
C
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
SectionSpecial
RequirementsReference Ranges and Critical Values Testing Schedule and Expected
Turnaround
TimeC1 Esterase Inhibitor
(C1EIN)Ref 5 ml blood, 1 RT
Separate serum from cells and freeze ASAP10 - 25 mg/dL Mailout: 5-7 days
ARUPClQ Binding Assay Ref 10 ml blood, 1 large RT.
Freeze serum< 20 µgE/mL Mailout: 5-7 days
ARUPC2 Complement Component Ref 5 ml blood, 1 Gold Top
Critical Frozen1.0 - 4.0 mg/dL Mailout: 5-7 days
ARUPC3-Proactivator
[Complement Factor B]Ref 5 ml blood, 1 Gold Top
Freeze serum20 - 51 mg/dL Mailout: 5-7 days
ARUPC3 [Complement C3]
(C3)Immu 5 ml blood, 1 Gold Top 75-150 mg/dL M-F
Cutoff: 2:00 pm
Result: 24 hrsC4 [Complement C4]
(C4)Immu 5 ml blood, 1 Gold Top 11.3-40.5 mg/dL M-F
Cutoff: 2:00pm
Result: 24 hrsC. difficile Toxin A or B
(CDIF)Micro Stool 2-3 ml in sterile, no additive, leakproof container.
Must be liquid stool.Negative
Physician will be called with Positive results.Daily
Result: 24 Hrs.C-Peptide
(CPEPT)
Ref 5 ml blood, 1 Gold Top on ice. Freeze serum within 1 hour. Fasting: 1.1 - 4.6 ng/mL Mailout: 5-7 days
ARUPC-Reactive Protein, Quant.
(CRPL)
Chem 5 ml blood, 1 Light Green 0 - 10 mg/L
24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrC-Reactive Protein, High Sensitivity
(HSCRP)Ref 5 ml blood, 1 Gold Top Low risk: < 1.0 mg/L
Average risk: 1.0-3.0 mg/L
High risk: > 3.0 mg/LMailout: 5-7 days
ARUPCA 15-3
(153CA)
Ref 5 ml blood, 1 Gold Top
Freeze serum for transport0 - 35 U/mL Mailout: 5-7 days
ARUPCA 19-9
(199CA)
Chem 5 ml blood, 1 Gold Top
<37 U/mL
24 hrs/ 7 days
Results: 2 hrsCA-125
(CA125)
Chem 5 ml blood, 1 Gold Top Females: <35 units/mL
Males: <35 units/mLM-F
Cutoff: 12:00 pm
Results: 24-48 hrsCadmium, Blood
Ref 7 ml blood, 1 Royal Blue with EDTA 0 - 5 µg/L Mailout: 5-7 days
ARUPCadmium, Urine
Ref 24 hr urine 0.0-3.3 µg/24 hrs Mailout: 5-7 days
ARUPCaffeine, Serum
(CAFEN)
Neonates (PCAF)
Ref 7 ml serum
Peds: 2 red bullets6-20 mg/mL
Toxic: >40 µg/dLMailout: 5-7 days Peds mailout to ACH
Calcitonin
(CALCT)Ref 5 ml blood, 1 Gold Top Male: 0.0 - 11.5 pg/mL
Female: 0.0 - 4.6 pg/mLMailout: 5-7 days
ARUPCalcium, Total Serum
(CA)
Neonate (CAP)
Chem/
Peds Lab5 ml blood; 1 Light Green Infant: 1 green bullet tube
8.7-10.5 mg/dl
Critical Value:
<7.0 or >12.0 mg/dL<2 mo.: 5.9-11.0 mg/dL
>2 mo.: 9-11 mg/dL
Pediatric Critical:
<5.9 or >12.6
24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrPeds Lab:
Routine: 1hr
STAT: 30 minCalcium, Ionized
Adult (CAI)
Chem Adults: 5 ml blood, 1 Gold Top
Adult: 1.18-1.30 mmol/L
Adult Critical Values:
<1.15 or >1.63 mmol/L
24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hr
Calcium, Urine
(UCA)Chem 24 hr urine in Type III bottle 0.05 - 0.15 g/24hrs 24 hrs/ 7 days
Rout: 2-4 hrs
STAT: 1 hrCalifornia Encephalitis Antibody
(CALAB)Ref 5 ml blood, 1 Gold Top
Separate serum from cells ASAP. Mark sample as "acute" or "convalescent"Interpretive report Mailout: 5-7 days
