Lab Refrence Range
Lab Refrence Range
TEST NAME SPEC REQUIREMENT REFERENCE RANGE LAB COMMENTS R TAT S TAT
11-Deoxycortisol Serum (red top), 1.0 mL >3 m: 0.0-0.8 µg/dL Reference Lab
(Endocrine Science)
Post metapyrone stimulation: >8.0 µg/dL
17-Hydroxycorticosteroids Urine, 24 h: collect in boric acid. 4.0-14.0 mg/d Reference Lab Specimen must be 5 days N
Obtain urine container from Lab Central (ARUP) refrigerated during
HA619. collection
17-Hydroxyprogesterone 0.5 mL serum or plasma (EDTA or Cord blood: 7.40-18.70 ng/mL Reference Lab 3 days N
heparin) 3 d-2 m: 0.10-9.40 ng/mL (ARUP)
3 m-11 y: nd-0.90 ng/mL
12 -20 y: nd-1.80 ng/mL
Male adult: 0.40-3.30 ng/mL
Female:
Follicular 0.10-1.20 ng/mL
Luteal 0.40-4.80 ng/mL
Menopause 0.10-0.60 ng/mL
17-Ketogenic steroids Urine, 24 h; preserve with acetic acid. with report. Reference Lab
Obtain urine container from Lab Central, (ARUP)
HA619.
Refrigerate during collection
17-Ketosteroids Fractionation, 24 Hour urine, must be refrigerated during with report Reference Lab 12 days N/A
Urine collection (ARUP)
5-Hydroxyindoleacetic acid Urine, 24 h. Obtain Call lab, 7-1550 for 0-15 mg/d Reference Lab Refrigerate 24-hour 4 days N
quantitative food and drug restrictions (ARUP) specimens during
collection.
5'Nucleotidase Serum (red top), 1.0 mL 0-15 U/L Reference Lab 3 days N
(ARUP)
A2 Hemoglobin 2 mL whole blood collected in EDTA or 1.5-3.5% Core Lab Not available
heparin.
ABO & Rh typing Clotted bld. (red top), 10 mL. O+ 1 in 3 O- 1 in 15 Blood Bank
Infants: 1 Bullet Tube or A+ 1 in 3 A- 1 in 16
3.0mL Red Top B+ 1 in 12 B- 1 in 67
AB+ 1 in 29 AB- 1 in 167
Acetaminophen, quantitative Plasma, green top (PST), 1.0 mL Therapeutic: 10-30 µg/mL Toxicology
Toxic: >150 µg/mL (4h post ingestion)
>75 µg/mL (8h post ingestion)
>40 µg/mL (12h post ingestion)
Acetylcholine Receptor Binding Serum (red top or SST tube), 1.0 mL Negative, 0-0.4 nmol/L Reference Lab 5 days N/A
antibodies Positive, 0.5 nmol/L or greater (ARUP)
Acetylcholine Receptor 1 mL serum (SST tube) Negative 0-15% blocking Reference Lab 5 days N/A
Blocking antibodies Indeterminate 16-24% blocking (ARUP)
Positive 25% or greater blocking
Acetylcholine Receptor 1.0 mL serum (SST tube) Negative: 0-20% modulating Reference Lab 5 days N/A
Modulating Antibodies Indeterminate: 21-25% modulating (ARUP)
Positive: 26% or greater modulating
Acid fast bacteria Smears are made on all specimens with No AFB seen Microbiology
(AFB) smear culture request. Contact laboratory for
instructions.
Acid Phosphatase, prostatic Serum (red top), 2.0 mL, unstable; send to 0-3.5 ng/mL Reference Lab
lab immediately. (ARUP)
ACTH (Highly sensitive) Plasma (purple top), 3.0 mL. Female 6-58 pg/mL Reference Lab
Place in ice and send to lab Male 7-69 pg/mL (ARUP)
immediately.
ACTH Stimulation Test Serum (SST), 1.0 mL Cortisol baseline: >5 µg/dL Immunochemistry [Short Test]
Repeat for prolonged infusion Cortisol post Cortrosyn: (Adult dose: 250 µg
Rise above baseline: >7 µg/dL Cortrosyn I.M.)
Peak response: > or equal to18 µg/dL
[Prolonged Infusion]
Alpha-1 antitrypsin. Reference Lab ARUP: 100- Adult dose: 50 units
200 mg/dL ACTH=500 µg
Cortrosyn I.V. in 500 mL
Cortisol, peak response: >20 µg/dL saline
for 8h on each of 3 d; in
primary adrenal
insufficiency also give 2
mg/d of dexamethasone
Activated Protein C Resistance Citrated plasma (blue top, must be full). Ratio >1.9 Core Lab 1 week Not Available
Do not draw from Hickman, arterial line or
with ABG's.
Adenovirus culture Tissue, body fluids, N-P aspirates Contact No Adenovirus isolated Microbiology
Virology, 3-5411.
AFB susceptibilities Performed routinely on first lab isolate. Individual interpretation Microbiology
ALA-, quantitative Urine, 24 h; Refrigerate during collection, Age g/24hr Reference Lab
3.0 mL 3-8 .11-.68 (Quest)
9-12 .17-1.41
13-17 .29-1.87
Adults: .63-2.50
Albumin Plasma, green top (PST), 1.0 mL M F Core Lab 2hr 1hr
<1y 2.6-3.6 2.6-3.6 g/dL
1y-17y 3.2-4.7 2.9-4.2 g/dL
18-59y 3.4-4.6 3.4-4.6 g/dL
>59y 3.2-4.6 3.2-4.6 g/dL
(Avg. 0.3 g higher in ambulatory patients)
Alcohols, quantitative Plasma, green top (PST), 1.0 mL Acetone: Toxic >20 mg/dL Toxicology 1-4 hrs 1 hr
Ethanol: Toxic >80 mg/dL
Isopropanol: Toxic >40 mg/dL
Methanol: Toxic >20 mg/dL
Aldolase Serum (red top), 2.0 mL 0-1 m: 6.0-32.0 U/L Reference Lab
1m-17y: 3.0-12.0 U/L (ARUP)
17y up: 1.5-8.1 U/L
Aldosterone, serum Serum (gold top), 2.0 mL Upright: 4-31 ng/dL Reference Lab
Supine: < 1.6-16 ng/Dl (ARUP)
Aldosterone, Urine, 24 h Urine, 24h. Store on ice or refrigerate. By report Reference Lab 3d
(ARUP)
Alkaline phosphatase, bone Serum (red top), 1.0 mL Premenopausal women: 11.6-26.9 U/L Reference Lab
specific Post menopausal women: 14.2-42.7 U/L (ARUP)
Males >25 yr. 15.0-41.3 U/L
Alpha Subunit of Pituitary Serum (red top), 1.0 mL By report Reference Lab
Glycoprotein (Endocrine
Sciences)
Alphafetoprorin, amniotic fluid Amniotic fluid. Contact Cytogenetics By report Reference Lab
(FBR)
Alpha-fetoprotein (tumor Serum (SST), 2.0 mL AFP Pediatric Ranges ng/mL Immunochemistry
marker)
cord: 9100-190,000
1 d: 7900-170,000
2 d: 7000-140,000
3 d: 6000-130,000
4 d: 5300-110,000
5 d: 4600-97,000
6 d: 4000-84,000
7 d: 3500-74,000
8-14 d: 1500-59,000
15-21 d: 580-23,000
22-28 d: 320-6300
29-45 d: 30-5800
46-60 d: 16-2000
3 m (61-90 d): 6-1000
4 m (91-120 d): 3-420
5 m (121-150 d): 2-220
6 m (151-180 d): 1-130
7 m - 2y (181-720 d): 1-87
> 2 y: 1-15"
Alpha-L-iduronidase Whole Blood (green top), 7.0 mL. Do not Reference Lab
order F, Sat, or Sun. (Miami Child. Hosp.)
Alprazolam Serum (red top), 3.0 mL Therapeutic range: anxiety: 10-40 ng/mL Reference Lab
Phobia & panic: 50-100 ng/mL (ARUP)
ALT: Alanine aminotranferase Plasma, green top (PST), 1.0 mL M F Core Lab 2h 1h
1-7d 6-40 7-40 U/L
8-28d 10-40 8-32 U/L
1-3m 13-39 12-47 U/L
4-6m 12-42 12-37 U/L
7-11m 13-45 12-41 U/L
1-3y 5-45 5-45 U/L
4-6y 10-25 10-25 U/L
7-9y 10-35 10-35 U/L
10-11y 10-35 10-30 U/L
12-13y 10-55 10-30 U/L
14-15y 10-45 5-30 U/L
16-19y 10-40 5-35 U/L
>19y 17-60 11-35 U/L
Aluminum Serum (dark blue top w/no additive), 0-15 ug/L Reference Lab 4 DAYS N/A
3.0 mL. Obtain tube from Lab Central, (ARUP)
HA619.
Toxic Range
Peak: >35 µg/mL
Trough: >10 µg/mL
Amino acids, quantitative, Urine, Random urine; freeze immediately. By report Reference Lab
Urine random (Baylor)
Amino acids, quantitative, Plasma (green top), 3.0 mL. Place on ice By report Reference Lab
plasma and deliver immediately to laboratory. (Baylor)
Amiodarone plus metabolite Serum (red top), 3.0 mL Therap: 1.0-3.0 ug/mL Reference Lab
Toxic: >3.0 ug/mL (ARUP)
Amitriptyline, quantitative Serum (red top), 4.0 mL Therapeutic Range: Reference (ARUP) Includes Metabolite
Nortriptyline: 50-150 ng/mL
Total drug: 95-250 ng/mL
Toxic: >500 ng/mL
Ammonia Plasma, green top (PST); place on ice and 0d-1m: <50 µmol/L Core Lab 2h 1h
deliver to lab immediately. Tube must be >1 m: 9-35 µmol/L
>2/3 full.
Amniotic Fluid 15-30 mL Interpretation given with report. Cytogenetics The Cytogenetics
peripheral blood, fetal blood, bone marrow Laboratory is open from
aspirates, amniotic fluid, chorionic villi, 8:00am to 4:30pm
skin and other tissues, abortus products Monday through Friday. It
and some solid tumors is located in HL423.
University Hospital, 257-
3736. The laboratory
performs chromosome
analysis on peripheral
blood, fetal blood, bone
marrow aspirates,
amniotic fluid, chorionic
villi, skin and other tissues,
abortus products and
some solid tumors. All
specimens must be
labeled with the patient's
name and hospital number
and must be accompanied
by a chromosome analysis
request form. Form J529
(Genetic/Prenatal) is to be
used for blood, amniotic
fluid, chorionic villi, skin,
tissue and abortus
specimens. Form J530
(Oncology) is to be used
for bone marrow
aspirates, tumors and
blood from
Hematology/Oncology
patients. The requisition
form must contain the
patient's name, hospital
number, sex, date of birth,
source of specimen, date
of specimen collection,
and the attending
physician's name.
Pertinent clinical
information should also be
noted on the form. Any
specimens not meeting
these requirements cannot
be accepted. All
specimens must be
Amylase Plasma, green top (PST), 1.0 mL >1y 28-150 U/L Core Lab 2h 1h
Amylase isoenzymes Serum (red top), 3.0 mL Pancreatic: 0-68 U/L Reference Lab
Salivary: 0-85 U/L (ARUP)
By report
Amylase, Urine random Urine, random, 0.5 mL Not available Core Lab
Amylase, Urine, 24 h Urine (requires-timed specimen, 2-24 h) >12 y: 1-17 U/h Core Lab
Androstenedione Serum (red top), 2.0 mL. Adult, M: 0.7-2.0 ng/mL Reproductive
Fasting morning specimen preferred, F: 0.6-3.0 ng/mL Endocrinology
collect one week before or after menstrual Pregnancy: 1.00-10.00 ng/mL
period.
Possible Panice Range:
Value greater than 10 ng/mL suggests a
virilizing tumor
Angiotensin-1-converting Serum (red top), 2.0 mL 0-14y: 18-90 IU/L Reference Lab
enzyme 15-17y: 14-78 IU/L (ARUP)
18y up: 9-67 IU/L
Anion gap Calculated result 5-11 mmol/L Core Lab Component of: Basic
Na - (Cl + CO2) Metabolic Panel
Comprehensive Metabolic
Panel
Electrolyte Panel
Renal Panel
Anti SS-A Serum (red top), 1.0 mL Negative at 0-20 EU/mL Core Lab Order as ENA II.
Anti SS-B Serum (red top), 1.0 mL Negative at 0-20 EU/mL Core Lab Order as ENA II.
Antibody identification, RBC's Clotted blood (red top), 10 mL; Negative Blood Bank
Whole Blood (purple top), 7.0 mL
Antibody screen,red blood cells Clotted blood (red top), 10 mL. Negative Blood Bank Send report of diagnosis,
history of recent and past
transfusions, pregnancy
and drug therapy.
Antibody titration,RBC's Clotted blood (red top), 10 mL Negative Blood Bank Includes antibody
indentification
Anticardiolipin antibody Serum (red top), 1.0 mL IgG: <23 GPL units/mL Core Lab Not available
IgM: <11 MPL units/mL
Anti-Centromere Serum (red top), 1.0 mL Negative at 1:80 dilution Core Lab Order as ANA
Anti-DNA antibodies Serum (red top), 1.0 mL Negative at 1:10 dilution Core Lab
Anti-ENA antibodies Serum (red top), 1.0 mL 0-20 EU/ml Core Lab
Anti-Mitochondrial Antibodies Serum (red top), 1.0 mL Negative at 1:20 dilution Core Lab Positive screens will be
titered automatically
Anti-Neutrophil Cytoplasmic Serum (red top), 1.0 mL Negative at 1:20 Core Lab
Antibody
Anti-Nuclear Antibodies Serum (red top), 1.0 mL Negative at <1:80 dilution; if positive, the Core Lab
pattern will be reported and the serum will be
titered.
