Lab Guide - 2018€¦ · Department of Laboratory Medicine and Pathology Laboratory Section: AL...

Lab Guide - 2018 Chemistry Section Lab Guide

Department of Laboratory Medicine and Pathology

Laboratory Section: AL WAKRA HOSPITAL

LMP/DR/001/001/004

Acetaminophen

Name

Full Name: Acetaminophen, Anacin-3, Datril, Liquiprin, Paracetamol, Panadol, Panex, Phenaphen, Tylanol, Tampra

Short name: ACTM

Specimen requirements

Blood Specimen

Serum - Plain tube (Red or yellow).

Plasma-Lithium heparin Tube

("To be drawn 4 hours after the ingestion”)

Transport Temperature 2 -30 oC

Days test performed

STAT / Routine: Sunday - Saturday (24/7 Days)

Turn around time

Routine: 8 Hours

STAT: 1 Hour

Method

Immunoturbidometry

Unit : μmol/L

Therapeutic range

Range : 66 – 199 μmol/L

Rejection criteria See Management of Laboratory Specimen (CL 7067)

Performing Lab Location AL WAKRA Laboratory - Clinical Chemistry Contact number:40114405



LMP/DR/001/001/004

ALBUMIN

Name Full Name: ALBUMIN

Short name: ALB

Specimen requirements Blood Specimen -

Serum - Plain tube (Red or yellow).

Plasma - Lithium heparin tube

Transport Temperature 2 - 30 oC

Days test performed


Turn around time

STAT :1 Hour

Routine :8 Hours

Method

Endpoint Method Unit: g/L

Reference value

Male/ Female

30-46 0-1Yrs

34-47 1-5Yrs

36-49 5-10Yrs

33-50 10-14Yrs

33-49 14-20Yrs

35-50 20-150Yrs

Rejection criteria See Management of Laboratory Specimen (CL 7067);




LMP/DR/001/001/004

ALCOHOL

Name

Full Name: Ethanol, Ethyl Alcohol, Blood Alcohol

Short name: ETOH (ALC)

Specimen requirements Blood Specimen- Serum - Plain tube (Red or yellow). Plasma - Lithium heparin tube


Days test performed

24/7 STAT

Turn around time

STAT : 1 hour

Method

Enzymatic rate method

Reference value

Unit: mmol/L

Age Female & Male

0-150 Y < 0.87





LMP/DR/001/001/004

ALKALINE PHOSPHATASE

Name Full Name: ALKALINE PHOSPHATASE

Short name: ALK PHOS

Cerner name: ALP



Days test performed


Turn around time

STAT :1 Hour

Routine :8 Hours

Method

Kinetic Rate.

Reference value

Unit: U/L

Age : Female: Male:

< 14D 90 – 273 90-273

14D – 1Y 134 – 518 134 – 518

1Y – 10Y 156 – 369 156 – 369

10Y – 13Y 141 – 460 141 – 460

13Y – 15Y 62 – 280 127 – 517

15Y – 17Y 54 – 128 89 – 365

17Y – 19Y 48 – 95 59 – 164

>19Y 40 – 150 40 – 150





LMP/DR/001/001/004

ALT

Name

Full Name: Alanine aminotransferase

Short name: ALT, sGPT


Transport Temperature 2-30 ºC

Days test performed


Turn around time

Routine: 8 Hrs

STAT : 1 Hr

Method

Kinetic Rate

Reference value

Unit: U/L

Female :

0-1Yrs 5-33

1-13Yrs 9-25

13-19Yrs 8-22

>18Yrs 0-55

Male:

0-1Yrs 5-33

1-13Yrs 9-25

13-19Yrs 8-22

>18Yrs 0-55





LMP/DR/001/001/004

Ammonia

Name Full Name: Ammonia

Short name: NH3

Cerner name: AMM

Specimen requirements Full tube of blood in ice in lavender top tube with EDTA -Immediately place in ice

Transport Temperature In ice

Days test performed

STAT/Routine :Sunday - Saturday (24/7 Days)

Turn around time

STAT : 1 hr

Method

Endpoint Method

Reference value

Unit: umol/l

Female:

1D-1M 21-95

1M-1Y 18-74

1-14Y 17-68

14-18Y 22-66

>18 Y 19-63

Male :

1D-1M 21-95

1M-1Y 18-74

1-14Y 17-68

14-18Y 22-66

>18Y 21-71

Rejection criteria -See Management of Laboratory Specimen (CL 7067); - Samples received without ice




LMP/DR/001/001/004

AMYLASE

Name Full Name: AMYLASE (Pancreatic)

Short name: P-AMY


Blood Specimen- Serum - Plain tube (Red or yellow). Plasma - Lithium heparin tube


Days test performed


Turn around time

Routine: 8 hours

STAT : 1 hour

Method

Immuno inhibition method

Reference value

Unit: U/L

Age Female : Age Male:

0Min-6M 0Min-6M

6-2Y 3-26 6-2 Y 3-30

2-8Y 9-36 2-5 Y 8-35

8-11Y 8-43 5-8 Y 7-35

11-14Y 9-45 8-11 Y 7-41

14-17Y 8-44 11-14 Y 11-37

17-150Y 8-51 14-17 Y 11-44

17-150 Y 8-51





LMP/DR/001/001/004

AST

Name Full Name: Aspartate aminotransferase

Short name: AST, sGOT




Days test performed STAT / Routine: Sunday - Saturday (24/7 Days)