ARUPCandida Antigen Serology
(CANAG)Ref 5 ml blood, 1 Gold Top
Refrigerate serum.Negative Mailout: 5-7 days
ARUPCannabinoids, Confirmation/Quantitation Ref Random urine, refrigerated See report Mailout: 5-7 days
ARUPCannabinoids, Urine Screen
Chem
5 ml urine
Negative
24 hrs/7 days
Results: 2 hrs
STAT: 1 hrCarbamazepine {Tegretol}
(CRBAM)Chem 5 ml blood, 1 Light Green
4 - 10 µg/mL
Critical Value:
>11 µg/mL24 hrs/ 7 days
Rout: 2-4 hrs
STAT: 1 hrCarbon Dioxide, CO2,
Total Serum
Adults (CO2)
Neonates (CO2P)Chem/Peds Lab Adults: 5 ml blood, 1 Light Green
Infants: 1 green or amber bullet tube
22 - 31 mEq/L
Critical Values:
<10 or >40 mEq/L24 hrs/ 7 days
Rout: 2-4 hrs
STAT: 1 hrCarcinoembryonic Antigen (CEA2) Chem See CEA Cardiolipin Antibodies, IgG & IgM
(ACLGM)Ref (VA) BT or RT
See the VA on-line lab manual for more informationIgG > 23 GPL
IgM > 11 MPLMailout: 5-7 days
Carotene
(CAROT)
Ref 6 ml blood, 1 Gold Top
PROTECT FROM LIGHT. Freeze serum60 - 200 µg/dL Mailout: 5-7 days
ARUPCatecholamines, Plasma
(PLCAT)Ref 10 ml blood, 2 GRN (sodium heparin)
Separate plasma from cells ASAP and freeze.Epi: 10 - 200 pg/mL
Norepi: 80 - 520 pg/mL
Dopamine: 0 - 20 pg/mL
Mailout: 5-7 days
ARUPCatecholamines, Urine Free
(CATU)Ref 24 hr urine Epi: 0 - 25 µg/24 hrs
NEpi: 0 - 100 µg/24 hrs
Dopa: 60 - 440 µg/24 hrsMailout: 5-7 days
ARUPCat Scratch [Bartonella] Antibody-IgG
(CATIG)Ref 6 ml blood, 1 Gold Top
Separate serum from cells ASAP. Mark sample as "acute" or "convalescent"Interpretive report Mailout: 5-7 days
ARUPCat Scratch [Bartonella] Antibody-IgM
(CATIM)Ref 6 ml blood, 1 Gold Top
Separate serum from cells ASAP. Mark sample as "acute" or "convalescent"Intrepretive report Mailout: 5-7 days
ARUPCat Scratch [Bartonella] Panel
(CATSF)Ref 6 ml blood, 1 Gold Top
Separate serum from cells ASAP. Mark sample as "acute" or "convalescent"Interpretive report Mailout: 5-7 days
ARUPCBC and Differential
(CBCB)Heme Adults: 3.0 ml blood,1LT
Peds: 1 LT bullet tube
Click here for CBC normal ranges and critical values
24 hrs/ 7 days
Rout: 2-4 hrs
STAT: 1 hrCD3 Lymphocyte Levels
(CD3/5)Flow 1 LT
Normal Ranges:
CD3: 64-82%;
1171-2005/µl
CD5: 70-82%;
700-3280/µl
Therapeutic range for CD3 or CD5:
< 10%; 100/µlM-F
Results: 4-24 hrsCD4 T Cell Subset
(CD4)Flow 1 LT
39-57%,
720-1348/µlM-F
Results: 4-24 hrsCD4/8 Ratio Flow
See Helper/Suppressor Panel CD34 [Human Progenitor Cell Antigen]
(APB34) {ProCount}Flow 1 LT
NR = Negative.
Therapeutic range is any increase over the normal range.M-F
Results: 4-24 hrsCEA
(CEA2)Chem 5 ml blood; 1 Gold Top Non-smokers:
0.5 - 2.5 ng/mL
Smokers: 0.5 -10.0 ng/mL24 hrs/ 7 days
Rout: 2-4 hrs
STAT: 1 hrCell Count and Differential, CSF
(BFS)Heme 1 ml CSF (minimum), usually tube #3
Cell counts cannot be performed on clotted samples.<8 mature WBC/µl
100% nonreactive monocytes / lymphs.
Interpretive report.