Anti-OKT3 (OKT3 Antibodies) Serum (red top), 3.0 mL Negative Reference Lab
(Oregon Health
Sciences)
Anti-RNP Serum (red top), 1.0 mL Negative at 0-20 EU/mL Core Lab Must be ordered in
conjunction with anti-SM.
Order ENA.
Anti-Smith Serum (red top), 1.0 mL Negative at 0-20 EU/mL Core Lab
Anti-Smooth Muscle Antibodies Serum (red top), 1.0 mL Negative at 1:20 dilution Core Lab Positive screens will be
titered automatically
Antistreptolysin O Serum (red top), 2.0 mL 0-1 yr - 0-200 IU/mL Reference Lab
2-12 yr - 0-240 IU/mL (ARUP)
13 and older - 0-330 IU/mL
Antithrombin III Citrated plasma (blue top, must be full). >5m 0.8-1.15 U/mL Core Lab 1 week Not available
Do not draw from Hickman, arterial line or 0-5m 0.28-0.92 U/mL
with ABG's.
Antithyroid Peroxidase Serum (SST), 3.0 mL 0d and up: 0-70 IU/mL Immunochemistry
Antibodies
APO E Genotyping whole blood (yellow top or purple top) 3.0 Immunomolecular
mL Pathology
Arginine vasopressin hormone Plasma (purple top), 3.0 mL. Place on ice 0-4.7 pg/mL Reference Lab
and deliver to lab immediately. (ARUP)
Basic Metabolic Panel Minimum specimen requirements: 2.0 mL Core Lab This panel includes all the
in a green top plasma separator tube tests of the Electrolyte
Panel plus glucose, urea
nitrogen, creatinine and
calcium.
BCL-2 Gene Translocation Whole Blood (yellow or purple top) 1.0 Commercial Lab
mL, Bone marrow (yellow or purple top) Services: ARUP
1.0 mL, tissue 100 mg, paraffin block
Bence Jones protein Urine, 24 h or a minimum of 5mL first Negative Immunochemistry Interpretation given with 1-3 days
morning voided urine. report. Testing performed
Tuesday and Friday.
Beta-2 microglobulin, serum Serum (red top), 1.0 mL 1.1 - 2.4 mg/L Reference Lab
(ARUP)
Beta-2 microglobulin, Urine Urine, random or 24 hr collection, 2.0 mL 0-160 μg/L Reference Lab
300 μg/g creatinine (ARUP)
Beta-hCG (total beta) Plasma, green top (PST), 2.0 mL 2 y up: <5 mlU/mL TDM
Bicarbonate Calculated Whole blood, arterial, 0.5 mL, X ref-blood gas Core Lab
(Hep. Syringe)/Place on ice and deliver to
Lab immediately
Bilirubin, conjugated (direct) Plasma, green top (PST), 0.5 mL; protect 0.0-0.2 mg/dL Core Lab 2h 1h
from light.
Bilirubin, total Plasma green top (PST), 0.5 mL; Protect <2d 1.4-8.7 mg/dL Core Lab 2h 1h
from light. 2d 3.4-11.5 mg/dL
3-5d 1.5-12.0 mg/dL
6d-17y 0.3-1.2 mg/dL
>17y 0.4-1.5 mg/dL
Bilirubin, total, infant Plasma green top(PST); protect from Premature Full Term Core Lab
light. Performed on infants up to 6 Cord: <2.0 mg/dL <2.0 mg/dL
weeks. <2 d: <8.0 mg/dL 1.4-8.7 mg/dL
Whole blood, Gas-Lyte syringe on ice 2 d: <12.0 mg/dL 3.4-11.5 mg/dL
3-5 d: <16.0 mg/dL 1.5-12.0 mg/dL
Blood cultures Add 10 mL of blood per bottle for adults No growth Microbiology NA NA
and add 0.5-3 mL for pediatric patients in
Pediatric bottles. Submit 2 sets (4 bottles)
from 2 different sites. Isolator tubes for
mycobacteria and fungi available in lab.
Green top Vacutainer tube required for
Cytomegalovirus cultures.
Blood Gases Whole blood, arterial (heparinized pH Core Lab Blood gases should be 15 minutes
syringe)1.0 mL.; Place specimen on ice Premature (48h): 7.35-7.50 corrected for body
and deliver to lab immediately. Gaslyte Birth, full term: 7.11-7.36 temperature.
syringe required if electrolytes also 5-10 min: 7.09-7.30
ordered. 30 min: 7.21-7.38
>1h 7.26-7.49
1d: 7.25-7.45
>1d: 7.35-7.45
(Must be corrected for body temp)
pCO2
0d-4d: 27-40 mmHg
4d-24m: 27-41 mmHg
>24M: M:35-48 mmHg
F:32-45 mmHg
pO2,
Birth: 8-24 mmHg
5-10 min: 33-75 mmHg
30 min: 31-85 mmHg
>1 h: 55-80 mmHg
1d: 54-95 mmHg
>1d: 83-108 mmHg
(decreases with age)
O2 Saturation,
0-4d: 85-90%
>4d: 94-98%
(decreases with age)
Base deficit
0-4d: 2.0-10.0
4d-2y: 1.0-7.0
2-12y: 0.0-4.0
>12y: 0.0-2.0
Base excess
2-12y: 0.0-2.0
>12y: 0.0-3.0
Bicarbonate, calculated
Newborn: 17-24 mmol/L
Infant: 19-24 mmol/L
2m-2y: 16-23 mmol/L
>2y: 22-26 mmol/L
B-Natriuretic Pepide 5 mL EDTA (1-Purple top tube) - whole Normal, 0-100 pg/mL Toxicology Deliver specimen to lab 1 hour 1 hour
blood within 4 hours of collection
Body Fluid Cell Count Deliver to lab immediately. Varies with source Core Lab
Specify source of fluid.
Bone glycoprotein Plasma, 1.0 mL, either EDTA or Lithium Male: 1.1-10.8 ng/mL Reference Lab 5
heparin, purple top or green top tube Female: 0.7-6.4 ng/mL (ARUP)
Place on ice and deliver to lab
immediately
Bone marrow aspirate/biopsy Aspirate needs to be collected in EDTA Interpretation with report CORE Bone marrow biopsies and
(purple top) for aspirates are performed
morphology and needs to be delivered by the
immediately to Core Hematology/Oncology
lab. Biopsy should be submitted in physicians, bone marrow
formalin container. transplant
Flow cytometry specimen should be physicians and residents
collected in yellow top and fellows associated
tube and cytogenetics in heparinized with these
syringe. Call services. A technologist
specific laboratories for additional from the CORE Lab
instructions if prepares for
technologist or pathology resident doesn't the procedure and aids in
assist with the correct specimen
procedure. collection
during the hours of 8-4:30
pm, Monday thru Friday.
They
can be reached at 257-
1973 or pager # 1924. In
the event
a marrow is needed after
these hours or on holiday
or
weekends, the on-call
pathology resident is to be
notified.
Bromide, quantitative Serum (SST), 2.0 mL. Sedation: 10-50 mg/dL Reference Lab
Seizure control: 75-150 mg/dL (ARUP)
Toxic: >150 mg/dL
Bronchial Alveolar Lavage Cell Lavage Fluid >80% macrophages Core Lab
Count <20% Lymphs
BUN: Urea Nitrogen Plasma, green top (PST), 1.0 mL 0-3d: 3-12 mg/dL Core Lab 2H 1H
4d-11y: 5-18 mg/dL
12-17y: 7-20 mg/dL
18-59y: 6-21 mg/dL
60-89y: 8-23 mg/dL
>89y: 10-31 mg/dL
Bupropion Serum (red top), 5.0 mL, Also acceptable 50-100 ng/mL Reference Lab
plasma (heparin or EDTA) (ARUP)
C1 Esterase inhibitor, functional Serum (red top), 1.0 mL. Normal >68% Reference Lab
Place on ice and deliver to lab Indeterminate 41-67% (ARUP)
immediately. Abnormal <40%
C1 Esterase inhibitor, Serum (red top), 1.0 mL. 10-25 mg/dL Reference Lab
nonfunctional Place on ice and deliver to lab (ARUP)
immediately.
C3 Complement Serum, red top,(SST) 0.5 mL 0-5d 39-156 mg/dL Core Lab 1-4 days
6d-5m 56-150 mg/dL
6m-11m 72-179 mg/dL
1-19y 77-143 mg/dL
>19y 79-166 mg/dL
C4 Complement Serum, red top (SST), 0.5 mL 0-5d 5-33 mg/dL Core Lab 1-4 days
6d-5m 9-28 mg/dL
6-11m 14-48 mg/dL
1-19y 7-40 mg/dL
>19y 14-45 mg/dL
CAH 1Profile Serum (red top), 0.5 mL By report Reference Lab Includes Androstenedione,
(Pediatric steroid profile) (Endocrine Cortisol, DHEA, 17-OH-
Sciences) progesterone &
Testosterone
CAH 6 Profile Serum (red top), 0.5 mL By report Reference Lab Includes Androstenedione,
(Pediatric steroid profile) (Endocrine Specific S, Cortisol,
Sciences) DHEA, DOC, 17-OH
pregnenolone,
progesterone, 17-OH
progesterone &
Testosterone
Calcitonin Serum(plain red top or SST), 1.0 mL Male: 0.0-11.5 pg/mL Reference Lab
Female: 0.0-4.6 pg/mL (ARUP)
Calcium, ionized Whole blood (Gas Lyte syringe on ice), 0-1d: 4.3-5.1 mg/dL Core Lab
plasma (green top PST). Place on ice and 1d-7d: 4.0-4.7 mg/dL
deliver immediately to lab. Tube must be 7d-90 y: 4.6-5.1 mg/dL
2/3 full. >90 y: 4.5-5.3 mg/dL
Calcium, total Plasma, green top (PST); 0.5 mL 0-4d: 7.9-10.7 mg/dL Core Lab 2h 1h
5d-<1m: 8.5-10.6 mg/dL
1m-11m: 8.8-10.5 mg/dL
1-6y: 8.8-10.6 mg/dL
7-12y: 8.8-10.3 mg/dL
13-15y: 8.5-10.1 mg/dL
16-17y: 8.8-10.2 mg/dL
>17y: 8.8-10.0 mg/dL
Calcium, total, Urine random Random urine, 0.5 mL Not available Core Lab
Calcium, total, Urine, 24 h Urine, 24 h Free Ca diet: 5-40 mg/d Core Lab
Low to avg. Ca diet: 50-150 mg/d
Avg. Ca diet: 100-300 mg/d
Candida Precipitins Antibodies Serum (SST), 2.0 mL None Detected Reference Lab
(ARUP)
Carbamazepine Plasma, green top (PST), 0.5 mL Therapeutic: 4.0-12.0 µg/mL TDM
Toxic: >15 µg/mL
Carbamazepine, Saliva Therapeutic: 1.4 - 3.5 µg/mL TDM Eating and drinking should 8 hr NA
Toxic: > 4.5 µg/mL be avoided 15 minutes
prior to sampling.
Carbon dioxide, partial Whole arterial blood (Gaslyte syringe), X ref blood gas Core Lab
pressure (pCO2) 1.0mL. Place on ice and deliver to lab
immediately.
Carboxyhemoglobin Whole blood, 3 mL, blood gas syringe, Non-smokers 0-3% of total Hb Core Lab 15 minutes
green top, or purple top. Place on ice. Smokers 0-10% of total Hb
Toxic >20% of total Hb
Lethal >60% if exposure continued
Carcinoembryonic antigen Serum (SST), 1.5 mL 18 y up, Non-smokers: 0-3.0 ng/mL Immunochemistry
Smokers: 0-5.0 ng/mL
Cardiolipin antibody Serum (red top), 2.0 mL IgG: <23 GPL units/mL Core Lab
IgG: <11 MPL units/mL
Carnitine (includes free, acyl, Serum (SST), 3.0 mL, plasma also Free: 2.3-7.0 µmol/dL Reference Lab 3d
and total),Serum acceptable Acyl: 0.0-1.9 µmol/dL (ARUP)
Total: 2.6-8.1 µmol/dL
Carnitine, Urine Urine, random or 24h collection, 3.0 mL Free: 48-132 nmol/mg creat Reference Lab
Acyl: 27-111 nmol/mg creat (Cleveland
Total: 92-222 nmol/mg creat Childrens Hospital)
Carotene Serum (red top), 5.0 mL. 60-200 µg/dL Reference Lab 3d
Protect from light; deliver to lab (ARUP)
immediately.
CD4 and CD8 Lymphocyte Whole blood (yellow top), 3.0 mL. A See report for normal values in children and Immunomolecular
Enumeration Hemogram with diff must be ordered adults.. Pathology
(purple top) 2.0 mL
Cell Markers, Tissues and Fluid Lymph nodes, tissues, fluids Immunomolecular
Pathology
Cervical Cytology Smear, Fix slides in 95% ethanol. See p. 14-15. Interpretation given with report Cytology Provide the indication,
Cervical-Vaginal Cytology Use #2 pencil to label frosted end of slide either a routine screen,
Smear with patient's name and/or hospital versus
number. previous or suspected
Sample cervix with attention to abnormality.
transformation zone using EITHER broom- A ROUTINE SCREEN is
like device or combination of plastic ordered when a woman
spatula and endocervical brush. has had negative
Pap tests for the past 3
years or has not been
screened in
the past few years and
there are no gynecologic
symptoms
worrisome for an
abnormality. HIGH RISK
FACTORS should be
checked if present.
