A
Collection Tube Abbreviations
|
RT = Plain Red top |
GYT = Gray top | RBL = Royal Blue top |
| RHalo = Red Halo | YT = Yellow top | PT = Pink top |
| BLT = Blue top | GRN = Green top | PPT = Pearl top |
| LT = Lavender top | SGRN = Special Green | GHalo = Green Halo |
|
Test (TEST CODE) |
Lab Section |
Special Requirements |
Reference Ranges and Critical Values |
Testing Schedule and Expected Turnaround Time |
| ABO & Rh Blood Group Typing | BBK | 1 LT and order sheet initialed by blood collector. | For massive transfusion or coagulopathy - Call CP Resident (688-2820) |
24 hrs/7 days Results: 4 hrs STAT: 10 min |
|
Abscess/Wound
Culture and Gram Stain (AWCLT) |
Micro |
Pus
and or drainage collected in Sterile, no additive, leakproof,
leakproof container or needle aspirate are preferred. (Swabs are not optimal) Decontaminate the skin surface, collect purulent material aseptically from undrained abscesses using a sterile needle and syringe. Alternately, open abscess with scalpel and collect expressed material with syringe or swab. Open wounds will require proper cleansing with removal of scab or existing exudate and the collection of tissue from the leading edge of the wound. Culture swabs are not the collection device of choice, however are frequently submitted due to ease of collection. |
Negative |
Daily Results: 48-72 hours |
|
Absolute Eosinophil Count (BLEO) |
Heme | 3.0 ml blood, 1 LT | 0-450/dL |
24 hrs/ 7 days Results: 2 hrs |
|
ACE {Angiotensin Converting Enzyme} (ACENZ) |
Ref | 6 ml blood, 1 RHalo |
<15 yrs: 18-90 IU/L 15-17 yrs: 14-78 IU/L 18 yrs & >: 9-67 IU/L |
Mailout: 5-7 days ARUP |
|
Acetaminophen (ACET) |
Chem | 5 ml blood, 1 GHalo |
10-30
µg/mL Critical Value: > 30 µg/mL |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr |
|
Acetone, Serum (KET) |
Chem |
See Ketones |
|
|
|
Acetone, Urine (UKET) |
Heme | 8 ml fresh void urine |
Negative |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr |
|
Acetylcholine Receptor Binding Antibody (ARBIN) |
Ref |
6 ml blood, 1RHalo |
Neg =
< 0.4 nmol/L Pos = > 0.5 nmol/L |
Mailout: 5-7 days ARUP |
|
Acetylcholine Receptor Blocking Antibody (ARBLK) |
Ref |
6 ml blood, 1 RHalo |
Neg: 15%
blocking Indeterminate: 16-24% blocking Pos: > 25% blocking |
Mailout: 5-7 days ARUP |
|
Acetylcholine
Receptor Modulating Antibody (ARMAB) |
Ref |
6 ml blood, 1 RHalo |
Neg: 0-20%
modulation Indeterminate: 21-25% Pos: > 26% modulation |
Mailout: 5-7
days ARUP |
|
Acid Fast Bacillus Culture
and AFB Stain (AFCLT) |
Micro |
Sputum (more than 5cc), bronchial washings, bronchial lavage, gastric aspirate, urine (50-100 mL), 1-5 mL CSF, body fluid, tissue, submitted in a sterile, leakproof container. Prefer early morning specimens of urine and sputum (3 consecutive days optimum for sputum). For blood see "AFB Blood Culture" (Swabs are not acceptable and cause for rejection of specimen.) |
Negative Physician and infection control will be called with Positive results. |
M-F.