Critical Values
1) WBCcount ≤ 10 cells/µl
2) ≥ 50% PMNS
3) OrganismsNeonates:
1)≥ 30 WBC count
2)≥ 50% PMNS
24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hr
Cell Count and Differential, Peritoneal Lavage
(BFS)Heme 10ml fluid minimum in a sterile container. Syringe or bag not acceptable.
Cell counts cannot be performed on clotted samples.Negative:
RBC <25,000/µl
WBC < 100/µl
No organisms, foreign materialBlunt Injury-Positive:
RBC >100,000/µl
WBC >500/µlPenetrating Injury-Positive:
RBC >50,000/µl
WBC >500/µl24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCell Count and Differential, Peritoneal Fluid
(BFS)Heme 1 ml fluid minimum in a sterile container. Syringe or bag not acceptable. Cell counts cannot be performed on clotted specimens. Clear, pale yellow
WBC < 300/µl
No microorganisms
Critical Values:
1) WBC > 500/µl
2) Microorganisms
3) Malignant cells24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCell Count and Differential, Pleural Fluid
(BFS)Heme 2 ml fluid minimum in a sterile container. Syringe or bag not acceptable. Cell counts cannot be performed on clotted specimens. Clear, pale yellow
WBC <1000 /µl
<20% neutrophils
<50% lymphs
>50% mesothelial cells
Interpretive report.
Critical Values:
>1000WBC/µl
>50% PMN
Organisms
Malignant cells24 hrs/7 days
Results: 2 hrs
STAT: 1 hr
Cell Count and Differential, Synovial
(JNT)Heme 2 ml fluid, 1 GRN (sodium heparin)
Syringe or bag not acceptable. Cell counts cannot be performed on clotted specimens.Clear, straw and viscous.
WBC <200 /µl
<25% PMN
No crystals seen
Interpretive report.
Critical Values:
1) Uric Acid and calcium pyrophosphate crystals
2) >1000 WBC/µl
3) >50% PMN's
4) Microorganisms.24 hr/7 days
Results: 2 hrs
STAT: 1 hr
Celontin
Ref See Methsuximide/ Normethsuximide Mailout Centromere Antibody
(ANTC)Ref 5 ml blood, 1 RT Negative Mailout: 1-2 days
ARUPCerebrospinal Fluid Cell Count and Differential
(BFS)Heme See Cell Count and Differential, CSF <8 mature WBC/µl
100% nonreactive
monocytes/ lymphs.
Interpretive report.
See Cell Count and Differential, CSF24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hr
Ceruloplasmin, Serum
(CERUL)Ref 5 ml blood, 1 Gold Top
Separate serum from cells ASAP25 - 63 mg/dL Mailout: 5-7 days
ARUPCH50 Complement
(CH50C)Ref 7 ml blood, large RT on ice. Separate serum from cells ASAP and freeze. Low: <60 CAE Units
Norm: 60 - 144 CAE Unts
High: >145 CAE UnitsMailout: 5-7 days
ARUPChemotaxis Ref 15 ml heparinized blood sterile, 3 GRN Interpretive report Mailout: 5-7 days Chimerism
Pre-Transplant (PRETR)
Post-Transplant (PSTTR)Ref (VA) See the VA on-line lab manual for more information. Mailout: Chlamydia Antibody- IgG/IgM
(CHLGM)Ref 5 ml blood, 1 Gold Top
Separate serum from cells ASAP. Mark sample as "acute" or "convalescent"Interpretive report Mailout: 5-7 days
ARUPChlamydia Culture
(CHLAM)Ref (ACH) Swab in Special Media. Obtain from UAMS Lab. Send on ice. No chlamydia isolated Mailout: 3-45 days Chloramphenicol
(CHLOR)Ref 7 ml blood, 1 RT
Freeze serumTherapeutic:10 - 20 µg/mL
Toxic: >25 µg/mLMailout: 5-7 days
ARUPChlorazepate Ref 10 ml blood, 2 RT or Gold Top Assayed as Nordiazepam
0.1 - 2.2 µg/m
Toxic: >2.5 µg/mLMailout: 5-7 days
ARUPChlordiazepoxide
Ref See Librium Mailout Chloride, Adult
Plasma (CL)
Urine (UCL)
Chem 5 ml blood, 1 Light Green