PREVIOUS OR
SUSPECTED
ABNORMALITY should be
checked and a
reason given in any
woman with a previous
abnormal Pap
test or cervical biopsy
within the past 3 years,
including
ASCUS, SIL, etc. This
also includes any woman
being tested
at a more frequent interval
than annually because of
specific concerns
(previous unsatisfactory
Pap test
included). Other reasons
include history of a
gynecologic
malignancy at any time,
abnormal gynecologic
bleeding,
lesion seen on cervix or
vagina, or other symptoms
Cervical Cytology For liquid based collection fixatives call Interpretation given with report. Cytology HPV/DNA testing is
ThinPrep,ThinPrep Pap Test Cytology Laboratory, 7-3640. Most ThinPrep specimens with be intially offered as an adjunctive
Do not use 95% ethanol. scanned using Cytyc imager (see report for test using the remainder of
Sample cervix with attention to documentation.) the liquid based pap vial
transformation zone. (minimum of 4 mLs after
Collect specimen with EITHER Broom-like cytology pap is made)
device or combination of plastic spatula within 18 days of collection.
and endocervical brush. Rinse devices ---
vigorously in liquid fixative. Provide the indication,
either a routine screen,
Label the vial with patient's name and versus
medical record number. previous or suspected
abnormality.
SEE LINK BELOW FOR DIAGRAM. A ROUTINE SCREEN is
ordered when a woman
has had negative
Pap tests for the past 3
years or has not been
screened in
the past few years and
there are no gynecologic
symptoms
worrisome for an
abnormality. HIGH RISK
FACTORS should be
checked if present.
PREVIOUS OR
SUSPECTED
ABNORMALITY should be
checked and a
reason given in any
woman with a previous
abnormal Pap
test or cervical biopsy
within the past 3 years,
including
ASCUS, SIL, etc. This
also includes any woman
being tested
at a more frequent interval
than annually because of
specific concerns
(previous unsatisfactory
Pap test
Chlamydia pneumoniae DNA Throat swab, Nasopharyngeal swab in C. pneumoniae DNA not detected Microbiology
by PCR chlamydia transport media. Bronch (Viromed)
wash/BAL in sterile container.
Chlamydia trachomatis Serum (SST), 2.0 mL. Includes IgG/IgM By report Reference Lab
Antibody Panel, IgG/IgM antibodies to trachomatis psittaci and (ARUP)
pneumoniae
Chlamydia trachomatis Cervical or male urethral swab collection C. trachomatis DNA was not detected by PCR Microbiology
Detection by Nucleic Acid kit. Available in HA630 or KY Clinic Lab,
Amplification C203.
Female and Male urine - first catch
specimen collected in clean plastic, screw
cap container, 10-15 mL. Deliver
specimens to lab within 24 hours or
refrigerate if delayed.
Chlordiazepoxide and Serum (red top), 3.0 mL. Chlordiazepoxide: 0.5-3.0 µg/mL Reference Lab
metabolites, quantitative Nordiazepam: 0.06-1.8 µg/mL (ARUP)
Chloride Plasma, green top (PST); 0.5 mL 0-17 y: 102-112 mmol/L Core Lab 2h 1h
>17 y: 102-110 mmol/L
Chloride, CSF CSF (screw top), 0.5 mL Newborn: 108-122 mmol/L Core Lab 2h 1h
Infant: 110-130 mmol/L
Adult: 118-132 mmol/L
Cholesterol, total Plasma, green top (PST), 1.0 mL Children < 18y in terms of risk for coronary Core Lab 2h 1h
heart disease,
Adults:
Cholinesterase Serum (red top), 3.0 mL, Plasma also 2,900-7,100 U/L Reference Lab 3d
acceptable (ARUP)
Chorionic gonadotropin,total Plasma, green top (PST), 1.5 mL >2 y: <5.0 mIU/mL TDM
beta
Chromagrainin A Serum (red top), 1.0 mL Male: 0-76 ng/mL Reference Lab 5d
Female: 0-51 ng/mL (ARUP)
Chromium, Serum Serum (dark blue top), 2.0 mL. <0.0 - 2.1 µg/L Reference Lab 5d
Obtain from Lab Central, HA619. (ARUP)
Chromosome Analysis Blood Whole blood (green top), 2.0-3.0 mL; cord Interpretation given with report Cytogenetics The Cytogenetics
blood/Neonates 1.0-2.0 mL. Keep at Laboratory is open from
room temperature. 8:00am to 4:30pm
Monday through Friday. It
is located in HL423.
University Hospital, 257-
3736. The laboratory
performs chromosome
analysis on peripheral
blood, fetal blood, bone
marrow aspirates,
amniotic fluid, chorionic
villi, skin and other tissues,
abortus products and
some solid tumors. All
specimens must be
labeled with the patient's
name and hospital number
and must be accompanied
by a chromosome analysis
request form. Form J529
(Genetic/Prenatal) is to be
used for blood, amniotic
fluid, chorionic villi, skin,
tissue and abortus
specimens. Form J530
(Oncology) is to be used
for bone marrow
aspirates, tumors and
blood from
Hematology/Oncology
patients. The requisition
form must contain the
patient's name, hospital
number, sex, date of birth,
source of specimen, date
of specimen collection,
and the attending
physician's name.
Pertinent clinical
information should also be
noted on the form. Any
specimens not meeting
these requirements cannot
be accepted. All
specimens must be
Citrate, Urine 24 h urine, Refrigerate during collection, 320-1240 mg/d Reference Lab 3d
Random collection also acceptable. (ARUP)
CK, Total: Creatine Kinase, Plasma, green top (PST), 0.5 mL MALE FEMALE Core Lab 2h 1h
Total 1-30d 2-183 2-134 U/L
31-182d 2-129 2-146 U/L
183-364d 2-143 18-138 U/L
1-3y 2-163 2-134 U/L
4-6y 18-158 8-147 U/L
7-9y 2-177 26-145 U/L
10-12y 6-217 6-137 U/L
13-15y 2-251 2-143 U/L
16-18y 2-238 13-144 U/L
>18y 50-300 40-230 U/L
CO2, Total: Carbon Dioxide, Plasma, green top (PST), 0.5 mL 0-6d 17-26 mmol/L Core Lab 2h 1h
Total 7d-<1m 17-27 mmol/L
1m-5m 17-29 mmol/L
6m-11m 18-29 mmol/L
1y-17y 20-31 mmol/L
18y-59y 23-31 mmol/L
>59y 23-31 mmol/L
Cold agglutinins Serum (red top), 2.0 mL <1:32, Negative Reference Lab
(ARUP)
Coombs test, direct Clotted blood (red Top), 10 mL, and Negative Blood Bank
Whole blood (purple Top), 3.0 mL
Coombs test, indirect Clotted blood (red top), 10 mL Negative Blood Bank
Copper, Liver Tissue Liver tissue, 0.5 mm x 2.0 cm needle 10-35 µg/g dry wt. Reference Lab
biopsy (Mayo)
Copper, serum Serum (dark blue top), 2.0 mL. Male, 0-1 m: 26-32 µg/dL Reference Lab
Obtain tube from Lab Central, HA619. 1-5 m: 59-70 µg/dL (ARUP)
m-4y: 27-153 µg/dL
5-16 y: 67-147 µg/dL
17-60y: 70-140 µg/dL
>60 y: 85-170 µg/dL
Female, 0-1 m: 26-32 µg/dL
1-5 m: 50-70 µg/dL
6 m-4 y: 27-153 µg/dL
5-16 y: 67-147 µg/dL
17-60 y: 80-155 µg/dL
>60 y: 85-190 µg/dL
Cortisol Serum (SST), 1.0 mL. 0-4d (8 AM): 1-16 µg/dL Immunochemistry Provide time of collection.
1-16 y, (6-10 AM): 7-25 µg/dL
16 y up (6-10 AM): 5-25 µg/dL
(4-8 PM): 3-15 µg/dL
(11PM): 2-10 µg/dL
Cortisol, urine free Urine, 24h 3-8 yrs - male/female < 18 µg/d Reference Lab 3d
9-12 yrs - male/female < 37 µg/d (ARUP)
12-17 yrs - male/female < 56 µg/d
18 yrs and older - female < 45 µg/d
18 yrs and older - male < 60 µg/d
Coxsackie A-9 Virus Antibodies Serum (red top), 2.0 mL <1:8 Reference Lab 3d
(ARUP)
Coxsackie Virus Antibodies Serum (red top), 3.0 mL <1:10 Reference Lab 3d
(ARUP)
C-reactive protein Serum (SST) 1.5 mL 18 y up: <0.9 mg/dL Core Lab
Creatine kinase, MB fraction Plasma, green top (PST), 2.0 mL >16 y: 0-8 ng/mL (non-MI) TDM
Creatinine Clearance Plasma, green top (PST), 0.5 mL, timed 0 d -4 d: 40-65 mL/min/1.73m2 Core Lab The reference range is per
(endogenous) urine (no preservative); 4 d-12 y, M: 95-150 mL/min/1.73m2 1.73 square meters body
refrigerate urine during collection. Order F: 95-125 mL/min/1.73m2 surface area. The
plasma creatinine during timed 12-40 y, M: 90-130 mL/min/1.73m2 reported value has not
urine collection period. F: 80-120 mL/min/1.73m2 been corrected to 1.73
40-50 y, M: 84-124 mL/min/1.73m2 square meters.
F: 72-114 mL/min/1.73m2
50-60 y, M: 78-118 mL/min/1.73m2
F: 66-108 mL/min/1.73m2
>60 y, M: 72-112 mL/min/1.73m2
F: 60-102 mL/min/1.73m2
Values decrease approximately
6.5 mL/min/1.73m2 per decade.
Impairment mL/min/1.73m2
Borderline 62.5-80
Slight 52-62.5
Mild 42-52
Moderate 28-42
Marked >28
Creatinine, amniontic fluid >2.0 mg/dL generally indicates fetal maturity Core Lab
creatinine is normal.
Creatinine, Urine, 24 h Urine, 24h, no preservative infant: 8-20 mg/kg/d Core Lab
child: 8-22 mg/kg/d
adolescent: 8-30 mg/kg/d
Adult M: 14-26 mg/kg/d or 800-2000
mg/d
F: 11-20 mg/kg/d or 600-1800 mg/d
Crossmatch, RBC Clotted blood (red top), 10 mL for each 6 Compatible Blood Bank Includes ABO and Rh
units ordered. Infants: 1.5 mL for each typing, antibody screen
unit ordered. (2-3 bullet tubes or red top, and compatibility testing.
3.0 mL). Contact lab for further
instructions.
CRP: C Reactive Protein 0.3 mL heparinized whole blood (green 0-0.9 mg/dL Core Lab This CRP test is 2h 1h
top) appropriate for
assessment of infection,
systemic inflammation or
tissue injury. It is not
appropriate for
cardiovascular disease
risk assessment, which
requires a more sensitive
assay (high sensitivity
CRP; hsCRP) Currently
hsCRP is sent to a
reference lab.
Cryocrit Serum, two 10 mL red tops; keep at None Detected Immunochemistry 3-7 days
37ºC in heel warmer; deliver to lab
immediately.
Cryptococcal antigen CSF, 1.0 mL or Serum (red top), 2.0 mL, Negative Microbiology
titered if possible
CSF Cytospin for Deliver to Lab Central Receiving See report Core Lab This test is to be ordered 24 hours, M- Not Available
Leukemia/Lymphoma immediately. Test will not be done on any only on patients with F
fluid other than CSF. Leukemia/Lymphoma.
Cyclosporine Whole blood (purple top), 1.0 mL. Renal transplant: Toxicology Patient samples in lab by
Obtain just prior to next dose (trough). 100-200 ng/mL 11 am will be reported by
Cardiac transplant 4 pm. Patient samples in
150-250 ng/mL lab after 11 am will be
Hepatic transplant analyzed the following day.
100-400 ng/mL
Cystic Fibrosis, by DNA Whole blood (purple top or yellow top), 2.0 Given with report. Reference Lab
analysis mL (Genzyme)
Cysticercosis titers Serum (red top), 2.0 mL Serum:<1:32, Antibody not detected Reference Lab
CSF, 1.0 mL CSF: <1:8, Antibody not detected (Parasitic Disease
Consultants)
Cytologic Evaluation, Brushings Fix Slides in 95% ethanol and label with See report Cytology Respiratory specimens
or Washings patient name submitted for STAT
and/or hospital number. For liquid based evaluation for
brushing opportunistic infections
collection instructions and supplies, call require hand delivery of
Cytology specimen to Cytology
Laboratory 7-3640. The brush should be Laboratory HL412. The
vigorously swirled cytology
in fixative to release material. Send laboratory should be
washings fresh to notified if specimens will
laboratory and refrigerate if there is any arrive
delay. after 2 p.m. for same day
evaluation. If STAT
processing
is required
evenings/weekends call
the anatomic pathology
resident on call.
Cytologic Evaluation, Effusions, Fluids should be sent in either plastic See report Cytology
Fluids specimen
containers or Thoraklax bags. Fluids sent
in PLEURAL-VACS
or large vacuum-sealed glass bottles will
not be accepted.
Send a generous amount of effusion (up
to 500 mL) for
optimal evaluation. Send to laboratory
central receiving
if cytology laboratory is closed. If there is
any delay in
sending a fresh specimen, it should be
refrigerated.
Provide clinical history or indication and
any special
testing desired (stains, flow cytometry,
etc.). If STAT
processing is required evenings/weekends
call the anatomic
pathology resident on call.