Results: 6-8 weeks |
|
Acid Hemolysin [Ham Test] |
VA | Call 257-6443 (VA) for collection requirements and testing schedule | Mailout: 5-7 days | |
|
Acid Phosphatase, Total Serum (ACIDP) |
Ref |
5 ml blood, RT
on ice. Separate serum from cells and freeze ASAP |
0.0 - 4.3 U/L |
Mailout: 5-7 days ARUP |
|
ACTH (ACTH) |
Ref | 5 ml blood, 2 LT on ice |
9.0
-52.0 pg/ml |
Mailout: 1-2 days ARUP |
|
Actinomyces
(Anaerobe Culture) and Gram Stain (ANCLT) |
Micro |
Anaerobe transport media or deliver immediately. Includes gram stain. Mark requisition for Actinomyces culture. |
Negative |
Daily Results: 10 days |
|
Activated Partial Thromboplastin Time
(APTT) |
Coag |
3.5 ml blood, 1 BLT Specimen amount is critical to maintain proper ratio of blood to anticoagulant. |
23.0 -36.9 seconds Critical Value: < 18 sec ≥ 90 sec (No Heparin) ≥ 140 sec (on Heparin) |
24hrs/7days Results: 2 hours STAT: 1 hour |
| Acute Leukemia Panel | Flow |
1 GRN + 1 LT, Bone marrow aspirate, Biopsy, Tissue or Body Fluid |
Interpretive report. Includes enumeration of blasts with T cell, B cell and myelo/monocytic cell markers |
M-F Results: 24-48 hrs |
|
Adenosine Deaminase |
Ref | 1 ml body fluid | Interpretive report |
Mailout: 10-14
days ARUP |
|
Adenovirus Antibody (REF) |
Ref | 5ml blood, 1 RHalo | <1:8 No antibody detected |
Mailout: 5-7 days ARUP |
|
Adenovirus Culture |
ACH | See Culture, Adenovirus |
|
|
| ADH {Antidiuretic Hormone/Vasopressin} | Ref |
10 ml blood, 2
LT Critical frozen |
0.0- 4.7 pg/mL |
Mailout: 5-7 days ARUP |
| Adrenal Antibody | Ref | 7 ml blood, 1 large RT | By Report |
Mailout: 7-10 days ARUP |
|
Adrenocorticotropic Hormone {ACTH} (ACTH) |
Ref | 5 ml blood, 2 LT on ice |
9.0
-52.0 pg/ml |
Mailout: 1-2 days ARUP |
|
AFB Blood Culture (AFBBC) |
Micro |
Peripheral blood, 10 mL Isolator tube (obtained through the Omni system) or 1.5 mL pediatric Isolator tube. Bone Marrow: 1.5 mL Isolator tube. |
Negative Physician and infection control will be called with Positive results. |
M-F Results: 6-8 wks |
|
AFB Culture
and AFB Stain (AFCLT) |
Micro |
Sputum (more than 5cc), bronchial washings, bronchial lavage, gastric aspirate, urine (50-100 mL), 1-5 mL CSF, body fluid, tissue, submitted in a sterile, leakproof container. Prefer early morning specimens of urine and sputum (3 consecutive days optimum for sputum). For blood see "AFB Blood Culture" (Swabs are not acceptable and cause for rejection of specimen.) |
Negative Physician and infection control will be called with Positive results. |
M-F Results: 6-8 wks |
|
AFB
Susceptibilities,
MTB |
Ref | Performed at Reference Lab | Results: 2-3 wks | |
| AFB Susceptibilities (other than MTB) | Ref | Performed at Reference lab (upon request only) | Results: 2-3 wks | |
|
AFB Smear Only (AFBSM) |
Micro |
Sputum (more than 5cc) in a sterile, leakproof transport container. Must have had a previous positive culture. |
Negative Physician and infection control will be called with Positive results. |