Turn around time

Routine: 8 hours

STAT: 1 hour

Method

Kinetic rate method

Reference value

Unit: U/L

Age: Female & Male:

0-14 D 32-162

15D -1Y 20-67

1-7 Y 21-44

7-12 Y 18-36

12-19 Y 13-26

19-150 Y 5-34





LMP/DR/001/001/004

B-HCG

Name Full Name: Human chorionic gonadotropin (Beta subunit)

Short name: B-HCG


Blood Specimen- Serum - Plain tube (Red or yellow). Plasma - Lithium heparin tube 4 ml tube (Fill until the required mark)


Days test performed STAT / Routine: Sunday-Saturday (24/7 Days)

Turn around time

STAT : 2 hours Routine: 8 hours

Method

Chemiluminiscent Immunoassay

Reference value

Unit: IU/L

Female/male:

< 5





LMP/DR/001/001/004

Beta-Hydroxybutyrate (Beta-Ketone) Name Full Name: Beta-Hydroxybutyrate (Beta-Ketone)

Short name: B-OHB


Blood specimen-

Lithium heparin tube delivered to the lab within 60 minutes

Transport Temperature 2-30ºC


Turn around time

STAT:30 minutes

Method

Electro-chemical (Optium sensor from Abbott)

Reference value

Unit: mmol/L

0.0 – 1.0

Rejection criteria - Wrong container - Frozen blood - Transportation time exceeds 60 min from collection.




LMP/DR/001/001/004

BICARBONATE

Name Full Name: BICARBONATE

Short name: CO2, TCO2





Turn around time

Routine: 8 Hours

STAT : 1 hour

Method

Diff. Rate PH

Reference value

Unit: mmol/L

Age: Female Male:

0-1 Y 10.6-22.5 11.9-22.9

1-5 Y 14.1-22 12.3-22.2

5-10 Y 15.1-24.8 13.4-22.6

10-14 Y 14-24.6 15.2-24

14-20 Y 16.2-25.4 13.6-24.2

20-150 Y 22-29 22-29





LMP/DR/001/001/004

Bilirubin (Direct)

Name Full Name: Bilirubin (Direct)

Short name: DBIL


Blood Specimen Serum - Plain tube (Red or yellow). Plasma - Lithium heparin tube



Turn around time

Routine: 8 hours

STAT: 1 hour

Method

DIAZO Method

Reference value

Unit: mmol/l

Age: Female & Male:

0-1 Y 1.8-1.83

1-5 Y 1.8-6.8

5-10 Y 1.8-7.4

10-14 Y 1.8-9.4

14-20 Y 1.8-10.9

20-150 Y 0- 8.6





LMP/DR/001/001/004

Bilirubin (Total)

Name Full Name: Bilirubin (Total)

Short name: TBIL





Turn around time

STAT :1 Hour

Routine : 8 hours

Method

DIAZO-method

Reference value

Unit: μmol/L

Age: Female & Male:

0 mts - 2D 0- 87

2 - 3D 0 - 123

3 - 5D 0 - 176

5D - 150Y 3.4 - 20.5





LMP/DR/001/001/004

CALCIUM

Name Full Name: CALCIUM, CALCIUM (Corrected)

Short name: CA, CA-C





Turn around time

STAT: 1 Hour

Routine : 8 Hours

Method

ISE:INDIRECT

Reference value

Unit: mmol/L

Age: Female Male:

0 - 1 Y 2.19 – 2.88 2.19 – 2.88

1Y - 5Y 2.29 - 2.74 2.29 - 2.74

5Y - 10Y 2.28 - 2.62 2.28-2.62

10Y - 14Y 2.23 - 2.58 2.23 - 2.58

14Y – 20Y 2.27 - 2.62 2.27 - 2.62

>20 Y 2.10 - 2.55 2.10-2.55

This is an estimate of calcium concentration , assuming a normal albumin concentration which is 40 g/l





LMP/DR/001/001/004

CARBAMAZEPINE

Name

Full Name: CARBAMAZEPINE, TEGRETOL

Short name: CARB


2 ml blood in:

- Plain tube without gel or Lithium heparin Tube

*Recommended trough measurement, blood should be withdrawn just before next dosage


Days test performed


Turn around time

Routine: 8 hour

STAT : 1 hour

Method

Immunoturbidimetry

Therapeutic range

Unit: μmol/L

Therapeutic Range : 17 – 51 μmol/L

Toxic Levels:

Toxic multiple drug Regimen > 34 μmol/L

Toxic single drug Regimen >51 μmol/L





LMP/DR/001/001/004

CARBOXYHEMOGLOBIN

Name Full Name: Carboxyhemoglobin

Short name: COHb

Specimen requirements Whole blood collected in - Lithium heparin tube or - Blood gas capillary kit

Transport Temperature Should be in ice

Days test performed

STAT / Routine: Sunday – Sunday ( 24/7 Days )

Turn around time STAT: 30 minutes

Method Potentiometry , amperometry , and conductance

Reference value Unit: %

Non Smoker : < 1.5 % of total Hb

Smoker : 1.5 -5.0 % of total Hb

Rejection criteria Wrong container

Samples not in Ice

Sample received after 60 minutes of collection time




LMP/DR/001/001/004

Chloride

Name Full Name: Chloride

Short name: CL



Days test performed


Turn around time

Routine: 8 Hours

STAT: 1 hour

Method

ISE:INDIRECT

Therapeutic range

Unit: mmol/L

Female& Male :

