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PB Tests Dept C
Phlebotomy Department C Chemistry
| Test | Information |
|---|---|
| Acid phosphatase | Serum (red or gold) gel barrier tube; Freeze serum; C; Prostate cancer |
| Adrenocorticotropic hormone (ACTH) | Lavender, siliconized glass or plastic; Freeze plasma; C; Adrenal and pituitary gland function |
| Alanine aminotransferase (ALT) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Liver disorders |
| Albumin | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Malnutrition or liver disorders |
| Aldosterone | Red; Patient should be lying down for at least 30 minutes before blood collection; C; Adrenal function |
| Alkaline phosphatase (ALP) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Bone disorders |
| Alpha-fetoprotein (AFP) | Serum (red or gold) gel barrier tube; ; C; Testicular and ovarian cancers |
| Aluminum (Al) | Plain royal blue; Do not use gel; C; Aluminum toxicity |
| Ammonia (NH3) | Lavender or green; Send in an ice slurry; C; Hepatic encephalopathy |
| Amylase | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Pancreatitis |
| Angiotensin-converting enzyme (ACE) | Serum (red or gold) gel barrier tube; red; Place in an ice slurry; C; Sarcoidosis |
| Antibiotic assays (amikacin, gentamicin, theophylline, tobramycin, vancomycin) | Red; clear non-gel microcollection tube; No gel barrier tubes; C; Broad-spectrum antibiotics |
| Antidiuretic hormone (ADH) | Lavender; Freeze plasma; C; Pituitary function |
| Apo-A, Apo-B lipoprotein | Serum (red or gold) gel barrier tube; ; C; Coronary heart disease |
| Aspartate aminotransferase (AST) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Liver disorders, cardiac muscle damage |
| Basic metabolic panel (BMP) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Metabolism |
| Beta human chorionic gonadotropin (beta hCG) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Pregnancy, testicular cancer |
| Bilirubin, total and direct (Bili) | Plasma (green) or serum (red or gold) gel barrier tube; amber or green microcollection tube; Protect from light; C; Liver and hemolytic disorders |
| Blood urea nitrogen (BUN) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Kidney disorders |
| Brain natriuretic peptide (BNP) | Lavender; white plasma preparation tube; serum gel (red or gold) barrier tube; Stable for 4 hours; C; Congestive heart failure |
| C-peptide | Serum (red or gold) gel barrier tube; red; Ensure patient has fasted; avoid hemolysis; C; Hypoglycemia |
| C-reactive protein | Serum (red or gold) gel barrier tube; red; ; C; Inflammatory processes |
| Calcitonin | Red; No gel barrier tubes; freeze serum immediately; C; Medullary thyroid carcinoma |
| Calcium | Plasma (green) or serum (red or gold) gel barrier tube; Deliver to the laboratory immediately; refrigerate; C; Bone disorders, nephritis |
| Cancer antigen (CA-125) | Serum (red or gold) gel barrier tube; red; Refrigerate; C; Ovarian cancer |
| Carbamazepine (Tegretol) | Red; No gel barrier tubes; C; Altered protein-binding capacity |
| Carbon monoxide (CO) | Lavender; green; Do not underfill; refrigerate immediately; C; Carbon monoxide toxicity |
| Carcinoembryonic antigen (CEA) | Serum (red or gold) gel barrier tube; ; C; Malignancy |
| Carotene, beta | Serum (red or gold) gel barrier tube; red; Protect from light; C; Fat malabsorption |
| Chemistry panels (cardiac, hepatic, metabolic, and renal) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Evaluation of various organ systems |
| Cholesterol | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Coronary artery disease |
| Chromium (Cr) | Plain royal blue; EDTA royal blue; Separate and refrigerate immediately; C; Monitoring of prosthetic implant |
| Complement levels | Serum (red or gold) gel barrier tube; ; C; Immune system function/autoimmune disorders |
| Comprehensive metabolic panel (CMP) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Evaluation of overall health |
| Copper | Serum royal blue; ; C; Biliary cirrhosis |
| Cortisol | Serum (red or gold) gel barrier tube; red; Serum only; timed specimen (a.m.); C; Adrenal cortex function |
| Creatine kinase (CK) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Myocardial infarction (MI), muscle damage |
| Creatine kinase isoenzymes (CK-MB, CK-MM, CK-BB) | Serum (red or gold) gel barrier tube; ; C; MI, muscle damage, brain damage |
| Creatinine (Creat) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Kidney disorders |
| Cryoglobulin | Red; lavender; Collect in prewarmed tube and keep at 37°C; C; Vasculitis, glomerulonephritis, and macroglobulinemia |
| Cyclosporine | Lavender; green; No gel barrier tubes; C; Monitoring of cyclosporine levels |
| Digoxin | Plasma (green) or serum (red or gold) gel barrier tube; red; ; C; Heart stimulant |
| Drug screen | Red; No gel barrier tubes; C; Detection and identification of drugs |
| Electrolytes (Lytes) Na, K, Cl, CO2 | Plasma (green) or serum (red or gold) gel barrier tube; Do not refrigerate specimen; C; Fluid and acid-base balance |
| Ethanol/alcohol (ETOH) | Gray; Do not open tube until testing; may require chain of custody; only use nonalcohol solution for skin cleansing; C; Intoxication |
| Factor assays | Light blue; Tube must be full; C; Detect specific clotting factor function |
| Fasting blood sugar (FBS) | Plasma (green) or serum (red or gold) gel barrier tube; red; gray; lavender; Ensure patient has fasted for 8 hours before blood collection; C; Diabetes mellitus or hypoglycemia |