24 hour urine collectionPlasma: 100 - 108 mEq/L
Urine: 110 - 250 mEq/24 hr24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hr
Chloride, Neonates
(CLP)Peds Lab 1 green tube 100 - 117 mEq/L
Critical Values:
≤90 or ≥120 mEq/L24 hrs/ 7 days
Results:
Routine: 1 hr
STAT: 15 min
Chloride, Sweat ACH Performed at Arkansas Childrens Hospital by appointment. Telephone: 320-1300 Cholesterol Esters Ref 10 ml blood, 1 Large RT or 2 Gold Top. Patient fasting 12 hours 60 - 75% of total cholesterol Mailout: 5-7 days Cholesterol, Total
(CHOL)Chem 5 ml blood, 1 GHalo
Patient fasting 12 hoursADULT RANGES:
Desirable: <200 mg/dL
Borderline: 200-239 mg/dL
High Risk: >239 mg/dLCHILDREN and ADOLESCENTS:
Desirable: <170 mg/dL
Borderline: 170-199 mg/dL
High: >199 mg/dL24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCholesterol-HDL
(HDL)
Chem 5 ml blood, 1 Light Green
Patient fasting 12 hoursDesirable: ≥60 mg/dL
Increased Risk: ≤40 mg/dL24 hrs/ 7 days
Results: 2 hrs
Cholesterol-LDL ,
calculated
(LDL)Chem 5ml blood, 1 Light Green
Patient fasting 12 hoursOptimal: < 110 mg/dL
Low risk: 100-129 mg/dL
Borderline risk: 130-159 mg/dL
High: >159 mg/dLAn optional LDL-C goal of less than 70 mg/dL may be considered for patients at high CHD risk. In children and adolescents a desirable LDL serum cholesterol is less than 110 mg/dL.
24 hrs/ 7 days
Results: 2 hrs
Cholesterol-LDL,
measuredRef 5 mL blood, 1 Gold Top Mailout: 5-7 days
ARUPCholinesterase [Pseudo], Serum
(PCLNS)Ref (ACH) 2 ml blood; 1 Gold Top
Separate serum from cells ASAP. Freeze serum.M: 5.9 -12.2 U/mL
F: 4.7-10.5 U/mLMailout
Cholinesterase, RBC
(CLNS)Ref 5 ml blood; 1 LT
Do not spin or Freeze18-29 U/g Hgb Mailout: 5-7 days
ARUPChromium, Serum Ref 7 ml blood, dark blue tube with no additives.
Separate serum from cells ASAP. Avoid the use of glass.<0.5 - 2.1 µg/L Mailout: 5-7 days
ARUPChromium, Urine Ref 24 hr collection in Type 1 jug. <0.5 - 5.0 µg/24 hrs Mailout: 5-7 days
ARUPChromogranin A Ref 5 ml blood, 1 RT Male: 0 - 76 ng/mL
Fem: 0 - 51 ng/mLMailout: 7-10 days
ARUPChromosome Studies Ref Contact Cytogenetics lab for specimen and transport requirements (526-8000). Interpretive Chronic Leukemia/Lymphoma Panel Flow 1 Green top + 1 LT,
Bone marrow aspirate, Biopsy, Tissue or Body FluidInterpretive report. Includes enumeration of all lymphocytes and subsets. M-F
Results: 24-48 hrsCitric Acid, Urine
(UCITR)Ref 24 urine sample. Refer to ARUP manual for specific collection requirements 320 -1240 mg/24 hrs Mailout: 5-7 days
ARUPCK, Total
(CK)Chem 5 ml blood, 1 Light Green Male: 50 - 260 IU/L
Female: 30 - 235 IU/L
24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCK Index
Includes CK, CKMB and Index Value
(CKI)Chem 5 ml blood, 1 Light Green 0.0 - 2.4 24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCKMB
(CKMB)
Chem 5 ml blood, 1 Light Green 0.2 - 5.0 ng/mL
24 hrs/ 7 days
Results: 2-4 hrs
STAT: 1 hr
Clindamycin Level
Ref See Antibiotic Level Clonazepam
(CLONA)Ref 7 ml blood, 1 RT
Freeze serum10 - 75 ng/mL based on dosages up to 6 mg/24 hr.
Toxic: >100 ng/mLMailout: 5-7 days
ARUPClonidine
(CLOND)Ref (1)15 ml RT, (2)gray tops, or urine
Interpretive report Mailout: 5-7 days
ARUPClonopin
See Clonazepam. Clostridium difficile Toxin A or B Assay
(CDIF)Micro Stool 2-3 ml in sterile, no additive, leakproof container.