>18Y 96-110





LMP/DR/001/001/004

Cholesterol

Name Full Name: Cholesterol

Short name: CHOL



Days test performed


Turn around time

Routine: 8 hours

STAT : 1 hour

Method

Timed Endpoint method

Therapeutic range

Unit: mmol/L

Female & Male :

<5.17mmol/L Desirable

5.17-6.18 mmol/L Border line-high

> 6.18 mmol/L High





LMP/DR/001/001/004

CORTISOL

Name Full Name: CORTISOL

Short name: CORT

Specimen requirements Blood Specimen- Serum - Plain tube (Red or yellow). Plasma - Lithium heparin tube 4 ml tube (Fill until the required mark)


Days test performed

STAT / Routine: Sunday - Thursday

Turn around time

Routine : 2 days

Method

CHEMILUMINISCENT IMMUNOASSAY

Reference value

Unit: umol/L

Age Female: Male:

0-5 D 17-546 17-546

5D-1 Y 66-632 66- 632

1-13 Y 69-32 69- 632

13-15 Y 66-789 69- 632

15-18 Y 66-789 66 -789

18-150 Y AM : 185 - 624 PM : <276





LMP/DR/001/001/004

C-Reactive Protein

Name Full Name: C-Reactive Protein

Short name: CRP



Days test performed


Turn around time

Routine: 8 Hours

STAT: 1 hour

Method

Immunoturbidometry

Interpretation This is not the high-sensitive CRP, it’s not intended to be used for assessment of risk of future coronary heart diseases

Unit :mg/L

Female & Male:

Reference value < 5





LMP/DR/001/001/004

CK (Creatine Kinase)

Name Full Name: Creatine Kinase

Short name: CK; CPK



Days test performed


Turn around time

STAT: 1 hour Routine :8 hours

Method


Reference value

Unit: U/L

Age Female: Male:

0 - 3M 43 – 474 29-303

3M - 1Y 27 – 242 25-172

1Y - 3Y 2 – 134 2-163

3Y - 6Y 8 – 147 28-162

6Y - 9Y 26 – 145 2-177

9Y - 12Y 6 – 137 6-219

12Y - 15Y 2 – 143 2-251

15Y - 18Y 13 – 144 34-147

>18 Y 29 – 168 30-200





LMP/DR/001/001/004

CREATININE

Name Full Name: CREATININE

Short name: CREA



Days test performed


Turn around time

STAT: 1 hour Routine : 8 hours

Method

Rate Jaffe method

Reference value

Unit: μmol/L

Age Female: Male:

0 - 1Y 35 – 58 35-58

1Y - 5Y 41 – 67 41-67

5Y - 10Y 47 – 75 47-75

10Y - 14Y 55 – 92 55-92

14Y - 20Y 54 – 95 54-95

>20Y 50 – 98 64-110





LMP/DR/001/001/004

CSF GLUCOSE

Name Full Name: CSF GLUCOSE

Short name: CSF-G

Specimen requirements spinal fluid in clean sterile tube, if there is contamination with RBCs then preferred in fluoride tube.

*It is recommended to collect plasma glucose at the same time.


Days test performed


Turn around time

Routine: 8 Hrs

STAT: 1 Hr

Method

Enzymatic UV (Hexokinase)

Therapeutic Range

Unit: mmol/l

Normal range for CSF glucose is 60-80% of plasma glucose.

Rejection criteria See Management of Laboratory Specimen (CL 7067); -Gross presence of blood




LMP/DR/001/001/004

CSF Protein

Name Full Name: CSF Protein

Short name: CSF-P

Specimen requirements 1 ml spinal fluid in clean sterile tube.


Days test performed


Turn around time

Routine: 8 Hrs

STAT: 1 Hr

Method

Timed endpoint method

Therapeutic Range

Unit: g/L

Male / Female :

0-7 Days 0.4-1.2

7-30 Days 0.2-0.8

30 D-150 Y 0.15-0.45

Rejection criteria See Management of Laboratory Specimen (CL 7067); Gross presence of blood in CSF specimen invalidates the protein value.




LMP/DR/001/001/004

CSF-LDH

Name Full Name: CSF-LDH

Short name: CSF-LDH

Specimen requirements 1 mL Spinal fluid in a sterile container


Days test performed


Turn around time

Routine: 8 Hrs

STAT: 1 Hr

Method

-Enzymatic Rate method (Lactate to Pyruvate.)

Therapeutic Range

Unit: IU/L

About 10% of serum levels.





LMP/DR/001/001/004

DIGOXIN

Name Full Name: DIGOXIN, , Lanoxicaps, Lanoxin

Short name: DGN

Specimen requirements 4 ml blood in: Lithium heparin tube

*blood should be drawn pre-dose or at least 6 hrs post-dose


Days test performed


Turn around time

Routine: 8 Hrs

STAT: 1 Hr

Method

Immunoturbidimetry

Therapeutic Range Unit: nmol/ L



LMP/DR/001/001/004

Therapeutic Range : 1.15 - 2.56 nmol/ L

Toxic Levels : > 2.6 nmol/L

Panic Levels: > 3.8 nmol/L

*Result should be considered in the clinical context, ex: renal function.

*This test measures total digoxin and in case of treatment with digi band very false high value may occur.

*In neonate and old people interefere form digoxin like substance may happen.