Cytologic Evaluation, Hand deliver specimen and/or ethanol See report Cytology Respiratory specimens
Opportunistic Infections fixed slides to Cytology. submitted for STAT
evaluation for
opportunistic infections
require hand delivery of
specimen to Cytology
Laboratory HL412. The
cytology
laboratory should be
notified if specimens will
arrive
after 2 p.m. for same day
evaluation. If STAT
processing
is required
evenings/weekends call
the anatomic pathology
resident on call.
Cytologic Evaluation, Smear for Scrape base of lesion with blade, wooden See report Cytology
Viral Inclusions spatula/depressor, and smear on slide. Fix
slides
immediately in 95% ethanol. Contact
cytology laboratory
for a kit if desired (257-3640).
Cytologic Evaluation, Washings Deliver fresh to lab. See report Cytology Respiratory specimens
submitted for STAT
evaluation for
opportunistic infections
require hand delivery of
specimen to Cytology
Laboratory HL412. The
cytology
laboratory should be
notified if specimens will
arrive
after 2 p.m. for same day
evaluation. If STAT
processing
is required
evenings/weekends call
the anatomic pathology
resident on call.
Cytomegalovirus detection by CSF, Bone Marrow Asp. Or whole blood By report Microbiology
Nucleic Acid Amplification in EDTA, BAL, Occular fluid, Neonatal (ARUP)
(Qualitative) urine, tissue in viral transport media.
NOTE: This test is for Research use only.
Cytomegalovirus isolation Tissue, body fluids, buffy coat in Green No Cytomegalovirus isolated Microbiology
Top vacutainer tube. Submit on ice.
Cytoplasmic neutrophil Antibody Serum (red top), 2.0 mL Negative at 1:20 Core Lab
Cytospin for CSF, 0.5 mL. Deliver to Lab Central See report Core Lab
Leukemia/Lymphoma Receiving immediately.
D-dimer Citrated plasma (blue top, tube must be All ages: less than or equal to 3.0 mg/L Core Lab
full). Do not draw from Hickman, arterial
line, or with ABG's
Dehydroepiandrosterone Serum (red top), 2.0 mL Child: 1.0-3.0 ng/mL Reproductive DHEA
Adult, M: 1.7-9.5 ng/mL Endocrinology
F: 2.0-10.0 ng/mL
Pregnancy: 0.5-12.5 ng/mL
Dehydroepiandrosterone sulfate Serum (red top), 2.0 mL Adult Male: 80-560 µg/mL Reproductive
Adult Female: 35-430 µg/mL Endocrinology
Children, call lab at 323-5123
Delta A450 Amniotic fluid, 2.0 mL; protect from light. with report. Toxicology
Dexamethasone suppression Serum (SST); draw at 8 a.m. for 6 d. Cortisol: suppression on day 4 to Immunochemistry High dose, adult: 2.0
test (high dose) <5 µg/dL or to <50% of baseline mg q 6 h x 8 on days 5
and 6
Cortisol, 17-KGS, 17-OHCS:
Suppression on day 6 to <50% of
baseline is suggestive of bilateral
adrenal hyperplasia. No
suppression is seen in adrenal
neoplasms or ectopic ACTH-
producing tumors.
Dexamethasone suppression Serum (SST); draw at 8 a.m. for 6 d. Cortisol: suppression on day 4 to Immunochemistry Low dose, adult: 0.5
test (low dose) <5 µg/dL or to <50% of baseline mg q 6 h x 8 on days 3
and 4
Dexamethasone suppression Urine 24 h, for 6 d; Collected with boric 17-OHCS: suppression on day 4 to <4.5 mg/d Reference Lab
test: acid. or <50% of baseline. (ARUP)
17-OHCS: (Days 1 and 2 are baseline
measurements.)
Dexamethasone suppression Urine 24 h, for 6 d; Collected with boric 17-KGS: suppression on day 4 to <7 mg/d or Reference Lab
test: acid. <50% of baseline. (ARUP)
17-KGS: (Days 1 and 2 are baseline
measurements.)
Dexamethasone suppression Urine 24 h, for 6 d; Collected with boric Free cortisol: suppression on day 4 to <19-25 Reference Lab
test: acid. ug/d or <50% of baseline. (ARUP)
Urine, free cortisol: (Days 1 and 2 are baseline
measurements.)
Diazepam and metabolites, Serum (SST), 2.0 mL Diazepam: 0.2-1.0 µg/mL Reference Lab
quanitative NorDiazepam: 0.06-1.8 µg/mL (ARUP)
Dibucaine Number Serum (SST), 3.0 mL Given with report (includes phenotype). Reference Lab
(ARUP)
Differential, WBC Differential Whole blood (purple top), 3.0 mL. Mix Core Lab 2h 1h
well. May be collected by finger stick in Neutrophils:
microtainer tube, 0.2 mL. <1wk 22-70% 2.0-12.0 k/µL
1-7wk 16-70% 1.5-11.5 k/µL
2-23m 12-70% 1.4- 9.0 k/µL
2-9y 32-74% 1.4- 8.0 k/µL
10-17y 42-74% 1.4- 8.0 k/µL
> 17y 42-74% 1.4- 6.6 k/µL
Eosinophils
<1 wk 1-7% 0- 0.8 k/µL
1-7wk 1-7% 0- 0.8 k/µL
> 7wk 1-7% 0- 0.4 k/µL
Lymphocytes
<1wk 15-55% 1.2-11.5 k/µL
1-7wk 15-65% 1.2-11.5 k/µL
2-23m 15-60% 1.2-11.5 k/µL
2-9y 15-55% 1.2- 6.0 k/µL
10-17y 17-50% 1.2- 3.5 k/µL
> 17y 17-45% 1.0- 3.5 k/µL
Monocytes
Nucleated RBC's
1-3d 0-10 NRBC/100 WBC
>3d 0 NRBC/100 WBC
Digoxin Plasma, green top (PST), 1.0 mL Therap.: 0.8-2.0 ng/mL Toxicology
Toxic: >2.3 ng/mL
Diphtheria Antitoxoid Antibody Serum (SST), 2.0 mL >0.10 IU/mL Post vaccination Reference Lab
(ARUP)
Diuretic Screening (Thiazide Random urine, 1.0 mL Given with report. Reference Lab
diuretics) (National Medical
Services)
DNA Call Cytogenetics Lab (7-3736). Interpretation given with report Cytogenetics
DNA polymorphisms to monitor Whole blood (yellow top), 3.0 mL Interpretation given with report. Immunomolecular
BMT engraftment Bone marrow (yellow top), 1.0 mL Pathology
Drug screen, Abuse Urine, random, 10 mL. Negative Toxicology Includes screening for
See Toxicology Screens, p.19-20. Cocaine,
Benzodiazepines, opiates,
barbituates,
amphetamines,
methadone, THC and
Norpropoxyphene.
Positive screens are
reflexed to a GC/MS
confirmation.
Drug screen, Gastric Gastric content, 10 mL Negative Toxicology Screens for approximately
See Toxicology Screens, p. 19-20 75 different drugs.
Performed by a
combination of TLC,
GC/MS and immunoassay.
Drug Screen, Meconium Collect meconium from time of birth until Negative (amphetamines, cannabinoids, Reference Lab Includes screening for
appearance of milk stool. Random Opiates, PCP, cocaine metobolite) (MECSTAT) amphetamines, THC,
collection accepted, 0.5 g opiates, PCP and cocaine
metabolite.
Drug screen, Neonatal Urine, random, 1.0-2.0 mL. Negative Toxicology Includes screening for
See Toxicology Screens, p. 19-20. Cocaine,
Benzodiazepines, opiates,
THC, Barbituates.
Positive screens are
reflexed to a GC/MS
confirmation.
Drug screen, Urine Urine random, 10 mL. Negative Toxicology Screens for approximately 2-8 hrs. 1-3 hrs.
75 different drugs.
Performed by a
combination of TLC,
GC/MS and immunoassay
techniques.
Duchenne/Becker Muscular Whole blood (purple or yellow top), 2.0 mL By report Reference Lab
Dystrophy by DNA Analysis (Baylor)
Echinococcosis titer Serum (SST), 2.0 mL Negative 0.9-1.1 Equivocal >1.1 Reference Lab
Positive (ARUP)
Ehrlichia chaffeensis DNA by Whole Blood (ACD or EDTA) No Ehrlichia DNA detected Microbiology
PCR (also detects E. equi) Collect Monday thru Thursday only (Viromed)
Ehrlichia chaffeensis IgG and Serum (red top), 2.0 mL IgG: <1:64, Antibody not detected Reference Lab
IgM Antibody IgM:<1:16, Antibody not detected (ARUP)
Electrophoresis, Hemoglobin Whole Blood (purple top), 3.0 mL Hgb A: >95% Core Lab Includes cellulose acetate,
Hgb A2: 1.5-3.5% alkali denaturation for
Hgb F: <2% after age 2 HgbF, & A2 by column.
Solubility tests and acid
electrophoresis on agar
gel performed if indicated.
Electrophoresis, Hemoglobin, Whole Blood (purple top), 0.5 mL see report Core Lab This should be ordered on
Strip only babies < 6 months old.
Fetal Hb (FHb) is reported
from the electrophoresis
scan. The Alkalai
Denaturation test for FHb
and the A2 by column are
not accurate at this age.
Electrophoresis, serum protein Serum (SST), 2.0 mL Albumin, 0-15 d: 3.0-3.9 g/dL Immunochemistry 1-3 days
15 d-1 y: 2.2-4.8 g/dL
1-16 y: 3.6-5.2 g/dL
17 y and up: 3.6-4.8 g/dL
gamma-globulin,
1-15 d: 0.7-1.4 g/dL
15 d -1 yr: 0.5-1.3 g/dL
1-16 y: 0.5-1.7 g/dL
17 y and up: 0.7-1.5 g/dL
Electrophoresis, urine protein Urine (24 h), no preservative or random Interpretation given with report Immunochemistry Testing performed 1-3 days
urine Tuesday and Friday
Elution, antibody Whole blood (purple top), 7.0 mL Negative Blood Bank
Endomysial Antibody, IgA Serum (red top), 2.0 mL No antibody detected Reference Lab
(IMMCO)
Enterovirus Isolation Tissue, body fluids except blood, NP No Enterovirus Isolated Microbiology
suction, stool
Enterovirus RNA by PCR CSF, Whole blood in EDTA, No Enteroviral RNA detected Microbiology
Throat/Nasopharyngeal swabs, stool, and (ARUP)
tissue.
Eosinophil count Whole blood (purple top), 3.0 mL; mix Up to 350/µl Core Lab
well. Order HEMD
Epstein -Barr Virus Quantitative CSF, Synovial or Vitreous fluid, <80 copies per mL Microbiology
DNA by PCR Bronchwashes, Tissue, Whole blood in (Specialty)
ACD or EDTA
Epstein-Barr Virus detection By CSF, Bone Marrow Asp. or whole blood in Negative Microbiology(ARUP)
Nucleic Acid Amplification EDTA, serum from clotted blood, tissue.
NOTE: This test is for Research use only.
Epstein-Barr Virus Panel Serum (SST), 3.0 mL By report Reference Lab Includes Early Antigen, 3-5 days NA
(ARUP) Viral Capsid, and Nuclear
Antigen Antibodies
Erythropoietin Serum (red top), 2.0 mL. By report Reference Lab 3 days NA
(ARUP)
Estrone Serum (red top), 1.0 mL. By report Reference Lab 3 days NA
(ARUP)
Ethylene glycol & glycolic acid Serum (red top), 1.0 mL. Negative Toxicology
Extractable nuclear antigen Serum (red top), 2.0 mL. SM: Negative at 0-20 EU/ml Core Lab Order ENA I for SM and
RNP: Negative at 0-20 EU/ml RNP. Order ENA II for
SSA: Negative at 0-20 EU/ml SSA and SSB.
SSB: Negative at 0-20 EU/ml
FA for Legionella, direct Sputum, transtrach, lung tissues, pleural Negative Microbiology
fluid, bronch wash, sterile container.
Factor II activity Citrated plasma (blue top), must be full. 0-5 months 0.26-0.7 U/mL Core Lab Not available
Do not draw from Hickman, arterial line or 6-12 months 0.34-1.15 U/mL
with ABG's. >12 months 0.7-1.45 U/mL
Factor IX activity Citrated plasma (blue top), must be full. <1 month 0.15-0.99 U/mL Core Lab Not available
Do not draw from Hickman, arterial line or 1-5 months 0.2-1.35 U/mL
with ABG's. >5 months 0.5-1.6 U/mL
Factor IX inhibitor Citrated plasma (blue top), must be full. All ages: None Core Lab Not available
Do not draw from Hickman, arterial line or
with ABG's.
Factor V activity Citrated plasma (blue top), must be full. 0-5 months 0.35-1.5 U/mL Core Lab Not available
Do not draw from Hickman, arterial line or >5 months 0.5-1.5 U/mL
with ABG's.
Factor V Gene Leiden Mutation Whole blood (yellow top or purple top), 3.0 Immunomolecular This test is multiplexed
mL Pathology with Prothrombin gene
mutation
Factor VII activity Citrated plasma (blue top), must be full. 0-5 months 0.28-1.04 U/mL Core Lab Not available
Do not draw from Hickman, arterial line or 6-12 months 0.42-1.38 U/mL
with ABG's. > 12 months 0.67-1.43 U/mL
Factor VIII activity Citrated plasma (blue top), must be full. All ages: 0.5-2.0 U/mL Core Lab
Do not draw from Hickman, arterial line or
with ABG's.
Factor VIII Inhibitors Citrated plasma (blue top), must be full. All ages: None Core Lab Not available
Do not draw from Hickman, arterial line or
with ABG's.
