Chemical Pathology Tests

1-Adrenocorticotrophic Hormone (ACTH)

Sample requirements: 2 mL blood collected on EDTA tubes

Sample timing: 8:00 – 10:00 o’clock

Available at: H&TM unit

Set up: daily

Results ready: 48 working hours

Sample transport: note that the stability for this analysis is greatly reduced at room temperature. It is vital that immediately after collection, the EDTA blood sample be kept chilled and promptly delivered to the lab in an ice bath until centrifuged at 4°C

2-Alpha-Fetoprotein (AFP):

Sample requirements: 3mL blood in a plain tube

Available at: H&TM unit

Set up: daily

Results at: 48 working hours

3-A/G Ratio:

Sample requirements: 3mLblood in a plain tube

Available at: RC unit

Set up: daily

Results in: same day

4-Alanine transaminase (ALT):

Sample requirements: 3mLblood tube

Available at: RC unit

Set up: daily

Results in: same day

5-Albumin (CSF): See under CSF

6-Albumin (S):

Sample requirements: 3mLblood in a plain tube

Available at: RC unit

Set up: daily

Results in: same day

7-Albumin/Creatinine ratio:

Sample requirements: urine from the second morning urine

Available at: MDR unit

Set up: twice per week (Sunday-Wednesday)

Results ready: 72 working hours

8- Alpha-1-Antitrypsin (S):

Sample requirements: 3 mL blood in a plain tube

Set up: twice weekly (Sunday-Wednesday)

Available at: RC unit

Results ready: 72 working hours

9-AlkalinePhosphatase:

Sample requirements: 3mL blood in a plain tube

Available at: RC unit

Setup: daily

Results in: same day

Patient preparation: preferably fasting (8 hours overnight)

10 -Aminogram: qualitative:

Principle: TLC

Sample requirements: 3 mL blood in heparinized tube, first morning urine sample, delivered

very promptly to the lab.

Available at: D&T unit

Setup: daily

Results in: 1 week

11 -Amphetamine screen (U), qualitative :

Sample requirements: 10 mL urine

Set up: twice per week (Saturday, Thursday)

Available at: D&T unit

Results: 72 hours

12-Amylase (S):

Sample requirements:3 mL blood in a plain tube

Available at: RC unit

Setup: daily

Results in: same day

13-Amylase (U):

Sample requirements:24 h urine collection

Available at: RC unit

Setup: daily

Results in: same day

14-Aspartate Aminotransferase (AST):

Sample requirements:3mLblood in a plain tube

Available at: RC unit

Setup: daily

Results in: same day

15-Beta-Human Chorionic Gonadotropin (β-HCG):

Sample requirements: 3mL blood in plain tube, please state week of pregnancy

Available at: H&TM unit

Setup: daily

Results in: 48working hours

16 -Barbiturates screen (U), qualitative:

Principle: EMIT

Sample requirements: 10 mL urine

Available at: D&T unit

Set up: Twice per week (Saturday, Thursday)

Results ready: 72 hours

Reference interval: Negative

17-Benzodiazepine screen (U), qualitative:

Sample requirements: 10 mL urine

Available at: D&T unit

Set up: twice per week (Saturday, Thursday)

Results ready: 72 hours

18-Beta-2 Microglobulins (S):

Sample requirements: 3mL blood in a plain tube

Available in: RC unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72working hours

19-Beta-2 Microglobulins (U):

Sample requirements: 10 mL urine (random or timed).

Available at: RC unit

Set up: twice weekly (Sunday-Wednesday)

Results ready: 72 working hours

20-Bilirubin, Direct(S):

Sample requirements:3 mL blood in a plain tube, protect from light

Available at: RC unit

Setup: daily

Results in: sameday

21-Bilirubin, total (S):

Sample requirements: 3mLbloodin a plain tube, protect from light

Available in: RC unit

Setup: daily

Results in: same day

22-Blood gases:

Sample requirements: 3 mL blood in a heparinized syringe, small syringes are preferred e.g. 3 and 5 mL, transfer the sample within 5 minutes to the lab, if delay is expected in transport; keep the syringe on ice.

Avoid the presence of air or air bubbles in the syringe

Available at: Emergency unit

Setup: daily

Results in: immediately upon sample receipt

23-C-Peptide:

Sample requirements: 3 mL blood in plain tube

Patient prep: Fasting

Available at: H & TM unit

Set up: daily

Results ready: 48 working hours

24 -CA125:

Sample requirements: 3mLbloodina plain tube

Available in: H&TM unit

Setup: daily

Results in:48 working hours

25 -CA15.3:

Sample requirements: 3mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in:48 working hours

26 -CA19.9:

Sample requirements: 3mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in:48 working hours

27 -Calcium, Ionized:

Sample requirements: 3mLbloodin a heparinized syringe. Transfer the sample promptly to the lab, if delay is expected in transport; keep the syringe on ice.