ESTRADIOL

Name Full Name: ESTRADIOL

Short name: ESTRADIOL

Specimen requirements Blood Specimen- Blood Specimen- Serum - Plain tube (Red or yellow). Plasma - Lithium heparin tube 4 ml tube (Fill until the required mark)


Days test performed


Turn around time

Routine: 2 Days

Method


Therapeutic Range

Unit: pmol/L

Male:

73 - 275

Female :



LMP/DR/001/001/004

Follicular 88 - 418

Midcycle 228 - 1960

Luteal 294 - 1102

Post Menstrual 73 - 323



Ferritin

Name Full Name: Ferritin

Short name: FRE



Days test performed


Turn around time

Routine: 2 Days

Method


Reference value

Age : Female: male:

<5 Y 6 – 24 6 - 24



LMP/DR/001/001/004

5 – 9 Y 10 – 55 10 – 55

9 – 14Y 6 – 40 23 - 70

14–19Y 6 – 44 23 - 70

19-150 Y 11 – 304 24 -336



Folate

Name Full Name: Folate, Serum

Short name: FOLS/Folic Acid



Days test performed


Turn around time

Routine: 2 Days

Method


Reference value Unit: nmol/L

Age Female Male



LMP/DR/001/001/004

0 – 1 yr. 14.3 – 51.5 16.3 – 50.8

2 – 3 yrs. 3.9-35.6 5.7 – 34.0

4 – 6 yrs. 6.1 – 31.9 1.1 – 29.4

7 – 9 yrs 5.4 – 30.4 5.2 – 27.0

10 – 12 yrs. 2.3 – 23.1 3.4 – 24.5

13 – 18 yrs. 2.7 – 16.3 2.7 – 19.9

>18 yrs. 4.0 – 45.3 4.0 – 45.3



Follicle Stimulating Hormone

Name Full Name: Follicle Stimulating Hormone HORMONE

Short name: FSH



Days test performed


Turn around time

Routine: 2 Days

Method


Reference value Unit: IU/L

Age : Female: Male :



LMP/DR/001/001/004

0-2 Y 0.2-6.6 0.2-1.8

2-5 Y 0.2-3.8 0.2-1.4

5-13Y 0.2-2.7 0.2-1.3

13-150Y 1-19

Follicular :4-9

Midcycle : 5-23

Luteal : 2-5

Post menopausal :17-114



Free PSA

Name Full Name: Free PSA

Short name: FPSA



Days test performed

STAT / Routine: Sunday - Wednesday

Turn around time Routine: 2 Days

Method




LMP/DR/001/001/004

Reference value

Unit: ng/ml

PSA > 4ng/ml & FPSA/Total PSA ratio < 25% indicates increased risk of prostatic cancer. Free PSA is reflex testing if TPSA is between > 4.0 - < 10.0 ng/ mL.



FREE THYROXINE

Name Full Name: FREE THYROXINE

Short name: FT4



4 ml tube (Fill until the required mark


Days test performed STAT / Routine: Sunday -Thursday

Turn around time Routine: 2 days

Method/Analyzer Chemiluminiscent Immunoassay

Reference value

Unit: pmol/L

Male & Female:



LMP/DR/001/001/004

Age From Age To Sex Reference Range

0 Day <20 Days Both 17.4 57.7

20 Days < 3 years Both 9.5 17.8

3 years <19 years

Both 7.9 13.6

19 years 150 years

Both 8.4 19.1

For Pregnant :

1 st Trimester

Female 6.67 14.12

2 nd Trimester

Female 5.79 12.7

3 rd Trimester

Female 6.11 12.2


Performing Lab Location

AL WAKRA Laboratory - Clinical Chemistry

Contact number:40114405

GGT

Name Full Name: Gamma-glutamyltransferase

Short name: GGT, g-GT

Specimen requirements Blood Specimen- Serum - Plain tube (Red or yellow). Plasma - Lithium heparin tube 4 ml tube (Fill until the required mark


Days test performed


Turn around time

Routine: 8 Hrs

STAT : 1 Hr

Method


Reference value Unit: U/L



LMP/DR/001/001/004

Age Female Male

0 – 7D 18 – 148 25 - 168

7D– 1M 16 – 140 23 - 174

1M – 4M 16 – 140 16 – 147

4M -7M 12 – 123 5 - 93

7M-1Y 8 – 59 8 – 38

1Y – 5Y 2 – 15 2 - 15

5Y – 10Y 6 – 19 6 - 16

10Y – 18Y 8 – 23 7 - 26

>18Y 7 – 37 10 - 29



Gentamycin

Name Full Name: Gentamycin

Short name: Genta

Collection time Trough: Just prior to next dose Peak: 1 hour after the end of infusion


2 mL blood in: - Plain red tube or yellow tube

- Lithium heparin tube



Turn around time Routine: 8 Hrs

STAT: 1 Hr

Method Immunoturbidimetry

Therapeutic Range Unit :μg/mL



LMP/DR/001/001/004

Trough: < 2 μg/mL

Peak: 5 – 10 μg/mL



Glucose Name Full Name: Glucose, Fasting Blood Glucose, Random Blood Glucose

Short name: GLU, FBS, RBS

Specimen requirements Blood specimen

Fasting blood or random blood glucose

- Grey top tube or

- Plain tubes (red or yellow top)



LMP/DR/001/001/004

Transport Temperature 2 – 30

oC

Days test performed


Turn around time

Routine: 8 Hrs

STAT: 1 Hr

Method

Timed end point (Hexokinase)