Must be liquid stool.Negative
Physician will be called with Positive results.Daily
Result: 24 Hrs.CMV, Quantitative by PCR on plasma
(QCMV)Molec.
Diagnostics1 Pearl Top Tube None detected M-F
Cutoff: 7:30am
Results: 1-4 daysCMV Culture, Blood ACH Sodium Heparin- Special Green Top Tube.
Keep at room temperature. Should be sent STAT.Negative M-F Mailout
Cutoff: 2 pm
Results: 5-7 days
CMV Culture, Urine ACH Sterile Container. Send on ice. Negative M-F Mailout
Results: 5-7 days
CMV, BAL DFA ACH Bronchioalveolar Lavage (1-5 ml) Transport immediately on ice and mark STAT and call 67047. Negative M-F Mailout
Cutoff: 1:30 pm
Results: 1-2 days
CMV-IgG
(CMVG)Chem 5 ml blood, 1 RT
Negative: CMV IgG antibody not detected Positive: Significant level of CMV IgG antibody detected, which may indicate current or past infection.
M-F
Cutoff: 11:30 am
Results: Same dayCMV-IgM
(CMVM)Ref 5 ml blood, 1 RT Interpretive report Mailout: 5-7 days
ARUPCMV qPCR CSF (CMVCS) random urine or tall lavender for blood test ViraCor Laboratories CO2, Total
Adults (CO2)
Neonates (CO2P)Chem /
Peds Lab
See Carbon DioxideCocaine, Urine Screen
(COKE)
Chem 5 ml urine Negative 24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hr
Cold Agglutinins
(CLDAG)Ref 5 ml blood, 1 RT or Gold Top
MUST be placed in and transported in warm sand. (available in clin lab). Keep at 37oC.<1:32 Negative Mailout: 2-5 days
ARUPCold Autoabsorption BBK 2 EDTA tubes and order sheet initialed by blood collector. Includes type & antibody screen Negative.
Performed following a positive antibody screen24hrs/7days Compatibility Study [Crossmatch] BBK 2 EDTA tubes and order sheet initialed by blood collector. Includes type & antibody screen Compatible massive transfusions. Contact CP resident (688-2820) Valid for 72hrs from the time of draw. 24 hrs/ 7 days
Results: 4 hrs
STAT: 1 hrComplement C3
(C3)Immu See C3 Complement C4
(C4)Immu See C4 Complement Decay Rate Ref 5 ml blood, 1 LT 3 ml plasma, freeze Less than 50%
Total complement: 40-85 CH 50 unitsMailout: 5-7 days Complement, Total Hemolytic Ref 5 ml blood, 1 RT or Gold Top
Transport on ice!189 - 420 units Mailout: 5-7 days Complete Blood Count
Heme See CBC and Differential Compound S, Blood Ref 5 ml blood, 1 RT, 1 LT or 1 GRN. Not appropriate for patients <3 months of age 0.0 - 0.8 µg/dL Mailout: 5-7 days
ARUPCoombs Test, Direct
Adult
{Antihuman Globulin 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 Coombs Test, Direct Neonate
{Antihuman Globulin 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 Coombs Test, Indirect {Antibody Screen}
(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 minCopper, Serum
(COPPR)Ref 7 ml blood Dark Blue, no additives. Age and sex specific. See interpretive report Mailout: 5-7 days
ARUPCopper, Urine
(UCOPP)Ref Random or 24 hr urine Random: 0.2 - 8.0 µg/dL
24 hr: 3 - 35 µg/dayMailout: 5-7 days
ARUPCoproporphyrin / Uroporphyrin, Urine Ref See Porphyrins, Urine Cortisol
(CORT)Chem 5 ml blood; 1 Light Green AM: 4.3 - 22.4 µg/dL
PM: 3.1 - 16.7 µg/dL24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCortisol, Urine Free
(URFC)Ref 24 hr urine, refrigerated See final report for reference intervals Mailout: 5-7 days
ARUPCoxsackie A9 Virus Antibodies
(CXA9)Ref 6 ml blood, 1 Gold Top
Separate serum from cells ASAP. Mark sample as "acute" or "convalescent"<1:8 No antibody detected Mailout: 5-7 days
ARUPCoxsackie B Virus Antibodies Ref 6 ml blood, 1 Gold Top
Separate serum from cells ASAP. Mark sample as "acute" or "convalescent"<1:10 No antibody detected Mailout: 5-7 days
ARUPCreatinine
Adult (CREA)
Neonate (CREAP)Chem /
Peds LabAdults: 5 ml blood, 1 Light Green