Avoid the presence of air or air bubbles in the syringe.

Available in: Emergency unit

Setup: daily

Results in: same day

28-Calcium, Total (S):

Sample requirements: 3mL blood in a plain tube. Avoid long standing tourniquet.

Available in: RC

Setup: daily

Results in: same day

29 -Calcium in urine:

Sample requirements:24 h urine collection, collected on 10mL, 6 Mol/L HCl

Available in: RC

Setup: daily

Results in: same day

30-Cannabinoids: (THC: Tetrahydrocannabinol ), qualitative:

Sample requirements: 10 mL urine

Available in: D&T unit

Set up: Twice per week (Saturday, Thursday)

Results ready: 72 hours

31-Carbamazepine (Tegretol):

Sample requirements: 3 mL blood on a plain tube

Available in: D&T unit

Setup: Twice per week (Monday, Wednesday)

Results in: 72 hours

32-Carcino-embryonicantigen (CEA):

Sample requirements:3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 workinghours

33-Ceruloplasmin (S):

Sample requirements: 3mL blood in a plain tube

Available in: RC unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

34-Chloride(CSF): See under CSF

35-Chloride (S):

Sample requirements: 3 mL blood in a plain tube

Available in: D&T unit

Setup: daily

Results in: same day

36-Chloride in urine:

Sample requirements: urine sample either random or24 h urinary collection

Available in: D&T unit

Results in: same day

37-Cholesterol (total):

Sample requirements: 3 mL blood in a plain tube

Available in: RC

Setup: daily

Results in: same day

38 -Cholesterol-HDL:

Sample requirements: 3 mL blood in a plain tube.

Available in: RC

Results in: same day

39-Cholesterol-LDL:

Sample requirements:12h of fasting, 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

40-Cocaine screen (U), qualitative:

Sample requirements: 10 mL URINE

Available in: D&T unit

Setup: Twice per week (Saturday, Thursday)

Results in: 72 hours

41-Complement 3 (C3):

Sample requirements: 3 mL blood in a plain tube

Available in: MDR unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

42-Complement 4 (C4):

Sample requirements: 3 mL blood in a plain tube

Available in: MDR unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

43-Copper (S):

Sample requirements: 5 mL blood in a plain tube (special tubes are available at the lab)

Available in: D&T unit

Setup: once/week (Wednesday)

Results in: 1 week

44-Copper (U):

Sample requirements: 24 h collection on a special container, containers are available at the lab.

Available in: D&T

Setup: once/week (Wednesday)

Results in: 1 week

45-Cortisol:

Sample requirements:3 mL blood in a plain tube

Samples are drawn at 8-10 am for morning cortisol and at 8-10 pm (or midnight) for evening cortisol. Please specify in the request whether its am or pm sample

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

46-CreatineKinase(CK):

Sample requirements:3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

47- Creatine Kinase-MB (CK-MB) activity:

Replaced by (CK-MB) mass

48-CreatineKinase-MB (CK-MB) mass:

Sample requirements: 3mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

49-Creatinine (serum):

Sample requirements: 3mL blood in a plain tube

Available in: RC unit

Set up: daily

Results ready: same day

50-Creatinine clearance:

Sample requirements: 3 mL blood in a plain tube, 24h urinary collection, weight and height of the patient must be included in the request form

Available in: RC unit

Setup: daily

Results in: same day

51-CSFChemistry (Glucose, Chloride, Proteins):

Sample requirements: 3mLof CSF in a plain tube or a syringe

Available in: MDR unit

Setup: daily

Results in: same day

52-CSF IgG index:

Sample requirements: 3mL blood in a plain tube and 3 mL CSF in a syringe

Available in: RC unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

53-Cyclosporine:

Sample requirements: 3 mL blood on EDTA tube

Available in: D&T unit

Setup: daily

Results in: same day

54-Dehydroepiandrosterone sulfate(DHEA-S):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

55-Depakine (Valproic acid):

Sample requirements: 3 mL blood on a plain tube

Setup: Twice per week (Monday, Wednesday)

Results in: 72 hours

56 -Digoxin (Lanoxin):

Sample requirements: 3 mL blood on a plain tube

Available in: D&T unit

Setup: Twice per week (Monday, Wednesday)

Results in: 72 hours

57-Epanutin (Phenytoin):

Sample requirements: 3 mL blood on a plain tube

Available in: D&T unit

Setup: Twice per week (Monday, Wednesday)

Results in: 72 hours

58-Estradiol (E2):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

59-Folliclestimulatinghormone(FSH):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

60- Gamma glutamyltransferase (GGT):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

61-Glucose:

Sample requirements: 3 mL blood in sodium fluoride tube

Patient can be fasting for at least 8 h or 2 h after meal /75gram glucose.