Therapeutic Range

Unit: mmol/l

Serum/Plasma : 3.3 - 5.5 mmol / L

Random Blood Glucose : 3.3 - 11.1 mmol/L

Categories of increased risk for diabetes: Fasting 5.6-6.9 mmol/L 2hrs PG (75g) 7.8–11.1 mmol/l Hb A1c 5.7 – 6.4 %

Criteria for the diagnosis of diabetes Hb A1c Fasting glu OR 2hrs PG (75g) OR Random PG OR (in a patient with classic symptoms of hyperglycemia)



Glucose Tolerance Test (75 gms) Name

Full Name: Glucose Tolerance Test (75 gms)

Short name: GTT-75 gms

Specimen requirements 2 ml blood in grey top- flouride tube: GTT1 (for pregnant)

- Fasting blood is extracted

- Ingestion of 75 gm glucose solution

- Two samples are collected after glucose solution administration at the following timings: 1hr, 2hrs

2 ml blood in grey top-flouride tube: GTT2 (for adult non-pregnant/male)



LMP/DR/001/001/004

- Fasting blood is extracted

- Ingestion of 75 gm glucose solution

- Sample is collected after 2 hours of oral glucose intake

Transport Temperature 2 – 30 oC

Days test performed


Turn around time

Routine: 8 Hrs

STAT: 1 Hr

Method

Timed end point (Hexokinase)

Reference value

75 gm for pregnant: The diagnosis of gestational diabetes mellitus is made when any of the following plasma glucose values are exceeded:

o Fasting ≥ 5.1 mmol/l

o 1 hr ≥ 10.0 mmol/l

o 2 hr ≥ 8.5 mmol/l

75 gm for adult non-pregnant/male

o Fasting between 6.1 – 6.9mmol/l is impaired fasting.

o Two hours between 7.8 – 11.1 is impaired glucose tolerance.

o If fasting is ≥ 7.0mmol/l or two hours is ≥11.1mmol/l, diagnosis of diabetes.



Hemoglobin A1c

Name Full Name: Hemoglobin A1c, Glycated Hb, Glycated Hemoglobin

Short name: HbA1c

Specimen requirements EDTA whole blood.


Days test performed

SUN-THU (08:00 – 14:00)



LMP/DR/001/001/004

Turn around time

Routine : 3 days

Method

Colorimetric / Turbidimetric

Reference value

Unit :%

Female / MALE Normal range: (4.8 - 6.0 ) % HbA1C

Rejection criteria See Management of Laboratory Specimen (CL 7067); -Clotted blood sample.


HDL- Cholesterol

Name Full Name: High Density Lipoprotein Cholesterol

Short name: HDL, HDL-C

Specimen requirements Blood Specimen - Serum - Plain tube (Red or yellow).

- Plasma - Lithium heparin tube



LMP/DR/001/001/004

Transport Temperature 2 - 30oC

Days test performed


Turn around time

Routine: 8 Hrs

STAT : 1 Hr

Method

Hemogeneous,colorimetric

Reference value

Unit: mmol/l

FEMALE / MALE

> 1.00 mmol/L



IRON

Name Full Name: IRON

Short name: Fe




LMP/DR/001/001/004



Days test performed


Turn around time

Routine: 8 Hrs

STAT: 1 Hr

Method

Timed Endpoint

Reference value

Unit: μmol/L

Age Female Male

0-14 Y 2.9-22.9 2.9-22.9

14Y-19 Y 3.6-29 5.6-30.1

19Y-150 Y 9-30.4 11.6-31.3

Rejection criteria See Management of Laboratory Specimen (CL 7067); -Hemolysed samples


Lactate ( Lactic Acid)

Name Full Name: Lactate ( Lactic Acid)

Short name: LA



LMP/DR/001/001/004

Specimen requirements Whole blood collected in syringes /tubes containing dry Lithium Heparin

Minimum 200 µL in 1mL Syringe,Minimum 2ml in 4ml tube.


Days test performed


Turn around time STAT: 1 hr

Method

Potentiometry,Amperometry,Conductance

Reference value

Unit: mmol/L

0 – 3 M 1.0 - 3.5

3M – 2Y 1.0 - 3.3

2Y – 18Y 1.0 - 2.4

>18Y 0.5 - 2.20

Rejection criteria Clotted samples, Samples with unacceptable anticoagulant.


LDH - Lactate Dehydrogenase



LMP/DR/001/001/004

Name Full Name: Lactate Dehydrogenase

Short name: LDH




Days test performed


Turn around time

Routine: 8 hrs

STAT : 1 Hr

Method

Enzymatic rate method (Lactate to Pyruvate)

Reference value

Unit: U/L

Age Female: Male:

1-14 D 309-1222 309-1222

14 D-1 Y 163-452 163-452

1-10 Y 192-321 192 -321

10-15 Y 152-272 170-283

15-19 Y 130-250 130-250

19-150 Y 125-220 125-220

Rejection criteria See Management of Laboratory Specimen (CL 7067).


LIPASE



LMP/DR/001/001/004

Name Full Name: LIPASE

Short name: LIP




Days test performed



STAT: 1 Hr

Method


Reference value

Unit: U/L

Age : Female: Male:

0-19 Y 4-39 4-39

19-150 Y 8-78 8-78





LMP/DR/001/001/004

LDL - Cholesterol

Name Full Name: Low Density Lipoprotein-Cholesterol (calculated)

Short name: LDL-C - Recommended to order with cholesterol, triglyceride and HDL at the same time.