Infants: 1 green bullet tubePlasma:
Female: 0.6 - 1.1 mg/dL
Male: 0.9-1.3 mg/dL
Pediatric: (Ages 2-17) both Male and Female 0.5-1.0 mg/dL
24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hr
Peds Lab:
Routine: 2 hrs
STAT: 1 hr
Creatinine, Amniotic Fluid
(FCR)Chem 1 ml amniotic fluid >2.0 mg/dL 24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCreatinine, Urine
(UCR)Chem 24 hr timed urine in Type I bottle 0.8 - 1.8 g/24 hr 24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCreatinine Clearance
(CLEAR)Chem 5 ml blood, 1 Light Green plus
24 hr urine in Type I bottle.97 - 137 ml/min 24 hrs/ 7 days
Results: 2-4 hrs
STAT: 1 hrCreatine Kinase, Total CK
(CK)Chem 5 ml blood, 1 Light Green See CK
Male: 50 - 260 IU/L
Female: 30 - 235 IU/L
24 hrs/ 7 days
Results: 2 hrs
STAT: 1 hrCrithidia {Anti-DNA)
(DNA)Imm See Doublestranded DNA Crossmatch
{Compatibility Study}BBK 2 EDTA tubes and order sheet initialed by blood collector. Includes type & antibody screen Compatible massive transfusions. Contact CP resident (688-2820)
Valid for 72hrs from the time of draw.24 hrs/ 7 days
Results: 4 hrs
STAT: 1 hrCRP, Quantitative
(CRP)Chem See C-Reactive Protein
CRP, High Sensitivity
(HSCRP)Ref 5 ml blood, 1 Gold Top Low risk: < 1.0 mg/L
Average risk: 1.0-3.0 mg/L
High risk: > 3.0 mg/LMailout: 5-7 days
ARUPCryofibrinogen
(CRYFB)Ref 1 full BLT. Must be kept at 37°C. Do not refrigerate or freeze at any time. Call lab before sending to schedule. Negative at 72 hours Mailout: 5-7 days
ARUPCryoglobulins
(CRYOG)Ref 10 ml blood, 1 large RT.
MUST be placed in and transported in warm sand. (available in clin lab). Keep at 37oC.Negative at 72 hours Mailout: 5-7 days
ARUPCryptococcal Antigen
(CRYP)Micro 5 ml blood, 1 RT or
(The sample is titered if positive. A titer is performed no more frequently than every 7 days.)
1 ml CSFNegative
Physician will be called with Positive results.Daily
Result: Same dayCryptosporidium Exam Ref Stool transported in PVA and 10% Formalin collection set.
(pink and blue cap)
(Must be filled to fill line or specimen will be rejected.)
Negative Mailout: 5-7 days
ARUPCrystal Exam, Synovial Fluid Heme See Cell Count and Differential, Synovial Fluid CSF Oligoclonal Bands Imm 3 ml CSF + 5ml Gold Top.
Send serum Gold Top for electrophoresis.No bands detected M-F
Cutoff: 1pm
Result: 24-72 hoursCSF Protein Electrophoresis
(SFPEP)Imm 3 ml CSF + 5ml Gold Top.
Send serum Gold Top for electrophoresis.Prealbumin: 2-7%
Albumin: 50-70%
Alpha 1: 1-7%
Alpha 2: 3-12%
Beta: 7-23%
Gamma: 3-13%
plus interpretive reportM-F
Cutoff: 2pm
Result: 24-72 hrsCulture, Abscess/Wound
(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 hrsCulture, Adenovirus
ACH Throat, rectal, or conjunctival swab in transport media. TRANSPORT ON ICE. Negative; Positives called to physician
when apparent.M-F 8am-2pm Culture, AFB
(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 to 8 wksCulture, Anaerobic
(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
Results: 5 daysCulture, Blood
(BCLT)Micro Adults: 20 mL total-10mL blood in each aerobic & anaerobic bottle.
Nursery: 0.5-4mL per pediatric bottle
Use Chloraprep to disinfectant skin. Disinfect the tops of the bottles with alcohol swab. Place 8-10 mL blood in BacT/Alert aerobic bottle and 8-10 mL blood in BacT/Alert anaerobic bottle. For samples less than 5 mL, collect blood in pediatric BacT/Alert bottle (yellow). See Nursing Procedure for Blood Culture CollectionNegative
Physician will be called with Positive results.Daily
Result: 5 days.Culture, Blood Culture for Histoplasma
(BCHIS)
Micro Isolator Tube (10 mL) obtained through the Omni system.