M-F Results: 24-72 hrs |
|
AFP [Alpha Fetoprotein, Tumor Marker] (AFP2) |
Chem | 5 ml blood, 1 RHalo | 0.0 - 8.0 ng/mL |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr |
|
ALA [Aminolevulinic
Acid], Urine (URALA) |
Ref |
Random or 24 hour urine. Protect from strong light. |
Random: 0-35 µmol/L Timed: 0-60 µmol/day |
Mailout: 5-7 days ARUP |
|
Albumin, Body Fluid (BFALB) |
Ref |
1 ml body fluid Keep refrigerated |
Not established |
Mailout: 5-7 days ARUP |
|
Albumin Adults (ALB) Neonates (ALBP) |
Chem
/ Peds Lab |
Adults: 5 ml blood, 1
GHalo
Neonates: 1 amber or green bullet tube |
3.5 -
4.8 g/dL
Pediatric: 3.5-5.5
g/dL |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr Peds Lab: Routine: 2 hrs STAT: 1 hr |
|
Alcohol, Serum (ALC) |
Chem | See Ethanol | ||
|
Alcohol
[Volatiles] Screen |
Chem | See Delta Osmolality | ||
|
Aldolase (ALDL) |
Ref |
5 ml blood; 1 RHalo Freeze Serum |
0 up to 1 Mo: 6.0-32.0 U/L 1 Mo-16 yrs: 3.0-16.0 U/L 17 yrs & over: 1.5-8.1 U/L |
Mailout: 5-7 days ARUP |
|
Aldosterone, Serum (ALDST)
Aldosterone,
Urine |
Ref |
6 ml blood, 1 RT or 24 hr urine (bottle Type II) |
Serum supine = <1.6-16 ng/dL Serum standing = 4-31 ng/dL Urine: 6-25 µg/24 hrs (assuming a normal salt intake of 100-200 mEq/day) |
Mailout: 5-7 days ARUP |
|
Alkaline Phosphatase Adults (ALP) Neonates (ALPP) |
Chem
/ Peds Lab |
Adults: 5 ml blood, 1
GHalo Neonates: 1 green bullet tube |
40 - 120 IU/L |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr Peds Lab: Routine: 2 hrs STAT: 1 hr |
|
Alkaline Phosphatase
Isoenzymes, Heat Fractionation |
Ref |
6 ml blood, 1 RT
or 1 GRN Separate serum from cells ASAP and freeze |
Interpretive report |
Mailout: 5-7 days ARUP |
|
Alkali Denaturation Test
|
See Hemoglobin F. | |||
|
Alpha-1-Antitrypsin (A1ATR) |
Ref | 6 ml blood, 1 RHalo | 100 - 200 mg/dL |
Mailout: 5-7 days ARUP |
|
Alpha-1-Antitrypsin
Phenotype |
Ref | 6 ml blood, 1 RHalo | Interpretive report |
Mailout: 5-7 days ARUP |
| Alpha-2-Macroglobulin | Ref | 6 ml blood, 1 RHalo | 131 - 293 mg/dL |
Mailout: 5-7 days ARUP |
|
Alpha Fetoprotein, Tumor Marker (AFP2) |
Chem | 5 ml blood, 1 RHalo | 0.0-8.0 ng/mL |
Mon - Fri Results: 2 hrs STAT: 1 hr |
|
Alpha Sub Unit,
Free (ASUB) |
Ref |
6 ml blood, 1 RHalo Separate serum within 1 hr Freeze serum |
Age/sex specific. See interpretive report. |
Mailout: 7-14 days ARUP |
|
ALT Adults (ALT) Neonates (ALTP) |
Chem
/ Peds Lab |
Adults: 5 ml blood,
1 GHalo Neonates: 1 green or amber bullet tube |
5 - 40 IU/L |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr Peds Lab: Routine: 2 hrs STAT: 1 hr |
|
Aluminum, Serum (ALUM) |
Ref | 7 ml blood, Royal Blue, no additives. Separate serum from cells ASAP | 0-20 µg/L |
Mailout: 5-7 days ARUP |
|
Amikacin Level Peak: (AMIKP) Trough: (AMIKT) Random: (AMIKR)
|
Ref |
5 ml blood, 1 RT labeled as peak, trough or random. Do not use separator tubes or gels. |