Days test performed


Routine: 8 Hrs

Turn around time STAT : 1 Hr

Method

Calculated

Reference value

Unit: mmol/L

Adults

Desirable: < 3.36

Borderline: 3.36 - 4.11

High Risk: > 4.12





LMP/DR/001/001/004

LUTEINIZING HORMONELUTEINIZING

Name

Full Name: LUTEINIZING HORMONELUTEINIZING MONEUTEINIZING HORMONE

Short name: LH

Specimen requirements Blood specimen: Serum - Plain red tube or yellow SST (2 ml - 5 ml)


4 ml tube (Fill until the required mark)


Days test performed



Method


Reference value

Unit: IU/L

Age : Female: Male:

0-1 Y 0.1-1.7 1.7-2.7

1-5 Y 0.1-1.7 0.1-1.7

5-10Y 0.1-1.7 0.1-1.7

10-18Y 1.7-4.7 1.7-7.7

>18 Y 1- 9

Follicular 2-11

Midcycle 24-103

Luteal : 1-13

Post menopausal : 11- 59





LMP/DR/001/001/004

MAGNESIUM

Name Full Name: MAGNESIUM

Short name: MG




Days test performed


Turn around time Routine : 8 Hrs

STAT : 1 Hr

Method Timed endpoint method

Reference value

Unit: mmol/l

Age : Female & Male

0-1Y 0.82-1.36

1-5Y 0.78-1.41

5-10Y 0.77-1.46

10-14Y 0.72-1.06

14-20Y 0.72-1.04

20-150Y 0.66-1.07





LMP/DR/001/001/004

METHEMOGLOBIN

Name Full Name: Methemoglobin

Short name: MetHb

Specimen requirements Whole blood collected in - Lithium heparin tube or - Blood gas capillary kit

Transport Temperature Should be in ice

Days test performed

STAT / Routine: Sunday – Sunday ( 24/7 Days )

Turn around time STAT: 30 minutes

Method/Analyzer Potentiometry,Amperometry,Conductance

Reference value Unit: %

upto 1.5 % of total Hb

Rejection criteria Wrong container / Clotted samples

Samples not in ice

Samples exceeded 60 minutes of collection




LMP/DR/001/001/004

Micro-Albumin, Urine

Name Full Name: Micro-Albumin, Urine

Short name: MA

Specimen requirements Collect urine as 24hrs, timed, or random midstream sample (spot collection) in a clean collection container.


Days test performed



Method Immunoturbidimetric

Reference value

Unit: mg/L

Male / Female :

Spot urine: 0 – 20 mg/L

Timed urine: 0 – 30 mg/24hrs

Albumin/Creatinine ratio:

Male: 0 – 2.5 mg/mmol creatinine

Female: 0 – 3.5 mg/mmol creatinine

Rejection criteria

See Management of Laboratory Specimen (CL 7067); - Dilution

- Contamination




LMP/DR/001/001/004

N TERMINAL PRO B-TYPE NATRIURETIC PEPTIDE

Name Full Name: N terminal pro B-type natriuretic peptide

Short name : NT-ProBNP

Specimen requirements Whole blood collected in EDTA tubes

2-3 ml blood in 4 ml tube only


Days test performed



Method Time resolved fluorometry(TRF)

Reference value

Unit: pg/mL

Male & Female

< 249

Rejection criteria See Management of Laboratory Specimen (CL 7067) Clotted samples, Samples with unsuitable anticoagulant.




LMP/DR/001/001/004

Parathyroid Hormone (Intact)

Name Full Name: Parathyroid Hormone (Intact)

Short name: PTH

Specimen requirements Blood Specimen: Serum - Serum - Plain tube (Red or yellow).




Days test performed



Method Chemiluminiscent Immunoassay

Reference value

Unit: pg/mL

12 - 88





LMP/DR/001/001/004

Phenobarbital

Name Full Name: Phenobarbital, Phenobarbitone, Phenylethylmalonylurea,

Barbita, Luminal.

Short name: PHNO

Specimen requirements Blood Specimen: - Plain tube (red or yellow)



Days test performed



STAT: 1 Hr


Reference value

Unit: μmol/L

Male / Female :

43.1 – 172.4





LMP/DR/001/001/004

Phenytoin

Name Full Name: Phenytoin, Epanutin, Dilantin, Diphenylan Sodium,

Diphenylhydantoin

Short name: PTN

Specimen requirements 2 mL blood in: -Plain tube (red or yellow)



Days test performed



STAT: 1 Hr


Reference value

Unit: μmol/L.

Male / Female :

40 – 80 μmol/L.





LMP/DR/001/001/004

Phosphorus

Name Full Name: PHOSPHORUS (Inorganic Phosphorus)

Short name: PO4

Specimen requirements Blood Specimen - Serum - Plain tube (red or yellow)



Days test performed



STAT: 1 Hr

Method Timed endpoint method (Phospho-Molybdate)

Reference value

Unit: mmol/l

Age : Female : Male :

0 Mint- 1Y 1.53-2.45 1.51-2.62

1- 5Y 1.42-2.24 1.41-2.13

5 – 10Y 1.16-1.99 1.32-2.00

10 –14Y 0.95-1.83 1.26-1.94



LMP/DR/001/001/004

14 –20Y 0.93-1.64 0.89-1.66

20–150Y 0.74-1.52 0.74-1.52



Potassium

Name Full Name: Potassium, Kalium

Short name: K

Specimen requirements Blood Specimen - Serum - Plain tube ( red or yellow)