| Ferritin | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Iron deficiency |
| Fibrinogen | Light blue; Tube must be full; C; Coagulation disorders |
| Folate | Serum (red or gold) gel barrier tube; red; ; C; Anemia |
| Gamma-glutamyl transpeptidase (GGT) | Serum (red or gold) gel barrier tube; red; ; C; Liver disease |
| Gastrin | Serum (red or gold) gel barrier tube; Transport in an ice slurry; C; Gastric malignancy or pernicious anemia |
| Glucose | Plasma (green) or serum (red or gold) gel barrier tube; red; gray; lavender; ; C; Hypoglycemia or diabetes mellitus |
| Hemoglobin A1c | Lavender; ; C; Diabetes mellitus |
| Hemoglobin electrophoresis | Lavender; ; C; Hgb abnormalities |
| Homocysteine (Hcy) | Lavender; serum (red or gold) gel barrier tube; red; Place in an ice slurry; C; Methionine metabolism disorder |
| Human chorionic gonadotropin (hCG) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Pregnancy, testicular tumor |
| Immunoglobulin levels | Plasma (green) or serum (red or gold) gel barrier tube; red; ; C; Immune system function |
| Insulin | Serum (red or gold) gel barrier tube; ; C; Glucose metabolism and pancreatic function |
| Ionized calcium (iCA2+) | Serum (red or gold) gel barrier tube; red; arterial blood gas syringe; Tube must be full; C; Follow-up test for abnormal total calcium results |
| Iron | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Anemia |
| Iron-binding capacity | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Anemia |
| Lactate (lactic acid) (Lact) | Gray; arterial blood gas syringe; Analyze in 15 minutes; draw without tourniquet; place in an ice slurry when collecting in an arterial blood gas syringe; however, follow facility protocol; C; Muscle disorders |
| Lactate dehydrogenase (LD) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; MI |
| Lead (Pb) | Royal blue EDTA; tan EDTA; lavender microcollection tube; ; C; Neurological function |
| Lipase | Plasma (green) or serum (red or gold) gel barrier tube; red; ; C; Pancreatitis |
| Lipoproteins (high-density lipoprotein [HDL], low-density lipoprotein [LDL], very-low density lipoprotein [VLDL]) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Coronary heart disease |
| Lithium (Li) | Serum (red or gold) gel barrier tube; red; Draw 12 hours post dose; C; Antidepressant drug monitoring |
| Magnesium | Serum (red or gold) gel barrier tube; red; ; C; Musculoskeletal disorders |
| MI panel (CK isoenzyme [CK-MB], myoglobin [Myo], troponin [Tn]) | Plasma (green) gel barrier tube; white plasma preparation tube; lavender; Stable for 4 hours; C; MI |
| Myoglobin | Serum (red or gold) gel barrier tube; red; ; C; Muscle damage |
| Osmolality | Serum (red or gold) gel barrier tube; red; ; C; Comatose patients |
| Parathyroid hormone (PTH) | Lavender; Place in an ice slurry; C; Hypercalcemia; Parathyroid function |
| pH | Green; non-gel; Send on ice slurry; C; Acid base balance |
| Phosphorus | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Endocrine and bone disorders |
| Porphyrins | Plasma (green) gel barrier tube; Protect from light; C; Porphyria cutanea tarda |
| Potassium | Plasma (green) or serum (red or gold) gel barrier tube; red; ; C; Muscle function, heart contraction/cardiac output |
| Prostate-specific antigen (PSA) | Serum (red or gold) gel barrier tube; ; C; Prostatic cancer |
| Prostatic acid phosphatase (PAP) | Serum (red or gold) gel barrier tube; ; C; Prostatic cancer |
| Protein | Serum (red or gold) gel barrier tube; ; C; Liver, kidney, bone marrow, metabolic, or nutritional disorder |
| Protein electrophoresis | Serum (red or gold) gel barrier tube; red; ; C; Multiple myeloma/abnormal proteins |
| Salicylate (aspirin) | Red; No gel barrier tubes; C; Salicylate toxicity |
| Sodium | Plasma (green) or serum (red or gold) gel barrier tube; red; ; C; Acid-base balance |
| Testosterone | Serum (red or gold) gel barrier tube; ; C; Testicular function |
| Therapeutic drugs (digoxin, theophylline [theo], phenobarbital, phenytoin [Pheny], carbamazepine [Carb], valproic acid [val ac]) | Red; clear non-gel microcollection tube; No gel barrier tubes; centrifuge and separate within 1 hour; C; Monitoring of medications for seizures, bipolar disorders, epilepsy, asthma |
| Thyroid-stimulating hormone/Free T4 (TSH/T4) | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Thyroid conditions |
| Total protein (TP) | Serum (red or gold) gel barrier tube; ; C; Kidney and liver disorders |
| Triglycerides | Plasma (green) or serum (red or gold) gel barrier tube; ; C; Coronary heart disease |
| Troponin I and T | Serum (red or gold) gel barrier tube; lavender; white plasma preparation tube; ; C; Myocardial function |
| Uric acid | Serum (red or gold) gel barrier tube; ; C; Kidney disorders, gout |
| Valproic acid (Depakote) | Red; No gel barrier tubes; C; Valproic toxicity |
| Vitamin A | Red; No gel barrier tubes; ensure patient has fasted; C; Vitamin A deficiency and toxicity |
| Vitamin B12 | Plasma (green) or serum (red or gold)gel barrier tube; red; Protect from light; C; Anemia |
| Vitamin B6 | Green; No gel barrier tubes; ensure patient has fasted; protect from light; C; Hypophosphatasia |
| Vitamin D | Serum (red or gold) gel barrier tube; ; C; Calcium absorption |
| Zinc | Plain royal blue; ; C; Zinc deficiency |
Created by:
cvis
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