setup

DAILY

Components Parameters

-Not Applicable

PRE-ANALYTIC CONSIDERATIONS

Test Ordering Instructions

FILL OUT TEST REQUEST FORM FULLY & LEGIBLY.

Patient preparation

-NOT APPLICABLE

Sample type

PLEURAL FLUID

Container/ preservative

STERILE 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

AGE & GENDER APPROPRIATE VALUES ARE PROVIDED ON THE REPORT

Clinical Utility

ANCILLARY TEST PRIMARILY USED IN EVALUATING FOR TUBERCULOSIS.

Test Limitations / Confounders

LEVELS MAY ALSO BE ELEVATED IN LIVER CIRRHOSIS, VIRAL HEPATITIS, AUTOIMMUNE DISEASES (SLE, RA), MALIGNANCIES (E.G. LYMPHOMAS)