Days test performed



STAT: 1 Hr

Method ISE:INDIRECT

Reference value

Unit: mmol/l

Age : Female & Male

0Mint – 30D 3.7 – 5.9

30 D – 3Y 4.1 – 4.7

3 – 12 Y 3.4 –4.7



LMP/DR/001/001/004

12-150Y 3.6 –5.1



PROGESTERONE

Name Full Name: PROGESTERONE

Short name: PROG

Specimen requirements Blood Specimen - Serum - Plain tube ( red or yellow) Plasma-Lithium Heparin tube


Days test performed

STAT / Routine: Sunday to Thursday



Reference value

Unit: nmol/L

Female:

<12 Y 0.32-1.06

>12 Y

Follicular 0.99 - 5

Luteal 16 – 59



LMP/DR/001/001/004

PMP <0.25 – 2.48



PROLACTIN

Name Full Name: PROLACTIN

Short name: PROL

Specimen requirements Blood specimen: Serum - Plain tube (red or yellow )




Days test performed




Reference value

Unit: mIU/L

Age Female: Male:

0-2Y 88.2-505 50.7-525



LMP/DR/001/001/004

2-5Y 21-367.5 35.7-357

5-10Y 25.2-325.5 14.7-331.8

10-20Y 31.5-409.5 109-557

20-150Y 109-557 73-407



PROSTATE SPECIFIC ANTIGEN (PSA)

Name Full Name: PROSTATE SPECIFIC ANTIGEN (PSA) HORMON

Short name: PSA

Specimen requirements Serum - Plain tube (red or yellow)




Days test performed



Method Immuno Enzymatic Assay

Reference value

Unit: ng/ml

Age : Male:



LMP/DR/001/001/004

0-150 0 - 4



PROTEIN, Total

Name Full Name: PROTEIN, Total

Short name: TP




Days test performed



STAT: 1 Hr

Method Timed endpoint Biuret method

Reference value Unit: g/L



LMP/DR/001/001/004

Age : Female & Male

< 1Y 52-72

1-5Y 61-83

5-10Y 62-91

10-14Y 64-85

14-20Y 63-82

20-150 64-83



Sodium

Name Full Name: Sodium, Natrium

Short name: NA




Days test performed



STAT: 1 Hr

Method ISE:INDIRECT

Reference value Unit: mmol/l



LMP/DR/001/001/004

Age : Female & Male

0Mint – 150Y 135 - 145



TESTOSTERONE

Name Full Name: TESTOSTERONE

Short name: TESTOS





Days test performed





LMP/DR/001/001/004


Reference value

Unit: nmol/L

Male 6.0-27

Female 0.35-2.6



THEOPHYLLIN

Name Full Name: Theophylline; Aminophylline, Elixophylline, Slo-phylline,

Sustaire, Theo-Dur, Theolair, Theospan.

Short name: THEO




Days test performed





LMP/DR/001/001/004

STAT: 1 Hr


Reference value

Unit: umol/L

Adult 56 - 111 umol/L

Neonatal Apnea 33 - 61 umol/L

Ped. Asthma 44 - 111 umol/L



Thyroglobulin

Name Full Name: Thyroglobulin

Short name: Tg





LMP/DR/001/001/004



Days test performed

By batch - Every Thursday



Reference value

Unit: ng/mL

Athyrotic < 0.1 Intact Thyroid < 33 Note: Below comment will be attached to all Thyroglobulin outgoing reports Thyroglobulin (Tg) levels must be interpreted in the context of TSH levels, serial Tg measurements and radioiodine ablation status. Tg levels < 0.1 ng/mL in athyrotic individuals on suppressive therapy indicate a minimal risk (<1-2%) of clinically detectable recurrent papillary/follicular thyroid cancer.



TSH

Name Full Name: THYROID STIMULATING HORMONE

Short name: TSH

Specimen requirements Serum - Plain tube (red or yellow)






LMP/DR/001/001/004

Days test performed STAT / Routine: Sunday - Thursday


Method/Analyzer Chemiluminiscent Immunoassay

Reference value

Unit: mIU/L

Male & Female:

Age From Age To Sex Reference Range

0 years <12 years

Both 0.79 5.85

12 years < 19 years

Both 0.68 3.35

19 years 150years Both 0.38 5.33

For Pregnant :

1 st Trimester

Female 0.05 3.7

2 nd Trimester

Female 0.31 4.35

3 rd Trimester

Female 0.41 5.18



AL WAKRA Laboratory - Clinical Chemistry

Contact number:40114405

TRANSFERRIN

Name Full Name: TRANSFERRIN

Short name: TRSF, TRF




LMP/DR/001/001/004



Days test performed



STAT: 1 Hr


Reference value

Unit: g/L

Age : Female & Male :

0 – 2 M 1.04 – 2.24

2-1 Y 1.07 – 3.24

1-19 Y 2.20 – 3.37

19-150 Y 2.0 – 3.6

Rejection criteria See Management of Laboratory Specimen (CL 7067).


Triglycerides

Name Full Name: Triglycerides, Triglycerols.