Factor X activity Citrated plasma (blue top), must be full. <1 month 0.12-0.7 U/mL Core Lab Not available
Do not draw from Hickman, arterial line or 1-5 months 0.3-1.2 U/mL
with ABG's. >5 months 0.7-1.5 U/mL
Factor XI activity Citrated plasma (blue top), must be full. >1 month 0.1-0.66 U/mL Core Lab Not available
Do not draw from Hickman, arterial line or 1-5 months 0.17-1.15 U/mL
with ABG's. >5 months 0.67-1.27 U/mL
Factor XII Citrated plasma (blue top), must be full. <1 month 0.13-0.85 U/mL Core Lab Not available
Do not draw from Hickman, arterial line or 1-5 months 0.17-1.15 U/mL
with ABG's. >5 months 0.5-1.5 U/mL
Factor XIII screen Citrated plasma (blue top), must be full. All ages: Clot stable in 5 molar urea Core Lab
Do not draw from Hickman, arterial line or
with ABG's.
Farmer's Lung battery Serum (red top), 2.0 mL. Negative Reference Lab (VA)
Fascioliasis Antibody Serum (SST), 2.0 mL. less than or equal to <1:32, Negative Reference Lab
(Parasitic Disease
Consultants)
Fat, fecal Feces, 72 h collection; obtain preweighed 2-7 g/24 hr and/or < 20% of total solids Reference Lab
container from Special Chemistry (257- (Mayo)
1550). Refrigerate during collection.
Fetal Hemoglobin (Alkalai Whole blood (purple top), fill tube 0-5 months 8-85% Core Lab Not available
Denaturation) completely. 6-12 months 0-8%
13-24 months 0-5%
>24 months 0-2%
Fetal Lung Maturity Amniotic fluid, 1.0 mL, Order on FLM Immature: <40 mg/g Albumin Toxicology (Special
requisition. Transitional: 40-54 mg/g Albumin Form)
Mature: >54 mg/g Albumin
Fibrinogen Citrated plasma (blue top, must be full). 0-4 wk 125-300 mg/dL Core Lab 1 hr
Do not draw from Hickman, arterial line or >1 month 150-450 mg/dL
with ABG's.
Filariasis titer Serum (red top), 2.0 mL Negative by IHA, <1:32 Reference Lab
(Parasitic Disease
Consultants)
Fine Needle Aspiration See COMMENT area for instructions on See report Cytology Call the cytology
scheduling FNAs. Fix laboratory 257-3640 to
prepared slides in 95% ethanol and label schedule
with patient name procedures. Fine needle
and/or hospital number. For liquid based aspiration biopsies are
collection performed
instructions and supplies, call Cytology by the pathologists on
Laboratory 7-3640. superficial masses from 8
a.m. to
4:30 p.m. Monday-Friday.
Aspirations performed
under
radiologic guidance can
have assistance (making
slides and
assessing adequacy) from
the cytology laboratory
from 8
a.m. to 3:30 p.m. Monday-
Friday. If an emergency
FNA
procedure is required
evenings/weekends,
please call the
anatomic pathology
resident on call.
Fluoxetine Serum (SST), 3.0 mL Therapeutic: Fluoxetine, 50-480 ng/mL Reference Lab
Norfluoxetine, 50-450 ng/mL (ARUP)
Folate, red cell Whole blood (purple top), 1.0 mL 280-903 ng/mL Reference Lab
(ARUP)
Folate, serum Serum (SST), 1.0 mL 1year and up: >5 ng/mL Immunochemistry
Tanner Stages:
Male: Female:
1 0.2-3.5 mIU/m 0.4-3.6mIU/mL
2-3 0.4-6 mIU/mL 1.2-8.9 mIU/mL
4 1.4-11.8 mIU/mL 1.6-9.1mIU/mL
5 1.3-14.9 mIU/mL 1.2-12.3mIU/mL
Fragile X by Chromosome See pages 13-14, Interpretation given with reports Cytogenetics
Analysis call 7-3736 with questions
Fragile X by DNA Analysis Whole blood (purple or yellow top), 2.0 mL Given with report Reference Lab
(Baylor)
Free T3 Serum (red top), 1.0 mL 2.2-4.0 pg/mL Reference Lab 3 days NA
(ARUP)
Free T4 ( In-house Serum (red top), 1.0 mL 1-7 d: 1.7-6.9 ng/dL Immunochemistry
immunoassay) 8-15 d: 1.3-5.2 ng/dL
1-12 y: 0.7-2.3 ng/dL
>13 y: 0.9-1.6 ng/dL
Free T4 (equilibrium dialysis) Serum (red top), 1.0 mL By Report Reference Lab 5 days NA
(ARUP)
Fungal Serology Battery Serum (SST), 4.0 mL No detectable antibody Reference Lab (VA)
Includes complement fixation (complement
and immunodiffusion to identify fixation-FUCF)
the presence of Histoplasma Immu
capsulatum, Blastomyces
dermatitidis, Aspergillus sp.,
and Coccidioides immitis.
G6PD Screen,(Qualitative) Whole blood collected in EDTA, heparin, Normal G-6-PD present. Core Lab This is a qualitative test. Not available
Glucose-6-Phosphate or ACD. Quantitative tests should
Dehydrogenase be ordered separately and
are sent to a commercial
lab.
Gabapentin Serum (red top), 2.5 mL Therapeutic: Not well established. Reference Lab 3 days NA
Minimum concentration fro desirable efficacy: (ARUP)
2.00 µg/mL
Galactose-1-phosphate Whole blood (green top), 5.0 mL. 0.00-0.17 µmol/gHgb Reference Lab
Place on ice and deliver to lab (Childrens Hosp.,
immediately. L.A.)
Galactose-1-phosphate Whole blood (green top), 5.0 mL. Activity: 17.0-37.0 µmol/hr/gHgb Reference Lab
transferase Place on ice and deliver to lab (Childrens Hosp.,
immediately. L.A.)
Galactose-1-phosphate Whole blood (green top), 5.0 mL. with report Reference Lab
transferase genotype Place on ice and deliver to lab (Childrens Hosp.,
immediately. L.A.)
Gastrin Serum (red top), 1.5 mL; unstable, deliver 0-100 pg/mL Reference Lab
to lab immediately. (ARUP)
Gentamicin Plasma, green top (PST), 1.0 mL Therapeutic: TDM A trough specimen is
Peak, drawn just prior to the next
Less sev.inf: 5-8 µg/mL dose. A peak specimen is
Sev. Inf: 8-10 µg/mL drawn 60 minutes after the
Trough, IV drug infusion has begun.
Less sev. Inf: <1 µg/mL
Moderate inf: <2 µg/mL
Severe inf: <2-4 µg/mL
Toxic,
Peak: >10 µg/mL
Trough: >2-4 µg/mL
GGT: Gamma Plasma green top (PST), 2.0 mL 1-3y: 6-19 U/L Core Lab 2h 1h
glutamyltransferase 4-9y: 10-25 U/L
10-13y: 17-45 U/L
14-17y: 12-35 U/L
>17y M: 12-58 U/L
F: 12-43 U/L
Gliadin IgG, IgA Antibodies Serum (red top), 3.0 mL Negative Equivocal Positive Reference Lab 3 days
(ARUP)
GliadinAb,IgA,
0-2 yr: </=20 EU 20.1-24.9 EU >/=
25 EU
3 yr and older: </=25 EU 25.1-29.9 EU
>/= 30 EU
GliadinAb, IgG,
0-2 yr: </=20 EU 20.1-24.9 EU >/=
25 EU
3 yr and older: </=25 EU 25.1-29.9 EU
>/= 30 EU
Glucose Challenge - OB screen Plasma, green top (PST) 1.0 mL Dose: 50 g Core Lab Patient does not have to 4 hour 1 hour
be fasting.
<140 mg/dL 1 hour post challenge
Glucose Tolerance - Plasma, green top (PST), 0.5 mL Age: Adult Core Lab Test should be done in the 4 hour 1 hour
Gestational Diabetes Dose: 100 g morning after an overnight
fast of 8-14 h and after at
Time Glucose, mg/dL least 3 days of
Fasting: <95 unrestricted diet (> 15 g
60 min: <180 carbohydrate/d) and
120 min: <155 unlimited physical activity.
180 min: <140 The subject should remain
seated and should not
Gestational diabetes is confirmed if at lease 2 smoke throughout the test.
values exceed the above limits.
Glucose Tolerance, 2 hour Plasma, green top (PST), 1.0 mL; fasting Age: Dose: Core Lab Test should be done in the 4 hour NA
and 2h post glucose dose 0-17m 2.5 g/kg morning after an overnight
18m-2y 2.0 g/kg fast of 8-14 h and after at
3-12y 1.8 g/kg least 3 days of
>12y 1.3 g/kg unrestricted diet (> 15 g
carbohydrate/d) and
Adult: 75g unlimited physical activity.
The subject should remain
Fasting 2 hr seated and should ot
Normal 80-99 mg/dL <140 smoke throughout the test.
mg/dL
Impaired fasting glucose 100-125
mg/dL ----------
Impaired glucose tolerance ------------- 140-
199 mg/dL
Diabetes >125 mg/dL >199
mg/dL
Glucose, fasting Plasma, green top (PST), 0.5 mL 0-7d: 40-99 mg/dL Core Lab 4h 1h
8d-<1m: 50-99 mg/dL
1m-11m: 50-99 mg/dL
1y-18y: 60-99 mg/dL
>19y: 80-99 mg/dL
Glucose, urine 24 h Urine, 24 h; collect in boric acid <0.5 g/d or 1-15 mg/dL Core Lab
Glucose, Urine random Urine, random, 0.5 mL Not available Core Lab
Glucose-6-Phosphate Whole blood (purple top), 3.0 mL Reported as normal Core Lab
Dehydrogenase Screen;
Erythrocyte, Fluorescent Spot
Glycosaminoglycans Urine, 20 mL, early morning specimen. with report Reference Lab
Transport on ice and deliver to lab (Mayo)
immediately.
Glycosylated Hemoglobin (H Whole blood (purple top), 1.0 mL Normal (nondiabetic): 4.4-5.8% Toxicology
A1C)
Growth hormone Serum (SST) 1.5 mL male female Reference Lab Fasting specimen required 3 days
0-15 yr, 0.10-8.80 ng/mL 0.10-8.80 (ARUP)
ng/mL
16 yr and older: 0.01-1.00 ng/mL 0.03-
10.0 ng/mL
Growth Hormone Antibodies Serum (red top), 1.0 mL By report Reference Lab 7 days
(ARUP)
Ham's acid hemolysis Collect 10.0 mL plain red and one 5.0 mL Negative Reference
lavendar (EDTA) tube Laboratory
Hantavirus Contact Special Chemistry at 7-1550 for Individual interpretation Reference Lab
further information. (CDC)
Haptoglobin Serum, red top (SST), 0.5 mL 6m-18y: 22-169 mg/dL Core Lab 1-4 days
>18y: 40-220 mg/dL
hCG, (total beta) Plasma, green top (PST), 1.5 mL 2 y up: < 6 mIU/mL TDM
HDL Cholesterol Plasma, green top (PST), 0.5 mL HDL-C TC/HDL Core Lab 2h 1h
Desirable: >59 mg/dL <5.0
Borderline: 5.0-6.0
Undesirable: <40 mg/dL >6.0
Heavy Metals, Blood Whole blood, royal blue, (sodium EDTA), Arsenic: 0-62 µg/L Reference Lab
3.5 mL. Obtain tubes from Lab Central,
HA619. Lead: By report
Mercury: 0-60 µg/L
Heavy Metals, Urine Urine, 24 h, collect in plastic container. Arsenic: 0.0-63.9 µg/d Reference Lab
Obtain container from Lab Central, HA619.
Lead: 0--31 µg/d
Helicobacter pylori, IgG Serum (SST), 2.0 mL Negative, <0.9 µ/mL Immunochemistry
Antibody
Hematocrit Whole blood (purple top), 1.0 mL or <7d 42-65% Core Lab 2h 1h
microtainer 1-7wk 31-56%
2-23m 28-42%
2-9y 33-43%
10-17y 35-49%
>17y M 40-50%
F 35-45%
Hemoglobin Whole blood (purple top), 1.0 mL <7d 13.5-23.0 g/dL Core Lab 2h 1h
1-7wk 10.0-18.0 g/dL
2-23m: 9.5-14.0 g/dL
2-9y: 11.5-14.5 g/dL
10-17y: 12.0-16.0 g/dL
>17y M: 13.5-17.2 g/dL
F: 11.9-15.5 g/dL
Hemoglobin A2 by column Whole blood (purple top), 2.0 mL 1.5-3.5 % Core Lab
Hemoglobin Electrophoresis Whole blood (purple top), 3.0 mL Hgb A: >95 % Core Lab Includes cellulose acetate
Hgb A2: 1.5-3.5 % strip, HgbF by alkali
Hgb F: 0 - 6m 8-85% denaturation, A2 by
6-11m 0-8% column.
12-23m 0-5% Solubility test and acid
> 23m <2% electrophoresis on agar
gel performed if indicated.