Trough: 4.0 - 8.0 µg/mL Toxic: >8.0 µg/mL Peak: 20-30 µg/mL Toxic: >30.0 µg/mL |
Mailout: 5-7 days ARUP |
| Amino Acids, Quant. Plasma | Ref | 2 GRN (sodium or lithium heparin). Freeze plasma | Interpretive report |
Mailout: 5-10 days ARUP |
|
5-Aminolevulinic Acid {ALA}, Urine (URALA) |
Ref |
Random or 24 hour urine Protect from light |
Random: 0-35 µmol/L 24 hr: 0-60 µmol/day |
Mailout: 5-10 days ARUP |
|
Aminophylline {Theophylline} |
Peds Lab |
See Theophylline | ||
|
Amiodarone & Metabolite (AMIDM) |
Ref | 7 ml blood, RT no additives. Protect from light. |
Amiodarone: 1.0-3.0 µg/mL Desethylamiodarone: Not established Potential Toxic Level > 3.0 µg/mL |
Mailout: 5-7 days ARUP |
|
Amitriptyline/Nortriptyline
Fractionation (AMI/N) |
Ref |
10 ml blood, 1 RT
Refrigerate serum. |
Total drug: 95-250 ng/mL
Toxic: > 500 ng/mL |
Mailout: 5-7days ARUP |
|
Ammonia (NH4) |
Chem |
5 ml blood, 1
Green top (lithium
heparin) PUT ON ICE AND TRANSPORT IMMEDIATELY |
21 - 47
µMol/L |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr |
|
Amniotic Fluid OD-450 Scan (SCAN) |
Chem |
Amniotic Fluid. Do not spin. Use brown plastic tube or protect from light. |
Interpretive report |
7 days/wk Cutoff: 1 pm Results by 4 pm |
| Amobarbital | Ref |
5 ml blood, 1 RHalo
|
Thera: 1-8 µg/mL | Mailout: 5-7 days |
| Amoeba, Stool | Ref | See Ova & Parasite Exam | Negative |
Daily Results: Upon receipt from ADH |
|
Amoebic Antibody (AMAB) |
Ref | 5 ml blood, 1 RHalo | <0.9 IV: Negative |
Mailout: 5-7 days ARUP |
| Amoxapine and Metabolite | Ref |
10 ml blood, 1 RHalo
Requires 3 ml serum minimum |
By report |
Mailout: 5-10 days ARUP |
|
Amphetamine, Urine
(AMPH) |
Chem |
Random urine. |
Negative This is a screening test. These results should not be used for forensic or for pre-employment purposes. |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr |
|
Amphetamine & Methamphetamine, Serum (AMP+M) |
Ref | 7 ml blood, RT | By report |
Mailout: 5-10 days ARUP |
|
Amylase,
Body Fluid (FAMY) |
Chem |
3
ml fluid,
Indicate source of fluid. Accepted Body Fluids: Pleural Fluid Dialysate Diagnostic Peritoneal Lavage Davol Drainage Ascitic/Peritoneal Fluid |
Not established |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr |
|
Amylase (AMY) |
Chem | 5 ml blood, 1 GHalo | 25 - 125 U/L |
24 hrs/ 7 days Results: 2 hrs STAT: 1 hr |
|
Amylase, Urine (UAMY) |
Chem | 24 hr timed collection, bottle type 1 obtained from Lab. | 4 - 37 U/24hr |
24 hrs/ 7 days Results: 2-4 hrs STAT: 1 hr |
|
Amylase Isoenzymes (AMYIS) |
Ref | 6 ml blood, 1 RHalo |
Salivary: 0-85 U/L Pancreatic: 0-68 U/L Total: 30-110 U/L |
Mailout: 5-7 days ARUP |
| Amyloid A | Ref |
LT or yellow ACD Room temp |
Mailout: MAYO |
|
|
Anaerobe Culture (ANCLT) |
Micro |