LMP/DR/001/001/004

Short name: TG




Days test performed



STAT: 1 Hr

Method Timed end point method

Reference value

Unit: mmol/L

Male & Female):

< 1.70 Normal

1.70 - 2.2 Borderline high

2.2 - 5.63 High



TROPONIN I

Name Full Name: Troponin I



LMP/DR/001/001/004

Short name:Trop I

Specimen requirements Whole blood collected in EDTA tubes



Days test performed


STAT: 1 hr


Reference value

Unit: ng/mL

< 0.02

Rejection criteria See Management of Laboratory Specimen (CL 7067); Clotted samples, Samples with unsuitable anticoagulant.


TROPONIN T



LMP/DR/001/001/004

Name Full Name: Troponin T

Short name:Trop T

Specimen requirements Whole blood collected in EDTA/Lithium heparin tubes



Days test performed




Reference value

Unit: ng/L

0-14

Rejection criteria See Management of Laboratory Specimen (CL 7067); Clotted samples, Samples with unsuitable anticoagulant.




LMP/DR/001/001/004

UREA/BUN

Name Full Name: UREA / BLOOD UREA NITROGEN

Short name: BUN




Days test performed



STAT: 1 Hr

Method Enzymatic

Reference value


< 1Y 1.2-6.3 1.2-6.3

1-5Y 2.0-7.4 2.0-7.4

5-10Y 2.4-7.0 2.4-7.0

10-14Y 2.2-7.5 2.2-7.5

14-20Y 1.9-6.7 1.9-6.7

20-50Y 2.5-6.7 3.2-7.4

50-150Y 3.5 -7.2 3-9.2.0





LMP/DR/001/001/004

Uric Acid

Name Full Name: URIC ACID,URATE

Short name: UA




Days test performed



STAT: 1 Hr

Method Timed endpoint method

Reference value

Unit: μmol/L


0-150 Y 142-389 202-416





LMP/DR/001/001/004

VALPROIC ACID

Name Full Name: Depakine, Depakote, Sodium Valporate, Valproic Acid

Short name: VALP




Days test performed



STAT: 1 Hr


Therapeutic Range

Unit: μmol/L

Male / Female :

350 - 690 μmol/L





LMP/DR/001/001/004

Vancomycin

Name Full Name: Vancomycin

Short name: Vanco

Collection time Trough: Just prior to next dose Peak: (not recommended) 1 hour after the end of infusion

Specimen requirements Blood in: - Plain red tube or yellow - Lithium heparin tube




STAT: 1 Hr


Therapeutic Range Unit: μg/mL .

Trough: 15 – 20 μg/mL .





LMP/DR/001/001/004

VITAMIN B-12

Name Full Name: VITAMIN B-12

Short name: Vit.B12

Specimen requirements Serum - Plain red tube or yellow SST (2 ml - 5 ml) Plasma - Lithium heparin tube 4 ml tube (Fill until the required mark)


Days test performed


Turn around time Routine : 2 days


Reference Value

Unit: pmol/L

Female/Male

133-675





LMP/DR/001/001/004

Vitamin D Total

Name Full Name: Vitamin D Total

Short name: VIT.D

Specimen requirements Serum - Plain red tube or yellow SST (2 ml - 5 ml) Plasma - Lithium heparin tube 4 ml tube (Fill until the required mark)


Days test performed


Turn around time

Routine: 2 Days


Reference Value

Unit: ng/mL

Severe deficiency <10

Mild to Moderate deficiency 10-30

Optimum values 30-80

Possible toxicity > 80





LMP/DR/001/001/004

Blood Gases

Name Full Name: BLOOD Gases

Short name: ABG,VBG

Specimen requirements Arterial or Venous blood collected in heparin syringes

Arterial or Venous blood in Lithium heparin tube

(Minimum 200 uL in 1 Ml Syringe )

Transport Temperature Room temperature within 10 minutes from collection time, not to exceed 30 minutes

Days test performed

STAT:24/7 , per 7 days a week

Turnaround time ( TAT )

STAT:30 minutes

Method/Analyzer

Potentiometry, Amperometry, Conductance Analyzer :ABL90 Flex ( Radiometer )

Reference value

Parameter Specimen Type Age From Age To Sex Reference Range

PH

Arterial Blood 1 Day 2 Day All 7.29 7.45

>2 Days All All 7.35 7.45 Venous Blood All All All 7.32 7.42

Capillary Blood 1 Day 2 Day All 7.29 7.45

PCO2(mmH

g)

Arterial Blood 0 Day 5 day All 27 40

6 day 23

Months All 27 41

23 >18 All 35 45



LMP/DR/001/001/004

months

Venous Blood All All All 41 51 Capillary

Blood 0 Day 5 day All 27 40

6 day 23

Months All 27 41

23

months >18 yrs All 35 45

PO2

(mmHg)

Arterial Blood

0 Day 1 day All 54 95

02 Day >18 yrs All 83 108 Venous Blood All All All 25 40

Capillary Blood

0 Day 1 day All 54 95

02 day >18 yrs All 83 108

TCO2

(mmol/L)

Arterial / 0 days 4 days All 17.0 24.0

Venous / 5 days 12 Yrs All 20.0 28.0 Capillary Blood > 13 yrs All 23.0 27.0

BE (mmol/l) Arterial / Venous /

All All All -2 2

Capillary Blood

BE(Ecf) (mmol/l)

Arterial /

All All All -2 2 Venous / Capillary Blood

SO2 (%) Arterial / Venous / Capillary

Blood

All All All 95% 99%

Rejection criteria

See Management of Laboratory Specimen (CL 7067 ) Clotted samples


AL WAKRA Laboratory - Clinical Chemistry Contact number:40114405



LMP/DR/001/001/004

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