Hemoglobin S screen, Whole blood (purple top), 2.0 mL Negative for sickling hemoglobin Core Lab
Hemoglobin saturation panel Whole Blood (Gas-Lyte Syringe or green Total hemoglobin: See Hemoglobin, whole Core Lab Iincludes total hemoglobin,
top). Place on ice and deliver to lab blood. oxygen saturation, %
immediately. Oxygen Saturation (arterial) oxyhemoglobin, reduced
0-4 d: 85-90% hemoglobin
Thereafter: 95-98%
% Oxyhemoglobin, >3 m: 94-97
% Reduced hemoglobin, >12 y: 0-4.1
Hemoglobin, A1C Whole blood (purple top), 2.0 mL Normal (nondiabetic): 4.4-5.8 % Toxicology
Hemoglobin, plasma free Plasma, (green or purple top), 5.0 mL; <10 mg/dL (venipuncture) Toxicology
specify method of drawing specimen. <3 mg/dL with butterfly set-up
and 18 g needle
Hemogram Whole blood (purple top), 2.0 mL WBC, White Blood Cell Count Core Lab 2h 1h
<1 wk 5.5-30.0 k/µL
1-7 wk 5.5-21.0 k/µL
2-23 m 6.0-15.0 k/µL
2-9 y 4.0-12.0 k/µL
10-17y 4.0-10.8 k/µL
>17y 4.0-10.5 k/µL
Hemoglobin
<1wk 12.0-22.0 g/dL
1-7wk 10.0-17.0 g/dL
2-23m 9.5-14.0 g/dL
2-9y 10.0-14.5 g/dL
10-17y 11.0-16.0 g/dL
>17y M 13.5-17.2 g/dL
F 11.9-15.5 g/dL
Hematocrit
<1 wk 35-65%
1-7wk 31-51%
2-23m 28-42%
2-9y 33-43%
10-17y 33-49%
>17y M 40-50%
F 35-45%
Platelet Count
150.0 - 450.0 k/µL
Hemosiderin, Urine Urine, random, 10 mL freshly voided. Use Negative Core Lab
no preservative.
Heparin Dependant Antibody Serum 2.0 mL Negative Special Chemistry Assay performed daily,
cutoff 12pm.
Heparin level (unfractionated) Citrated plasma (blue top, must be full). All ages: none Core Lab Therapeutic level 0.3 to Not available
Do not draw from Hickman, arterial line or 0.7 heparin units per mL
with ABG's.
Hepatitis B Surface Antibody Serum (SST), 2.0 mL Negative < 10 milli-International Immunochemistry
(Anti-HAA, HBsAB, anti-HBs) Units/mL
Positive > or = 9 milli-International
Units/mL
Hepatitis B Virus, (Qualitative) Whole blood (yellow top), 3.0 mL,. Serum Negative Microbiology
DNA by PCR from red top is also acceptable. (ARUP)
Specimen must be received by lab within
4 hours of collection. NOTE: THIS TEST
IS FOR RESEARCH USE ONLY.
Hepatitis B Virus, Quantitative Serum (red top), 3.0 mL 0.00 picograms/mL Microbiology
DNA NOTE: THIS TEST IS FOR RESEARCH (ARUP)
USE ONLY.
Hepatitis Be Antibody 1.0 mL SST, Serum, 0.4 mL minimum Negative Reference Lab 3 days
(ARUP)
Hepatitis Be Antigen 1 mL, SST, Serum, 0.4 mL minimum Negative Reference Lab 3 days
(HBeAg) (ARUP)
Hepatitis C Antibody Serum (SST), 2.0 mL Negative. Positive specimens will have Immunochemistry
confirmation performed.
Hepatitis C Virus RNA Plasma from whole blood collected in By report Microbiology (VA)
Genotype ACD or EDTA or Serum from red top.
Note: Deliver specimen to lab within 4h of
collection.
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
Hepatitis C Virus(Qualitative) Plasma (yellow top), 4.0 mL, Serum from Negative Microbiology (VA)
RNA by PCR Red Top is also acceptable.
Note: Deliver specimen to lab within 4h of
collection.
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
Hepatitis C VirusQuantitative Serum (red top), 3.0 mL, Plasma from <600 IU/mL Microbiology
RNA by RT-PCR whole blood collected in ACD or EDTA is
also acceptable.
Note: Deliver specimen to lab within 4h of
collection.
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
Hereditary Hemochromatosis Whole blood (yellow top or purple top), 3.0 Immunomolecular
(Molecular Analysis) mL Pathology
Herpes Simplex I & II IgM Serum (SST), 1.0 mL < 0.90 IV - Negative Reference Lab 3 days
Antibody 0.90 - 1.09 IV - Equivocal-Repeat testing in 10- (ARUP)
14 days
>1.09 IV - Positive
Herpes Simplex Virus CSF, 1.0 mL or Whole blood in EDTA Negative Microbiology
DNA by PCR 5.0 mL., tissue, vesicle fluid.
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
Herpes Simplex Virus Tissue, body fluids. Virocult available in No virus isolated Microbiology
isolation PCS. Submit on ice. Contact Virology, 3-
5411.
Herpes Six Antibody, Serum (SST), 2.0 mL. IgG: <1:10 Reference Lab
IgG & IgM IgM: <1:20 (Focus)
Hexosaminidase (A and total) Serum (red top), 3.0 mL Total: 10.4-23.8 U/L Reference Lab
Hex A: 56-80% of total (Mayo)
(Males and Non-pregnant
Females: >5y)
Hexosaminidase (WBC)(A and Whole Blood (yellow top), 7.0 mL. Total:16.4-36.2 U/g of cellular protein Reference Lab
total, Leukocytes) (Pregnant Draw M, Tu, W ONLY. Need physician's Hex A: 63-75% of total (normal) (Mayo)
Females) name and phone number on request form.
Histone Antibody, IgG Serum (red top), 2.0 mL. None detected: <1.0 Units Reference Lab
Deliver to lab immediately. Inconclusive: 1.0-1.5 Units (ARUP)
Positive: 1.6-2.5 Units
Strong Positive: >2.5 Units
HIV1 Rapid Screen Nonreactive Special Chemistry Rapid HIV1 is not intended 60 min.
for the screening of
Transplant patients. Use
of test restricted for needle
stick/splash exposure or
for high risk OB patiens
without prior testing at
time of delivery. Test not
CODA approved for organ
transplant patients.
HIV-1 RNA Phenotype for Drug Plasma, 4 mL, from whole blood collected By report Microbiology
Resistance in EDTA. (ARUP)
NOTE: Specimen must be received by lab
within 4 hours of collection.
NOTE: This test is for research use only.
HIV-1 RNA Ultrasensitive Whole blood (ACD/EDTA), 5 mL. <50 copies/mL Microbiology
Quantitation Specimen must be received by lab within (Specialty)
4 hours of collection
HIV-I DNA by PCR (Qualitative) Whole Blood (yellow top), 3 mL No HIV-1 DNA detected Microbiology
Important: specimen must remain at room (Viromed)
temp.
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
HIV-I RNA by RT-PCR Whole Blood (ACD/EDTA), 3.0 mL <400 copies RNA/mL Microbiology
Quantitative (Viral load) Specimen must be received by lab within
4 hours of collection.
HIV-I RNA Genotype for Drug Plasma, 4 mL, from whole blood collected By report Microbiology
Resistance in EDTA. (Specialty)
NOTE: Specimen must be received by
Lab within 4 hours of collection.
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
HLA Complete for transplant Whole Blood (yellow top), 5.0 mL Immunomolecular
Pathology
HLA DR High Resolution Typing Whole Blood (yellow top), 5.0 mL Immunomolecular
Pathology
HLA for crossmatch for Patient: serum (red top), 1.0 mL Immunomolecular
transplantation Donor: yellow top, 20.0 mL Pathology
Submit within 1 hr of collection. Do not
refrigerate
Homocysteine, plasma Plasma (purple top), 2.0 mL. Place on ice. M: 4-12 umol/L Reference Lab
Deliver to Lab immediately. F: 4-10 umol/L
Homocysteine, urine Random urine sample, 10 mL 0-53 mg/g of creatinine Reference Lab
quantitative 0-32 mg/dL
Homovanillic acid Urine, 24 h. Refrigerate during collection 18 yrs and older: 0.0-15 mg/d Reference 5 days
Lab(ARUP)
Human herpes Virus Six CSF, whole blood in ACD or EDTA. No Human Herpes Virus Type 6 DNA detected Microbiology
Detection by Nucleic Acid NOTE: THIS TEST IS FOR RESEARCH (Viromed)
Amplification USE ONLY.
Human papillomavirus DNA Non-pregnant patients: Interpretation given with report Microbiology
Test Use Digene Cervical Sampler kit or
Thin Prep Pap Test Kit (Obtain both
from KY Clinic Lab).
Pregnant patients:
Use sterile rayon or dacron plastic
shaft swabs to collect specimen.
Place
swab in transport media from Digene
Cervical Sampler kit.
DO NOT USE CERVICAL BRUSH WITH
PREGNANT WOMEN.
Huntington's Disease by DNA Whole blood (purple or yellow top), 2.0 mL Given with report Reference Lab
Analysis (Baylor)
IgG Plasma, green top (PST) 0.5 mL 0-11 m: 232-1411 mg/dL Core Lab 2h 1h
1-3y: 453-916 mg/dL
4-6y: 504-1465 mg/dL
7-9y: 572-1474 mg/dL
10-11y: 698-1560 mg/dL
12-13y: 759-1550 mg/dL
14-15y: 716-1711 mg/dL
16-19y: 549-1584 mg/dL
>19y: 630-1580 mg/dL
IgG subclasses (1,2,3,4) Serum (6.0 mL SST), 3.0 mL Given with report Reference Lab
Imipramine, quantitative Serum (SST), 4.0 mL, plasma also Imipramine plus Desipramine, Reference Lab 3-5 days
acceptable Therap: 150-300 ng/mL (ARUP)
Toxic: >500 ng/mL
Immune Complex Panel Serum (red top), 3.0 mL Raji cell: Reference Lab
0-25 ugE/mL, neg
>25 ugE/mL, pos
CQ1:
<4 ugE/mL, neg
Immunofixation Serum (SST) Interpretation given with report Immunochemistry Testing performed 1-3 days
Electrophoresis, Serum Tuesday and Friday.
See Bence Jones protein
for Urine.
Immunoglobulin CSF CSF, 0.5 mL >16 y up: 0.4-6.0 mg/dL Reference Lab
(ARUP
Immunoglobulin D 6.0 mL SST, Serum (red top), 4.0 mL Male: 1.0-5.1 mg/dL Reference Lab
Female: 1.0-7.4 mg/dL
Immunoglobulin E Serum (SST), 1.0 mL 0-364 d: 0-8 IU/mL Reference Lab 3 days
1-2 y: 0-12 IU/mL (ARUP)
3 y: 0-24 IU/mL
4-5 y: 0-50 IU/mL
6 y: 0-70 IU/mL
7-14 y: 0-120 IU/mL
15 yr and older: 0-180 IU/mL
Immunoglobulins, CSF, CSF, 0.5 mL IgA, CSF - 0.0-0.7 mg/dL Reference Lab 3 days
quantitative, IgG, CSF - 0.0-6.0 mg/dL (ARUP)
IgM, CSF - 0.0-0.7 mg/dL
India ink examination Contact laboratory for instructions, 3-5411. Negative Microbiology
Influenza A and B by Direct EIA Contact Virology Lab, 3-5411 Negative Microbiology
Influenza A Virus Antibody Serum (red top), 1.5 mL <1:8 Reference Lab 3 days
(ARUP)
Influenza B Virus Antibody Serum (red top), 1.0 mL <1:8 Reference Lab
(ARUP)
Influenza Virus isolation Contact Virology Lab, 3-5411. No virus isolated Microbiology
(A & B)
Insulin antibodies 6 mL SST, Serum, 4.0 mL minimum <3% binding by patient serum Reference Lab
Insulin tolerance test Serum (red top), 1.0 mL; Glucose: <40 mg/dL Core Lab Insulin dose: 0.1-0.15
0, 30, 45, 60 and 90 minutes after insulin U/kg, I.V., after overnight
from indwelling needle. fast. Medical supervision
required.
Insulin with oral glucose Serum (SST), 1.0 mL; 0 min: 3-20 µU/mL Immunochemistry
tolerance deliver to lab immediately 30 min: 25-231 µU/mL
60 min: 18-276 µU/mL
120 min: 16-166 µU/mL
180 min: 4-38 µU/mL
Insulin, fasting Serum (red top), 1.5 mL 2-12 y: 0-10 µIU/mL Immunochemistry
>18 y: 3-27 µIU/mL
Insulin-like growth factor Serum (red top), 1.0 mL 1-9 y: 69-480 ng/mL Reference Lab
binding protein-2 10-17 y: 50-326 ng/mL (Quest)
18-49 y: 55-240 ng/mL
>49 y: 28-444 ng/mL
Insulin-like growth factor 6 mL SST, Serum, 4.0 mL with report Reference Lab
binding protein-3
Insulin-like growth factor I Serum (red top), 1.5 mL with report Reference
Intrinsic factor blocking Serum, (6.0 mL SST), minumum 4.0 mL Negative Reference Lab
antibodies
Iron Plasma, green top (PST), 0.5 mL MALE FEMALE Core Lab Specimens should be 2h 1h
1-364d 30-110 27-127 µg/dL collected in the morning to
1-5y 22-136 22-136 µg/dL avoid low results due to
6-9y 39-136 39-136 µg/dL diurnal variation.
10-14y 28-134 45-145 µg/dL
14-19y 34-162 28-184 µg/dL Iron tests should be
>19y 48-173 40-167 µg/dL delayed several days
following blood
transfusions.
Iron Binding Capacity and Total Plasma, green top (PST), 1 mL Total Iron: MALE FEMALE Core Lab 2h 1h
Iron 1-364d 30-110 27-127 µg/dL
1-5y 22-136 22-136 µg/dL
6-9y 39-136 39-136 µg/dL
10-14y 28-134 45-145 µg/dL
14-19y 34-162 28-184 µg/dL
>19y 48-173 40-167 µg/dL
Iron, Liver tissue Liver tissue, 0.5 mm x 1.0 cm needle M: 200-2,400 µg/g dry wt. Reference Lab
biopsy. Send in metal free container. F: 400-1,600 µg/g dry wt. (Mayo)
Islet Cell Antibody 6 mL SST, Serum, 4.0 mL < 1:4, No antibody detected Reference Lab
Isoagglutinin titer, anti-A and/ Clotted Blood (red top), 10 mL Interpretation depends on clinical setting. Blood Bank
or Anti-B Hemagglutination
Ketone, qualitative Plasma, green top (PST), 0.5 mL, must be Negative Core Lab
kept tightly capped.