Anaerobe transport media or transport to Clinical Lab immediately. Includes gram stain. Pus and or drainage collected in sterile, no additive, leakproof container or needle aspirate are preferred. (Swabs are not optimal) Decontaminate the skin surface, collect purulent material aseptically from undrained abscesses using a sterile needle and syringe. Alternately, open abscess with scalpel and collect expressed material with syringe or swab. Open wounds will require proper cleansing with removal of scab or existing exudate and the collection of tissue from the leading edge of the wound. § Anaerobic culture swabs are not the collection device of choice, however are frequently submitted due to ease of collection. § Must also have an aerobic culture ordered. § Use of anaerobic transport media is required. § Place specimen in anaerobic transport media if available. Otherwise, place in a sterile leakproof container and transport to the Microbiology laboratory promptly. § Unacceptable specimens: specimens from body sites with normal anaerobic flora (throat, mouth, rectum); urine (clean catch, catheterized); cervix, placenta, IV catheter tips. |
Negative |
Daily Result: 5 days |
|
ANCA Panel {MPO/PR3 Antibodies} (ANCAP) |
Ref |
5 ml blood, 1 RHalo Refrigerate serum |
Interpretive report |
Mailout: 5-10 days ARUP |
|
Androstenedione (ANDST) |
Ref |
6 ml blood, 1 RT,
1RHalo or 1 LT Freeze serum or plasma. |
Children: 0.1-0.5 ng/mL Adult: Male: 0.6-2.7 ng/mL Female: 0.5-2.7ng/mL Postmenopausal Female: <1.0 |
Mailout: 5-7 days ARUP |
|
Angel Dust {PCP,
Phencyclidine}, Urine (PCP) |
Chem | See PCP | ||
|
Angiotensin Converting Enzyme
{ACE}, Serum (ACENZ) |
Ref |
6 ml blood, 1
RHalo
Freeze serum. |
<15 yrs: 18-90 IU/L 15-17 yrs: 14-78 IU/L 18 yrs & >: 9-67 IU/L |
Mailout: 5-7 days ARUP |
|
Angiotensin Converting
Enzyme, CSF (ACESF) |
Ref | 1 ml CSF, frozen | Interpretive report |
Mailout: 5-7 days ARUP |
| Anti-Adrenal Antibody | Ref | 7 ml blood, 1 large RT | By Report |
Mailout: 7-10 days ARUP |
|
Antibiotic Level (ANTIB) |
Ref | 10 ml blood, RT using sterile technique. Blood must NOT be anticoagulated. Separate serum and freeze ASAP. | Interpretive report |
Mailout: 3-5 days ARUP |
|
Antibodies to Extractable Nuclear Antigens Must order individual test: Anti-Smith (SM-AG) Anti-SS-A/Ro (SSA) Anti-SS-B/La (SSB) Anti-SCL-70 (SCL70) Anti-Sm/Rnp (RNP) Anti-Centromere (ANTC) |
Ref | 5 ml blood, 1 RT | Negative |
Mailout: 3-5 days ARUP |
|
Antibody Screen [Indirect Coombs Test; Indirect Anti-Human Globulin Test] (IAT) |
BBK |
1 EDTA tube and
order sheet initialed by blood collector. |
Detection of clinically significant blood group allo-antibodies. |
24 hrs/ 7 days STAT: 30 min |
|
Antibody Titer [Isohemagglutinin
Titer] (ABTI) |
BBK | 1 EDTA tube and order sheet initialed by blood collector. | Interpretive; primarily prenatal studies for clinically significant antibodies capable of causing HDN. | 24hrs/7days |
|
Anti-Cardiolipin Antibodies,
IgG & IgM (ACLGM) |
Ref (VA) |
RT or BLT See the VA on-line lab manual for more information. |
IgG > 23 GPL IgM > 11 MPL |
Mailout: 5-7 days |
|
Anti-Centromere Antibody (ANTC) |