Use Chloraprep to disinfectant skin. Disinfect the tops of the tube with alcohol swab. See Nursing Procedure for Blood Culture Collection
Negative
Physician will be called with Positive results.M-F
Results: 4 wks.
Culture, Body Fluid
(BFCLT)
Includes:
Amniotic, CSF (tube #2), joint fluids, dialysate, paracentesis, peritoneal, thoracentesis, etc.Micro Sterile, no additive, leakproof container. Includes gram stain. Negative-
Physician will be called with Positive results.Daily
Results: 72 hrs.Culture, Bone Marrow
(BFCLT)Micro 0.5 ml minimum.
When scheduling bone marrow, request technologist to bring special Pediatric Isolator tube to bedsideNegative Daily Results: 72 hrs. Culture, Bone
(BONE)Micro Sterile, no additive, leakproof container.
Gram stain is not performed.Negative-
Physician will be called with Positive results.Daily
Results: 5 daysCulture, Bronchial Alveolar Lavage(BAL) (Culture and Gram Stain)
(BBCLT)Micro 5mL Minimum in a sterile, no additive, leakproof container. Negative Daily
Results: 48-72 hrs.Culture, Bronchial Brush (Culture and Gram Stain)
(BBCLT)
Micro For quantitative culture, place brush into 1 ml sterile saline. (1 ml saline tubes may be obtained from Microbiology) Negative Daily
Results: 48-72 hrs.
Culture, Campylobacter
(CAMPC)
Micro Fresh stool in Cary-Blair preservative/transport vial; fill to the line indicated on vial and mix well.
(Must be filled to fill line or specimen will be rejected.)
Not performed on in-patients who have been hospitalized more than 3 days.
Negative
Physician will be called with Positive results.
Daily
Results: 48-72 hrs.
Culture, Chlamydia
(CHLAM)Ref (ACH) Swab in special media. Obtain from Clinical Lab. Send on ice. No chlamydia isolated Mailout: 1-45 days Culture, CMV Blood Ref (ACH) Sodium Heparin-Special Green Top Tube.
Keep at room temperature. Should be sent STAT.Negative M-F Mailout
Cutoff: 2pm
Results: 5-7 daysCulture, CMV Urine Ref (ACH) Sterile Container.
Send on ice.Negative M-F Mailout
Results: 5-7 days
Culture, Cystic Fibrosis (Culture and Gram Stain)
(CFRES)Micro Sputum transported in sterile, no additive, leakproof container. Negative Daily
Results: 72 hrs.Culture, Dialysate
(BFCLT)Micro See Culture, Body Fluid Negative; Positive results called to physician. Daily
Results: Up to 5 daysCulture, Eye/ Corneal Scrapings
(AWCLT)
Micro § Media (BAP, CHOC) is available from Microbiology for direct inoculation, particularly of corneal scrapings.
§ Note: directly plated specimens do not include a gram stain, unless a slide is prepared, too.
Culture transport swab is also acceptable.
Negative Daily
Results: 72 hrs.Culture, Fungal
(FNCLT)
Micro Sterile, no additive, leakproof container.
(Swabs are not acceptable and will be rejected.)
(Fungal smear included.)Negative
Physician will be called for cultures exhibiting mould growth.
Daily
Results: 4 weeksCulture, Group B Strep Genital Screen
(GNSTR)Micro Vaginal or anorectum swab in Amies transport media (white cap) Negative Daily
Results: 72 hrsCulture, Gonorrhea (GC)
(GCCLT)Micro Swab in Amies with charcoal transport media (green cap) Negative
Physician will be called for cultures growing Neisseria gonorrhoeaeDaily
Result: 48-72 hrs.Culture, Herpes ACH Swab in viral Transport media. TRANSPORT ON ICE. Negative; Positive results called to physician. M-F
Result: 1-14 daysCulture, Legionella
(LGCLT)Micro Sputum or other respiratory specimens transported in sterile, no additive, leakproof container. Negative
Physician will be called with Positive Legionella results.Daily
Results: 7 days
Culture, Mycobacteria {AFB}
(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 to 8 wksCulture, Nocardia
(FNCLT)Micro See Culture, Fungal Culture, Nose
(NORSA)Micro Swab transported in Amies transport media (white cap)
Culture examined for Methicillin (Oxacillin) Resistant Staphylococcus aureus only.