Kidney stone analysis Kidney stone Composition given with report Reference Lab 5 days
(ARUP)
Kleihauer-Betke stain Whole blood (purple top) 100% fetal or 100% adult cells depending or Core Lab
source of specimen
KOH Skin scrapings. Liquid specimen, 0.5 mL. No hyphal elements or yeast seen Microbiology
Contact lab for instructions, 3-5411.
L/L Spin CSF. Deliver immediately to Lab Central See report Core Lab
Receiving.
Lactic Acid: Lactate Plasma (gray top), must be at least half 0.5-2.2 mmol/L Core Lab 2h 1h
full.
Deliver on ice immediately. Patient must
be at complete rest.
Lactose tolerance, oral Plasma, green top (PST), 1.0 mL; 0, 15, Peak: >30 mg/dL above base glucose level Core Lab
30, 45, 60 and 90 minutes after
disaccharide consumption
Lamotrigine Serum (red top), 1.5 mL Therapeutic range not established Reference Lab
(ARUP)
Latex Allergen Serum (red top), 1.0 mL Given with report Reference Lab
(Quest)
Latex testing for antigens CSF, Urine, Serum Negative for the antigen tested Microbiology
in body fluids: Group B
Streptococcus, Streptococcus
pneumoniae, Neisseria
meningitidis, Haemophilus
influenzae, Group B
LDH: Lactate dehydrogenase Plasma, green top (PST), 1.0 mL 0d-3d: 290-775 U/L Core Lab 2h 1h
4d-9d: 545-2000 U/L
10d-23m: 180-430 U/L
2y-11y: 110-295 U/L
12y-17y: 100-190 U/L
>18 y: 105-210 U/L
LDL Cholesterol, calculated Plasma, green top (PST), 3.0 mL Children <18 y, Core Lab
Lipid Desirable: <110 mg/dL
Borderline high: 110-129 mg/dL
High: >130 mg/dL
Adult:
Optimal: <100 mg/dL
Near or above optimal: 100-129 mg/dL
Borderline high: 130-159 mg/dL
High: 160-189 mg/dL
Very High: >190 mg/dL
Lead, blood Whole blood (royal blue tube with Na2 Interpretation provided with report Reference Lab 3 days
EDTA), 0.6 mL, or Tan EDTA (ARUP)
Legionella culture Sputum, transtrach, lung tissues, fluid and No Legionella isolated Microbiology
bronchial washings, sterile container.
Direct FA stain will be performed at the
same time.
Legionella IgG Antibody Serum (red top), 1.5 mL <1:128 - Negative - No Significant level of Reference Lab 5 days
Legionella pneumophila Type 1, IgG Antibody (ARUP)
detected
1:128 - Equivocol
Legionella IgM Titer (includes L Serum (red top), 2.0 mL <1:256, Antibody not detected Reference Lab
pneumophilia 1,3,4,5,6,8 and (ARUP)
Legionella species)
Leiden Mutation Whole blood (yellow top or purple top), 3.0 Immunomolecular
mL Pathology
Leishmaniasis titer Serum (red top), 2.0 mL <1:16, Antibody not detected Reference Lab
(Parasitic Disease
Consultants)
Leptospira Antibody Serum (red top), 1.5 mL <1:50 - Negative Reference Lab
1:50 - Equivocal (ARUP)
>/=1:100 - Positive
Leukemia cell line typing Whole Blood (yellow top), 5.0 mL or Bone Immunomolecular
Marrow (yellow top), 1.0 mL Pathology
Leukocyte Alkaline Whole blood (green top), 10 mL; must be Female: 33 - 149 Reference
Phosphatase fresh. male: 22 - 124 Laboratory
(no units)
Lidocaine 5 mL red top - serum 1 mL Therap.: 1.2-5.0 µg/mL Reference Lab 3 days
Toxic: >9.0 µg/mL (ARUP)
Lipase Plasma, green top (PST), 0.5 mL 21-53 U/L Core Lab 2h 1h
Lipid profile Plasma, green top (PST), 0.5 mL See individual tests. Core Lab Contains the following 2h 1h
tests:
Cholesterol, total
HDL-Cholesterol
LDL-Cholesterol,
calculated
Triglycerides
Chol/HDL ratio
Lipoprotein Profile Serum (red top), 3.0 mL, fasting with report Reference Lab
(Mayo)
Lithium Serum (red top), 0.5 mL. Negative Core Lab Collect sample 12 h after 2h 1h
Therap: 0.6-1.2 mmol/L last dose.
Toxic: >1.5 mmol/L
Liver/Kidney Microsomal Serum (red top), 1.0 mL <1:20 Reference Lab 5 days
Antibody, IgG (ARUP)
Long-chain Fatty Acid(includes Plasma and cells Given with report Reference Lab
Phytanic Acid) (purple top), 7.0 mL (Kennedy Inst.)
Low Molecular Weight Heparin Citrated Plasma, (blue top, Must be full). All ages: none Core Lab Therapeutic level for Not available
Do not draw from Hickman, Arterial line or venous thromboembollism
with ABG's. 0.5 to 1.1 anti-Xa units per
mL at 3-5 hr after injection.
Lupus Anticoagulant Citrated plasma (blue top, must be full). All ages: Negative Core Lab Not available
Do not draw from Hickman, arterial line, or
with ABG's.
Lupus Anticoagulant Ratio Citrated plasma (blue top, must be full). <1.20 U/mL Core Lab Not available
Do not draw from Hickman, arterial line, or
with ABG's.
Tanner Stages:
Males: Females:
1y: 1.6-4.8 mIU/mL 0.7-2 mIU/mL
2-3y: 0.7-1.2 mIU/mL 0.4-11
mIU/mL
4y: 0.5-4.7 mIU/mL 0.9-13 mIU/mL
5y: 0.7-10.6 mIU/mL 1.1-19 mIU/mL
18 y up: 1.0 - 8.65 mIU/mL
Lyme (Borrelia burgdorteri) CSF, Plasma from whole blood collected Negative Microbiology
DNA by PCR in EDTA, serum from clotted blood, skin (ARUP)
pauch biopsy
Lyme Disease Antibody(IgG & Serum (red top), 2.0 mL By report Reference Lab
IgM) (Specialty)
Lymph Node Cell Marker Lymph node, tissue, FNA, Fluid Immunomolecular
Screen Pathology
Lymphocyte Mitogen Whole blood (yellow top), 7.0 mL By report Reference Lab
Proliferation (Specialty)
Lysozyme, serum Serum (red top), 1.5 mL 9-17 µg/mL Reference Lab 3-5 days
(ARUP)
Lysozyme, urine Random urine (>1 mL) <4 µg/mL Reference Lab 3-5 days
(ARUP)
Magnesium Plasma, green top (PST), 1.0 mL 0-4m: 1.5-2.2 mg/dL Core Lab Magnesiums may be 2h 1h
Avoid hemolysis. 5m-5y: 1.7-2.3 mg/dL higher in females during
6-11y: 1.7-2.1 mg/dL menses.
12-17y: 1.7-2.2 mg/dL
18-59y 1.8-2.4 mg/dL
>59 y: 1.6-2.4 mg/dL
Magnesium, 24 h urine Urine, 24h, collect in metal free container. 70-120 mg/d Core Lab
Obtain urine container from Lab Central,
HA619.
Magnesium, Urine random Random urine, 1.0 mL Not available Core Lab
Malaria Preparation Whole blood (purple top), 1.0 mL No parasites present Core Lab Not available.
Maternal Serum Screening Serum (red top), 3.0 mL By report Immunochemistry Includes AFP, hCG, Estriol
Alpha-fetoprotein profile
(pregnancy)
Measles virus isolation Contact Virology Lab, 3-5411. No virus isolated Microbiology
(ViroMed)
Metanephrines Urine, 24 h; refrigerate during collection, Normetanephrines: 50-650 µg/d Reference Lab
collect with HCI, 6 mol/L. Metanephrines: 30-350 µg/d (ARUP)
Obtain container from Lab Central HA619.
(5.0 mL)
Methemoglobin, quanitative Whole blood Gas-Lyte syringe or green <1.5% of total Hgb Core Lab 15 minutes
top.
Place on ice and deliver to lab
immediately.
Methsuximide, quanitative Serum (red top), 2.5 mL, plasma for EDTA Methsuximide Therap: <1 µg/mL Reference Lab 3 days N/A
and heparin also acceptable. Normethsuximide Therap: 10-40 (ARUP)
µg/mL
Total (Methsuximide + Normethsuximide: 10-
40 µg/mL
Toxic: >60 µg/mL
Metyrapone Stimulation Test Serum (SST); draw at 8 AM following Cortisol: <3 µg/dL Immunochemistry Overnight dexamethasone
midnight dose. suppression,single dose
test
dose: 30 mg/kg orally at
midnight with snack.
Metyrapone Stimulation Test Serum (SST), 3.0 mL Cortisol: <3 µg/dL Reference Lab adult dose:750 mg q 4 h x
(standard oral test) (ARUP) 6: not performed in
11- Deoxycortisol: >5 µg/dL primary adrenal
insufficiency
Metyrapone Stimulation Test Urine, 24 h: Collect with boric acid. 17-KGS: 2.5 to 3 fold rise, but at Reference Lab Adult dose:750 mg q 4 h x
(standard oral test), urine Obtain container from Lab Central, HA619. least 10 mg/d (ARUP) 6: not performed in
17-KS: >2 times base level primary adrenal
17-OHCS: 2 to 4 times base level. insufficiency
Metyrapone Stimulation Test, Serum (SST); draw at 8 AM following 11-Deoxycortisol: >5 µg/dL Reference Lab
Single dose test morning. (ARUP)
MIC (Minimum inhibitory Physician must make prior arrangement Variable, depending on yeast and drug Microbiology
concentration) on yeast with Supervisor, 3-5411.
MIC tube dilution
Mixing Study Citrated plasma (5.0 mL blue top, must be Core Lab
full). Do not draw from Hickman, arterial
line or with ABG's.
Multiple sclerosis panel CSF, 1.5 mL, and Serum (red top), 1.5mL; Components Reference Lab Includes: -Oligoclonal 5 days N/A
deliver to lab immediately. Immunoglobin G, serum (ARUP) Bands, Myelin Basic
0-30 days - 611-1542 mg/dL Protein, and IgG Synthesis
1 mo - 241-870 mg/dL Rate and Index
2 mo - 198-577 mg/dL -Avoid hemolysis
3 mo - 169-588 mg/dL -Serum sample
4 mo - 188-536 mg/dL should be drawn within 48
5 mo - 165-781 mg/dL hrs of CSF collection
6 mo - 206-676 mg/dL
7-8 mo - 208-868 mg/dL
9-11 mo - 282-1026 mg/dL
1 yr - 331-1164 mg/dL
2 yr - 407-1009 mg/dL
3 yr - 423-1090 mg/dL
4 yr - 444-1187 mg/dL
5-7 yr - 608-1229 mg/dL
8-9 yr - 585-1509 mg/dL
10 yr and older 768-1632 mg/dL
Interpretation By report
Mumps Antibody (IgG) Serum (red top), 2.0 mL Less than or equal to 0.90 IV: Reference Lab 3 days N/A
Label acute or convalescent Negative-No significant level of (ARUP)
detectable mumps virus antibody.
0.91-1.09 IV:
Equivocal-Repeat testing in 10-14
days may be helpful
Greater than
or equal to 1.10 IV:
Positive-IgG antibody detected may indicate
a current or previous virus. Positive IgG Ab
levels in the absence current clinical symptoms
may indicate immunity.
Mumps Antibody (IgM) Less than or equal to 0.90 IV: Reference Lab 3 days N/A
Negative-No significant level of (ARUP)
detectable mumps virus antibody.
0.91-1.09 IV:
Equivocal-Repeat testing in 10-14
days may be helpful
Greater than
or equal to 1.10 IV:
Positive-Presence of IgM ab detected,
which may indicate a current or recent infection.
Mumps virus isolation Contact Virology Lab, 3-5411. No virus isolated Microbiology
(Viromed)
Mycobacterium tuberculosis CSF, Urine, Stool, Whole blood in EDTA, Not detected Microbiology
(Mtb) complex DNA by PCR Tissue (Specialty)
Mycology culture; mycological Collect in sterile screwcapped containers. Individual interpretation Microbiology
evaluation, definitive Contact lab for further instructions, 3-5411.
Mycoplasma pneumoniae Respiratory specimen, otherwise consult No mycoplasma pneumoniae isolated. Microbiology
culture Virology, 3-5411. (ARUP)
Myoglobin, Urine random Urine, random, 5.0 mL, freshly voided Normal - < 100 ng/mL Special Chemistry Specimen should be
Increased Risk for acute renal failure - > freshly voided
20,000 ng/mL
Myotonic Dystrophy by DNA Whole blood (purple or yellow top), 2.0 mL with report Reference Lab
Analysis (Baylor)
Neogen Screening Filter paper; obtain from lab, 7-1550 Negative screening test for cystic fibrosis, Reference Lab
Duchenne/Becker muscular dystrophy, (Neogen)
galactosemia, biotinidase, arginase, adenosine
deaminase MCAD and G-6-PDH deficiencies,
congenital hyperplasia, maple syrup urine
disease, homocystinuria, citrullenemia,
pyroglutamic, aciduria, methylmalonic,
propionic, isovaleric and glutaric acidemias.
