NHS Lothian SOP Number Department of Laboratory Medicine PD–GEN-A-GPTUBEL Version 2.5 Review date: 27/12/2014 Blood test Test Mnemonic Comments SERUM GEL 3 days Must be received in the lab within: 3 days AFP AFP Tumour marker Alpha Feta Protein CITRATE 2 days 1 day SERUM GEL 4 days 3 days 7 days SERUM GEL 2 days 4 days 7 days SERUM GEL 3 days 2 days 7 days Bile Acid SERUM GEL 2 days 1 day 5 days B12 (Vitamin) Tick B12 SERUM GEL 4 days 3 days 7 days CA-125 CA-125 Tumour marker CA-125 SERUM GEL 3 days 3 days 5 days Calcium Ca No tourniquet. Albumin measured with all calcium requests. Corrected Ca routinely reported Collect before next dose SERUM GEL 2 days 2 days 7 days SERUM GEL 2 days 2 days 4 days CEA Tumour marker CEA SERUM GEL 4 days 3 days 7 days SERUM GEL 2 days Cholesterol Tick CHOL See also Lipid profile SERUM GEL 2 days 2 days 7 days CK CK Creatine kinase SERUM GEL 2 days 1 day 7 days CITRATE 2 days 1 day Cu Trace metal tube PLAIN WHITE 7 days 7 days 7 days SERUM GEL 2 days 2 days 7 days SERUM GEL 2 days 2 days 7 days EDTA 3 days 7 days APPT Heparin therapy Alcohol / Ethanol ETOH Amylase AMY AST AST Carbemazepine CEA Tube Colour Ethanol Not part of LFT profile Ceruloplasmin Coagulation screen Copper Cortisol Report Page 1 of 2 Stable once spun 7 days 7 days CRP CRP Ciclosporin Ciclo Collect before next dose Digoxin DIG 6-18 hours after last dose SERUM GEL 2 days 1 day Drugs of Abuse Amp, Benz, Coc, EDDP, Opi NB.Cannabis should be ordered separately. Includes total protein and albumin. SPOT URINE SERUM GEL 3d -10d confirm 5 days 7 days Electrophoresis Tick Urinary Drug Screen EPH 2 days 7 days ESR Ferritin Tick ESR Ferritin First line test for Fe deficiency anaemia CITRATE SERUM GEL 2 days 3 days 1 day 1 day 7 days Folate Tick Folate SERUM GEL 4 days 1 day 7 days Free T4 Tick TFT Part of TFT profile SERUM GEL 3 days 2 days 6 days Full blood count Tick FBC FBC EDTA 2 days 1 day FSH FSH State LMP and clinical details. SERUM GEL 3 days 7 days 7 days GH GH Growth Hormone SERUM GEL 4 days 7 days 7 days Gonadotrophins LH/FSH State LMP where appropriate SERUM GEL 4 days 7 days 7 days GTT GTT Gluc.Tol. Test - state sample times OXALATE 2 days 1 day Glucose Tick Random or Fasting Glucose Tick HBA1c OXALATE 2 days 2 days EDTA 4 days 7 days EDTA 3 days 1 day CITRATE 2 days 1 day IgA, IgG, IgM SERUM GEL 5 days 7 days 7 days Iron, Transferrin useful if ferritin is raised. NOT 1st line test for Fe deficiency anaemia. SERUM GEL 2 days 1 day 3 days HbA1c Haemoglobinopathy Screen Antenatal Haemoglobinopathy Screening programme use the FOQ Request form. All other requests write as free text on the Blood Science Request form. APTT Heparin Therapy Immunoglobulins IGS Iron/transferrin 2 days 2 days Lactate LACT OXALATE 4 days Hours unstable LDH LDH Lactate Dehydrogenase SERUM GEL 2 days 1 day 4 days EDTA 4 days 7 days 5 days Liver Function Tick LFT Bilirubin, ALT, ALP, G-GT, [Alb] SERUM GEL 2 days 2 days 7 days LH LH SERUM GEL 3 days 7 days 7 days Lipids LIPID PROFILE Lutenising Hormone. State LMP and clinical details. Cholesterol, trig, HDL, C:HDL, LDL SERUM GEL 2 days 2 days 7 days Lithium LI Ideally 12 hrs after last dose SERUM GEL 2 days 1 day 7 days Lead (Pb) Authority for Issue : Dr S.Walker APPROVED NB. This is an electronic document which is uncontrolled when printed. Date : 22/12/2012 NHS Lothian SOP Number Department of Laboratory Medicine PD–GEN-A-GPTUBEL Version 2.5 Review date: 27/12/2014 Page 2 of 2 Magnesium