Negative Daily
Results: 48-72 hrs.Culture, Nose Fungal
(FNCLT)
Micro Nasal wash
(Swabs are not acceptable and will be rejected.)
Culture examined for MOULD only.
Negative
Physician will be called with cultures exhibiting mould growth
Daily
Results: 4 wks.
Culture, Respiratory
(Culture and Gram Stain)
(RSCLT)Micro Sputum, endotracheal, or tracheal (not BAL—See Bronchoalveolar Lavage) transported in sterile, no additive, leakproof container. Negative Daily
Results: 48-72 hrsCulture, Sputum
(RSCLT)Micro See Culture, Respiratory
aboveCulture, Stool
(ITCLT)
Includes culture for:
Salmonella and Shigella
(Aeromonas, Plesiomonas, and Vibrio are looked for upon request.)
Micro Fresh stool in Cary-Blair preservative/transport vial; fill to the line indicated on vial and mix well. (Must be filled to fill line or specimen will be rejected.)
Not performed on in-patients who have been hospitalized more than 3 days.Negative
Physician will be called if Positive for Salmonella or Shigella (or designated pathogens when requested)Daily
Result: 72-96 hrsCulture, Throat
(SACLT)Micro Swab transported in Amies transport media (white cap)
Or
Swab transported in LQ Stuart media (red cap)
Negative for Group A Streptococcus Daily
Results: 48-72 hrs.Culture, Tissue
(TSCLT)
(Culture and Gram Stain)
Micro One (1) cm3 Tissue, if possible, in sterile, no additive, leakproof container. Negative Daily
Results: 5 daysCulture, Urine
(URCLT)Micro BD Urine C & S preservative (grey top with yellow label) container.
Disinfect top of tube with alcohol before injecting urine.
Negative Daily
Result: 48-72 hrsCulture, Virus Ref (ACH) Sterile container for fluids on ICE. Transport media for swabs on ICE.
SGRN at room temperature for blood.
See Clinical Virology for further information.Negative; Positive results called to physician. M-F
8am-2pm
Result: 1-42 daysCulture, Wound/Abscess
(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
Result: 48-72 hrsCulture, Yersinia
(YRCLT)Micro Fresh stool in Cary-Blair preservative/transport vial; fill to the line indicated on vial and mix well. (Must be filled to fill line or specimen will be rejected.)
Not performed on in-patients who have been hospitalized more than 3 days.
Negative
Physician will be called if culture is Positive for Yersinia
Daily
Results: 72 hrs.
Cyanide Ref 7 ml blood, 1 GRN.
Do not freeze or refrigerate< 20 µg/dL
Potentially toxic: >50 µg/dLMailout: 5-7 days
ARUPCyclic AMP, Plasma or Urine Ref 5 ml blood, 1 LT
or random urinePlasma 16 - 29 pmol/mL
Urine 1.6 - 6.2 nmol/mLMailout: 5-7 days
ARUPCyclosporin
(CYCLO)Chem 5 ml blood; 1 LT 100 - 400 ng/mL
Daily
Cutoff: 11:30am
Results: Next dayCylex Immunknow Assay
(CYLX)Flow 1 GRN (sodium heparin) ATP:
Low <225 ng/mL
Moderate 226 - 524
High >525 ng/mLCollect specimens M - W only or Thurs before noon. Do not collect on weekends, holidays or the day before holidays. Specimen must be less than 30 hours old to be tested. Results: 24-48 hrs
Cystatin C
(CYSTC)Immu 7 ml blood, 1 Gold Top 0.53 - 0.95 mg/L M-F
Cutoff: 2 pm
Results: 24 hrs
Cystic Fibrosis Culture
and gram stain
(CFRES)
Micro Sputum transported in sterile, no additive, leakproof container. Negative Daily
Results: 72 hrsCystine, Urine Quantitative Ref 24 hr urine, Type III container from lab. 0 - 60 mg/24 hrs Mailout: 5-7 days
ARUPCytapheresis Therapeutic Apheresis,
Contact CP Resident (501-688-2820) to schedule.Cytomegalovirus
See CMV Cytoplasmic Immunoglobulin vs. DNA Flow 1 GRN (Na heparin) + 1 LT,
Bone marrow aspirate, Biopsy/Tissue, or Body FluidInterpretive report M-F
Results: 24-48 hrsFor web page issues you may contact the Webmaster or by phone at 603-1691.
Updated 5.19.09