Available in: RC lab

Setup: daily

Results in: same day

62-Glucose, CSF: See under CSF

63- Glucose, pericardial: See in pericardial fluid chemistry

64-Glucose, peritoneal: See in peritoneal fluid chemistry

65- Glucose, pleural: See in pericardial fluid chemistry

66-Growth Hormone (GH):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

67-HDL-cholesterol: See under Cholesterol-HDL

68-Hemoglobin A1c (glycated hemoglobin):

Sample requirements: 3mLon EDTA tube

Available in: RC unit

Setup: daily

Results in: 48 working hours

69- IgA:

Sample requirements: 3 mL blood in a plain tube

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

70- IgG (CSF):

Sample requirement: 2 mL CSF (not to be frozen)

If paired serum and CSF samples are to be analyzed, they should be drawn simultaneously

Available in: RC unit

Set up: twice weekly

Results ready: 72 working hours

71- IgG (S):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

72 -IgG (U):

Sample requirements:second morning sample (not to be frozen)

Available in: RC unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

73-IgM (S):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: twice weekly

Results in: 72 working hours

74- Immunoglobulin light-chain (lambda) (S):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

75-Immunoglobulin light chain (kappa) (S):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: twice weekly (Sunday-Wednesday)

Results in: 72 working hours

76-Insulin:

Sample requirements: 3 mL blood in a plain tube

Patient preparation: 12 h fasting

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

77-Insulin like growth factor:

Sample requirements: 3 mL blood in a plain tube,

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

78 -Iron:

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

79-Iron binding capacity, total (TIBC):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

80-LactateDehydrogenase (LDH), CSF: See under CSF chemistry

81-LactateDehydrogenase (LDH), S:

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

82- LDL-Cholesterol: See Cholesterol-LDL

83-Luteinizing Hormone(LH):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: Daily

Results in: 48working hours

84-Magnesium:

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

85-Microalbumininurine: (see albumin/creatinine)

86-Oligoclonal band:

Sample requirements: 3 mL blood in a plain tube, 3 mL CSF

Available in: D & T

Setup: twice/week (Monday & Thursday)

Results in: 2 weeks

87- Opiates (U)(screening), qualitative:

Sample requirement: 10 mL urine

Set up: Twice per week (Saturday, Thursday)

Results ready: 72 hours

88-Parathyroid hormone(PTH):

Sample requirements: 3mLwholebloodonEDTA anticoagulant, transfer promptly to the lab in a cup of ice.

Available in: H&TM unit

Setup: daily

Results in: 48working hours

89-Pericardialeffusion-fluid analysis (Protein, LDH, Glucose):

Sample requirements: aspirate5 mL in a plain clean tube for chemistry analysis

Available in: RC unit

Setup: daily

Results in: same day

90 –Peritoneal effusion-fluid analysis(Protein, LDH, Glucose, Amylase):

Sample requirements: aspirate5 mL in a plain clean tube for chemistry analysis

Available in: RC unit

Setup: daily

Results in: same day

91-Phenobarbital: See barbiturates

92-Phenytoin:See Epanutin

93-Phosphorus (S):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

94-Phosphorus (U):

Sample requirements:24 h urinary collection (see preface for instructions)

Available in: RC unit

Results in: same day

95-Pleuraleffusion-fluid analysis (Protein, LDH, Glucose):

Sample requirements: aspirate5 mL in a plain clean tube for chemistry analysis

Available in: RC unit

Setup: daily

Results in: same day

96-Potassium (S):

Sample requirements: 3 mL blood on a plain tube, whole blood on lithium heparin is also acceptable; sample should be free of haemolysis.

Available in: RC unit

Setup: daily

Results in: same day

97-Potassium (U):

Sample requirements: 24 h urine.