Mg Usually in addition to Calcium/Albumin SERUM GEL 2 days 1 day 7 days Oestradiol OES State LMP and clinical details. SERUM GEL 4 days 7 days 7 days SERUM GEL 2 days Paracetamol 7 days Phenobarbitone Timing not critical SERUM GEL 3 days 2 days 4 days Phenytoin Timing not critical SERUM GEL 3 days 2 days 4 days Phosphate Usually in addition to Calcium/Albumin SERUM GEL 3 days 1 day 4 days Progesterone PRG State LMP and clinical details. SERUM GEL 4 days 7 days 7 days Prolactin PRL State LMP and clinical details. SERUM GEL 4 days 3 days 7 days PSA PSA Tumour marker SERUM GEL 4 days 3 days 7 days PTH PTH See laboratory handbook EDTA 4 days 2 days Salicylate SERUM GEL 2 days Tacrolimus Testosterone TESTO State clinical details. EDTA SERUM GEL 3 days 3 days 7 days 2 days 7 days TFT Tick TFT Thyroid function: TSH, free T4. State if on T4 SERUM GEL 2 days 2 days 6 days 3 CITRATE / 1 RED 11 days 1 day SERUM GEL 3 days 2 days 7 days Thrombophilia Total Protein Protein Total T3 T3 Total T3 – not part of TFTs SERUM GEL 3 days 2 days 6 days TRAB(S) TRABS SERUM GEL 14 days 2 days 7 days Triglyceride LIPID Thyroid receptor antibodies. Of no value in subclinical hypothyroidism. Part of lipid profile SERUM GEL 2 days 2 days 7 days Troponin TROP SERUM GEL 2 days 1 day 2 days TSH Tick TFT Part of TFTs or TSH monitoring SERUM GEL 3 days 7 days 7 days Uric Acid / Gout SERUM GEL 2 days 2 days 7 days Tick U&E, Creatinine Na, K, Urea, Creatinine, eGFR Total CO2 can be requested separately SERUM GEL 2 days 3 d K/Na 7 d U/Cr 2 days Warfarin Tick INR INR Zinc (Zn) Malaria Trace metal tube ZINC Discuss with laboratory. Ideally delivery within 2 hours to laboratory. Urate U & Es Valproate CMV serology SERUM GEL 6 days 12hrs K 2 day U/Creat/Na 2 days CITRATE 2 days 1 day PLAIN WHITE EDTA 4 days 4 hours 1 day 1 day SERUM GEL 8 days EBV serology Includes testing for Infectious Mononucleosis. SERUM GEL 5 days Toxoplasma Toxoplama serology SERUM GEL 7 days SERUM GEL 6 days SERUM GEL 7 days SERUM GEL 14 days EDTA 14 days Hep A IgG / IgM Hep B markers Hep C screening +/RNA HCV RNA +/Genotyping Helicobacter IgG Includes tests for acute/chronic HBV infections/antibody response to vaccination Usually within 7 days. But may increase to 14 days if confirmation by second assay / RNA testing required. At least 5 ml of EDTA blood required. Please send 2 tubes if small tubes are used. HIV Antigen / Antibody Rubella IgG / IgM Usually within 7 days. But may increase to 14 days if confirmation by immunoblot is required. VZV IgG Please call the duty virologist for urgent testing (after exposure to chickenpox/shingles in high risk individuals). Syphilis Serology SERUM GEL 7 days SERUM GEL 14 days SERUM GEL 6 days SERUM GEL 6 days SERUM GEL 10 days Borrelia / Lyme Please see Lyme Borreliosis guide on Ref Help SERUM GEL Other serology Requires clinical info including date of onset/exposure SERUM GEL 14-21 days Variable Biochem/Haem forms – tests shown in red. WGH telephone Virology forms – tests shown in blue. Biochemistry and Haematology 0131 537 1910 / 31911 Pathology 0131 537 1962 RIE telephone Biochemistry, Haematology,Microbiology 0131 242 6806 Pathology 0131 242 7147/7148 St John's tel - Biochemistry 01506 52 3160/1 Haematology 01506 52 3353 Authority for Issue : Dr S.Walker APPROVED NB. This is an electronic document which is uncontrolled when printed. Microbiology 01506 52 3075/7 Date : 22/12/2012
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