Ref | 5 ml blood, 1 RT | Negative |
Mailout: 1-2 days ARUP
|
| Antidiuretic Hormone [ADH, Vasopressin] | Ref | 2 LT on ice. Freeze plasma. | 0.0- 4.7 pg/mL |
Mailout: 5-7 days ARUP |
|
Anti-DNA (Crithidia) (DNA) |
Imm | See Doublestranded DNA | ||
| Anti-DNase B | Ref |
6 ml blood, 1 RHalo Separate serum from cells ASAP |
1-6 yrs < 1:60 7-17 yrs <1:70 18 yrs & over < 1:85 |
Mailout: 5-7 days ARUP |
|
Anti-ENA
{Extractable Nuclear Antigens} |
See Antibodies to Extractible Nuclear Antigens | |||
|
Anti-Freeze {Ethylene Glycol} |
Ref |
See Ethylene Glycol See Delta Osmolality Screen |
||
|
Anti-Fungal Susceptibility |
Ref | Performed at Reference lab (upon request only) | Results: 5-7 days | |
|
Antihuman Globulin Test,
Adult [Direct
Coombs Test] (DDC) |
BBK | 1 EDTA tube and order sheet initialed by blood collector. | Profile includes monospecific AHG Eluate (antibody ID of the eluate) & interpretation. | 24hrs/7days |
|
Antihuman Globulin Test,
Neonate [Direct Coombs Test] (DAT) |
BBK | 1 EDTA tube of cord specimen or venous blood. Tube and order sheet initialed by blood collector. | Detection of hemolytic disease of newborn (HDN). Eluates performed as indicated. | 24hrs/7days |
| Anti-Microsomal Antibody | See Thyroid Peroxidase (TPO) Antibody | |||
|
Anti-Mitochrondrial Antibody, IgG (MITAB) |
Ref |
5 ml blood, 1 RHalo Separate serum from cells ASAP |
<1.0 units: No antibody 1.0-1.3 units: Inconclusive >1.3 units: Positive |
Mailout: 5-7 days ARUP |
|
Anti-Myeline Associated Globulin {anti-MAG Antibody} |
Ref | 7 ml blood, 1 large RT | No antibody detected |
Mailout:
5-7 days ARUP |
| Anti-Myocardial Antibody, IgG | Ref |
5 ml blood, 1 RHalo Separate serum from cells ASAP |
<1:20 No antibody detected |
Mailout: 5-7 days ARUP |
|
Anti-Myosin Antibody
|
Ref | 5 ml blood, 1 RT or RHalo | Negative = <1:10 | Mailout: 5-7 days |
|
Anti-Nuclear Antibody (ANAT) |
Imm | 5 ml blood, 1 RHalo | ≤ 1:80 |
T & Th Cutoff: 7:30am Results: up to 4 days |
| Anti-Nuclear Antibody, IgG | Ref | 5 ml blood, 1 RHalo | None detected |
Mailout: 5-7
days ARUP |
|
Anti-Ovary Antibody |
Ref | See Ovarian Antibodies | ||
|
Anti-Parietal Cell
Antibody, IgG (PC-AB) |
Ref |
5 ml blood, 1
RHalo Separate serum from cells ASAP |
None detected |
Mailout: 5-7 days ARUP |
|
Anti-Phosphatidylserine Antibody |
VA |
RT or RHalo See the VA on-line lab manual for more information. |
IgG < 16 GPS IgM < 22 MPS |
Mailout: 5-7 days |
| Anti-Platelet Antibodies, Indirect | Ref |
10 ml blood RT, LT or yellow (ACD) |
Negative |
Mailout: 5-7 days ARUP |
| Anti-Reticulin Antibody, IgA | Ref |
5 ml blood, 1 RHalo Separate serum from cells ASAP |
<1:5 No antibody detected |
Mailout: 5-7 days ARUP |
|
Anti-SCL-70
Antibody (SCL70) |
Ref | 5 ml blood, 1 RT | Negative |
Mailout: 3-5 days ARUP |
|
Anti-Smith
Antibody (SM-AG) |
Ref | 5 ml blood, 1 RT | Negative |
Mailout: 3-5 days ARUP |
|
Anti-Smooth Muscle
Antibody, IgG (SMMUS) |
Ref | 6 ml blood, 1 RHalo |