Available in: RC unit

Setup: daily

Results in: same day

98-Progesterone:

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48working hours

99-Prolactin:

Sample requirements: 3 mL blood in a plain tube

Available in: H& TM unit

Setup: daily

Results in: 24 working hours

100-Prostatespecific antigen, Free (PSA-F):

Sample requirements: 3 mL blood in a plain tube

Before PSA analysis the patient should not be subjected to (Prostatic examination or massage,

sonography or catheterization for 10 days)

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

101-Prostate specific antigen, Total (PSA):

Sample requirements: 3 mL blood in a plain tube

Before PSA analysis the patient should not be subjected to (Prostatic examination or massage,

sonography or catheterization for 10 days)

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

102- Protein Electrophoresis (S):

Sample requirements: 3 mL blood in a plain tube

Available in: D & T unit

Setup: twice (Saturday & Tuesday)

Results in: 72working hours

103-Protein Electrophoresis (U):

Sample requirements: Random urine sample

Available in: D & T unit

Setup: twice (Saturday & Tuesday)

Results in: 72working hours

104-Proteins, CSF:See under CSF

105-Proteins, Total (S):

Sample requirements: 3 mL blood in a plain tube

Available in: RC unit

Setup: daily

Results in: same day

106-Proteins,Total (U):

Sample requirements: 24 h urine collection or random urine sample for protein/creatinine ratio

Available in: MDR unit

Setup: daily

Results in: same day

107-Proteins,Pericardial fluid:See under pericardial fluid

108-Proteins,Peritoneal fluid: See under peritoneal fluid

109- Serotonin (S):

Principle: HPLC

Sample requirement: 3 mL blood in a plain tube

Available at: D & T unit

Set up: once/week

Results: 1 week

110-Soduim (Na): (S)

Sample requirements: 3 mL blood on a plain tube,

whole blood on lithium heparin is also acceptable;

Available in: RC unit

Setup: daily

Result: same day

111-Soduim (Na): (U)

Sample requirements: 24 h urine collection

Available in: RC unit

Setup: daily

Result: same day

112-Stone (Calculus):

Sample requirements: stone or fragments of stone

Available in: D&T unit

Setup : twice/week

Results in: 72 working hours

113-Synovial fluid analysis (Uric acid, Protein, Glucose):

Sample requirements: 3mLsynovial fluid in a plain tube or syringe

Available in: RC unit

Setup: daily

Results in: same day

114-Tacrolimus (Prograf or FK 506):

Sample requirements: 3 mL blood on EDTA tube

Available in: D&T unit

Setup :daily

Results in: same day

115-Testosterone, Free:

Sample requirements:3 mL blood in a plain tube

Available in: H&TM unit

Setup: once/week

Results in: 1 week

116-Testosterone, Total:

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

117-Theophyline:

Sample requirements: 3 mL blood on a plain tube

Available in: D&T unit

Setup: daily

Results in: same day

118-Thyroid stimulating hormone (TSH), (Ultrasensitive):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

119-Thyroxin, free T4 (FT4):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

120-Tri-iodothyronine, freeT3(FT3):

Sample requirements: 3 mL blood in a plain tube

Available in: H&TM unit

Setup: daily

Results in: 48 working hours

121-Tramadol screen (U), qualitative:

Sample requirements: 10 mL urine

Set up: twice (Saturday & Thursday)

Results ready: 72 hours

122-Triglycerides:

Sample requirements: 3 mL blood in a plain tube. 12 h of fasting, water intake is not prohibited.

Available in: RC unit

Setup: daily

Results in: same day

123-Urea:

Sample requirements: 3 mL blood in a plain tube

Available in: RC Unit

Setup: daily

Results in: same day

124-Uric Acid (S):

Sample requirements: 3 mL blood in a plain tube

Available in: RC Unit

Setup: daily

Results in: same day

125-Uric Acid, synovial: see under synovial fluid

126 -Urine analysis (automated and manual):

Sample requirements: 50 mL random urine

Available in: D & T unit

Setup: daily

Results in: same day

127 -Valproic Acid: See depakine

128 -Vanillylmandelic acid (VMA):

Sample requirements: 24 h urine collected on 20 mL of 6mole/L HCl, refrigerate sample between voids.

Diet: It is recommended that the patient has no intake for 2 days prior to urine sampling of the following: nuts, citrus fruits, cocoa, coffee or vanilla-containing products.

Medication: If clinical condition allows it is also recommended that the patient stops taking catecholamines (epinephrine, norepinephrine, dopamine), MAO-inhibitors or catecholamine-reuptake inhibitors at least 2 days prior to sampling.

Setup: once weekly

129- Vitamin D Total (25OH D2, 25 OH D3):

Principle: HPLC

Sample requirement: 3 mL blood in a plain tube

Available at: D & T unit

Set up: once/week

Results: 1 week

130-Zinc (S):

Sample requirements: 5 mL blood in a plain tube (special tubes are available at the lab)

Available in: D&T unit

Setup: once/week (Wednesday)

Results in: 1 week