Neuron-specific Enolase Serum (red top), 5.0 mL; deliver to lab By report Reference Lab
immediately. (Specialty)
Newborn thyroid screen Capillary blood collected on filter paper. Newborn, T4: 6.7-22.0 µg/dL Reference Lab(KY List components
or within 2 SD from daily mean State Health Dept.)
TSH: <25 µU/mL
Nortriptyline Serum (SST), 3.0 mL - plasma from EDTA Therapeutic: 50-150 ng/mL Reference Lab 3 day N/A
or heparin is also acceptable. Toxic: >500 ng/mL (ARUP)
N-telopeptide Collagen Serum: 1.5 mL red top, plain Adult male: 5.4 - 24.2 nM BCE Reference Lab
crosslinks, serum Postmenopausal, adult Female: 6.2-19 nM BCE (ARUP)
N-telopeptide Collagen Second morning void or 24 h urine, no Normal Adult female: Reference Lab Collect without
crosslinks, urine preservative, 0.6 mL premenopausal, (ARUP) preservative; refrigerate
17-94 nM BCE/mM creatinine during 24 hr collection
postmenopausal,
26-124 nM BCE/mM creatinine
Adult male:
21-83 nM BCE/mM creatinine
Nutrition Protein Panel Serum (red top), 2.0 mL See individual tests: Albumin, Prealbumin, Core Lab
Retinol-Binding Protein, Transferrin.
OHCS Urine 24 h, for 6 d; Collected with boric 17-OHCS: suppression on day 4 to <4.5 mg/d Reference Lab
acid. or <50% of baseline. (ARUP)
(Days 1 and 2 are baseline
measurements.)
Oligoclonal bands CSF (1.5 mL) and Serum (red top), 1.5 mL 0d up: Negative Reference Lab CSF and Serum 5 day N/A
(ARUP) specimens need to be
assayed together for
interpretation
Organic acids, screen, urine Urine, random; collect during acute Professional interpretation given with report. Reference Lab
episode; Minimum volume urine: 5 mL. Patient's medical history submitted with (Baylor)
Deliver to lab immediately or freeze the specimen is essential for proper interpretation.
specimen.
Osmolality Plasma, green top (PST), 0.5 mL 0-9d: 266-298 mOsm/kg Core Lab 2h 1h
10d-59y: 275-295 mOsm/kg
>59y: 280-301 mOsm/kg
Osmolality, Urine random Urine, random, 1.0 mL 50-1200 mOsm/kg, depending on fluid intake. Core Lab 2h 1h
Ova, parasites, cysts Collect at least 2 g feces and submit to lab No ova, parasites, cysts Microbiology
within 2 h of collection. Contact lab for
further instructions, 3-5411.
OXALATE, PLASMA Plasma, green top heparin tubes, <1.8 umol/L Reference Patient should avoid 3-5 days
minimum of 5 mL from a fasting patient laboratory (MAYO) taking vitamin C
(12 hours). supplements for 24 hours
prior to draw.
Place the specimen on wet ice
immediately and transport to the Non-heparinized
laboratory. specimens will not be
accepted.
Oxalate, Urine Urine, 24 h; collect with HCI, 6 mol/L. 0-12 y: 13-38 mg/d Reference Lab Vitamin C quickly 3 day N/A
Obtain container from Lab Central, Adult, M: 7-44 mg/d (ARUP) degrades to oxalate in
HA619. F: 4-31 mg/d nonacified urine; patients
should consider refraining
from vitamin C
suppliments during and 48
hrs prior to urine collection
of oxalate.
Oxygen, partial pressure Whole blood, arterial (Hep.Syringe); place X ref to blood gases Core Lab
on ice and send to lab immediately.
P-24 Antigen, HIV-1 Serum (SST), 3.0 mL None detected. Positive called only to Microbiology
attending physician.
Pancreatic Polypeptide (purple top) on ice, 20 mL 20-29 y: 26-158 pg/mL Reference Lab
30-39 y: 55-284 pg/mL (Quest)
40-49 y: 64-243 pg/mL
>50 y: 51-326 pg/mL
Parainfluenza, 1,2,3 Antibody Serum (red top), 1.0 mL <1:8, No antibody detected Reference Lab
Label Acute or Convelescent (ARUP)
Parathyroid hormone (includes CAP PTH - 5.0-39 pg/mL Scantibodies CAP PTH is cyclase 5-7 d
Ionized Calcium) Ionized Calcium - 0d-1d 4.3-5.1 mg/dL activating PTH, the bio-
1d-7d 4.0-4.7 mg/dL active form of PTH(1-84).
7d-18yr 4.6-5.1 mg/dL PTH in association with
18yr-90yr 4.6-5.1 mg/dL ionized calcium is useful
>90yr 4.5-5.3 mg/dL for the evaluation of
primary hypo or
hyperparathyroidism.
Parathyroid hormone Profile PTH 5 mL purple top (EDTA) tube; ionized Total PTH - 14.0 - 66.0 pg/mL Scantibodies CAPPTH - cyclase 5-7 d
(includes ionized Calcium) CA green top CIP Valve - 2.5-29.0 pg/mL activating PTH, the
Send to lab immediately. CAP PTH - 5.0-39.0 pg/mL bioactive form of PTH (1-
CAP/CIP - 1.1-6.9 pg/mL 84)
CIP PTH - cyclase inactive
PTH (calculated)
Total Intact PTH =
CAPPTH + CIPPTH
PTH profile is useful for
evaluation of secondary
hyperparathyroidism in
ESRD.
Parathyroid Hormone-related Pre-chilled EDTA (purple), 3.0 mL <2.0 pmol/L Reference Lab
Protein Place on ice and send to lab immediately. (MAYO)
Parvovirus B19 Antibodies, IgG Neg < 0.9 I.V. - No significant level of Reference Lab
detectable Parvovirus B 19,IgG antibody (ARUP)
0.9 I.V. - Equivocal - Repeat testing in 10-
14 days
> 1.10 I.V. - IgG Antibody to Parvovirus B19
detected, which may indicate current or
previous infection
Parvovirus B19 Antibody, IgM Neg < 0.9 I.V. - No significant level of Reference Lab
detectable Parvovirus B19 IgM antibody (ARUP)
0.9-1.1 I.V. - Equivocal - Repeat testing in 10-
14 days
>1.1 I.V. - IgM antibody to Parovovirus B19
detected, which may indicate a current or
recent infection.
Parvovirus B19 by PCR Whole blood collected in EDTA, serum, Negative Microbiology
5.0 mL. Amniotic fluid, Synovial fluid, (ARUP)
tissue.
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
CSF TESTING IS NOT AVAILABLE
Pentobarbital, quanitative Serum (red top), 2.0 mL Therap: 1-5 µg/mL Toxicology
Toxic: >10 µg/mL
Therap. Coma: 20-50 µg/mL
pH (37 C) Whole blood, arterial (Hep. Syringe), 0.5 Cross reference to blood gases Core Lab 15 minutes
mL place on ice and deliver to lab
immediately.
Phenobarbital, quanitative Plasma, green top (PST), 1.0 mL Therapeutic: 15-40 µg/mL TDM
Toxic: >45 µg/mL
Slowness, ataxia, nystagmus: 35-80 µg/mL
Coma with reflexes: >65 µg/mL
Coma without reflexes: >100 µg/mL
Phenylalanine Whole blood spotted on filter paper. <2 mg/dL Pediatric Endocrine,
Contact Carol Reid, 3-5463. Metab. MN477
Phenytoin, Free Plasma, green top (PST), 3.0 mL Therap: 0.8-1.6 µg/mL TDM
Toxic: >1.6 µg/mL
Phenytoin, quanitative Plasma, green top, 1.0 mL Therapeutic: 10.0-20.0 µg/mL TDM
(Do not collect in Plasma Separator Tube). Toxic: >22.0 µg/mL
lateral nystagmus: > 20 µg/mL
Nystagmus at 45 lateral gaze; ataxia: > 30
µg/mL
Depressed mental capacity: > 40 µg/mL
Phenytoin, saliva Therapeutic: 1.0 - 2.0 µg/mL TDM Eating or drinking should 8 hr NA
Toxic: >2.2 µg/mL be avoided 15 minutes
prior to sampling.
Phosphorus, Urine, 24h Urine, 24h, no preservative Adult: 0.4-1.3 g/d (varies with diet) Core Lab
Plasminogen Collect one 5.0 mL (light blue top)sodium 70 - 113% Reference 3d N/A
citrate tube; collect on ice Laboratory (ARUP)
Platelet aggregation Special collection by phlebotomist. Normal aggregation with ADP, Core Lab
Must be scheduled with lab, 7-1377. Epinephrine, Collagen, Ristocetin, Arachidonic
acid
Platelet antibody identification, Serum (red top), 10.0 mL with report Reference Lab
level 1 (BCSEW)
Platelet Associated Antibodies Whole blood (yellow top), 7 mL; 10 mL if <1.5 relative fluorescent units Reference Lab Pre Approval required, Dr.
(IgG, IgM, and IgA) platelet count < 500 (Focus) Dickson, Beeper 1668
Call Special Chem. 7-1550 Do not collect Friday
evening through Sunday
evening. Specimen be
received by performing
Laboratory within 48 hrs of
collection
Platelet Function Analysis Whole blood (2 - 3 mL blue tops. Both EPI: <175 Core Lab
must be full). Deliver to Lab. NO ICE ADP: <105
Pneumococcal IgG Antibodies Serum (red top), 3.0 mL; < 2 nonresponder 2-4 Reference Lab
(Pneumococcal vaccine includes serotypes: 3, 7F, 9N weak responder >4 good (ARUP)
response) responder
Poliomyelitis titers (Includes Serum (red top), 0.5 mL. <1:10, No antibody detected Reference Lab
Poliovirus types 1,2 and 3) Contact lab for further instructions, 7-3516. (ARUP)
Porcine VIII Inhibitors Citrated plasma (5.0 mL blue top, must be All ages: None Core Lab
full); deliver specimen on ice. Do not
draw from Hickman, arterial line, or with
ABG's.
Porphobilinogen Deaminase, Whole blood (purple top), 3.0 mL Adult: 2.10-4.30 mU/gHgb Reference Lab
erythrocyte (ARUP)
Porphyrin screen, Blood Whole blood (green top), 5.0 mL Negative Toxicology
Porphyrin screen, feces Feces (3 g); protect from light. Negative Toxicology
Deliver to lab immediately.
Porphyrin screen, Urine Urine, random; protect from light Negative Toxicology
Porphyrins, feces fractionation Feces, 24 h; obtain container from With report Reference Lab
Spec. Chem. Refrigerate during collection. (Mayo)
Porphyrins, serum, total Serum (red top), 3.0 mL. 0-15 nmol/L Reference Lab
Protect from light. (ARUP)
Porphyrins, urine fractionation Urine, 24h; refrigerate during collection. By report Reference Lab
(ARUP)
Potassium Plasma, green top (PST); Avoid 0-9d: 3.7-5.9 mmol/L Core Lab 2h 1h
hemolysis. 0.5 mL 10d-23m: 4.1-5.3 mmol/L
Whole blood Gas-lyte syringe on ice. 2y-11y: 3.4-4.7 mmol/L
12-59y: 3.6-4.9 mmol/L
60-89y: 3.9-5.3 mmol/L
>89y: 3.6-5.5 mmol/L
Potassium, Urine random Urine, random, 0.5 mL Not available Core Lab
Prealbumin Plasma, green top (PST) 1.0 mL 0-6m 7-39 mg/dL Core Lab 2h 1h
7m-3y 2-36 mg/dL
4-6y 12-30 mg/dL
7-19y 12-42 mg/dL
>19y 19-35 mg/dL
Precipitation Immunodiffusion, Serum (SST), 2.0 mL Negative Immunochemistry Includes antigens to:
fungal antigen battery. Histoplasma capsulatum,
Blastomyces dermatitidis,
Coccidioides immitis,
Aspergillus sp., (multi-
isolates) Candida albicans
on special request.
Pregnancy Test, urine Freshly voided urine, 1.0 mL Detects hCG level >20 mIU/mL Core Lab
(first morning specimen preferred).
Pregnanetriol Urine, 24 h; collected in 25 mL of 50% Males, 0-5 yrs: <0.1 mg/24 hrs Reference Lab
acetic acid (15 mL for children). 6-9 yrs: <0.3 mg/24 hrs (MAYO)
Obtain container from Lab Central, HA619. 10-15 yrs: 0.2-0.6 mg/24 hrs
> or equal to 16 yrs:
0.2-2.0 mg/24 hrs
Primidone Plasma, green top (PST), 1.0 mL; Primidone, Reference Lab 3d
phenobarbital (metabolite) included. Therapeutic: 5.0-12.0 µg/mL (ARUP)
Toxic: >15 µg/mL
Phenobarbital,
Therapeutic: 15-40 µg/mL
Toxic: >50 µg/mL
Procainamide, quanitative Plasma, green top (PST), 1.0 mL;serum Procainamide, Reference Lab Performed by Reference 3 days
also acceptable Therapeutic: 4.0-10 µg/mL (ARUP) Laboratory (ARUP)
NAPA (metabolite) included. Toxic: >12 µg/mL
Progesterone Serum (red top), 2.0 mL. M, Adult: 0.12-0.6 ng/mL Reproductive
Request should be completed with F, follicular: 0.2-0.9 ng/mL Endocrinology
patients sex, LMP (last menstrual period) luteal: 3.0-30.0 ng/mL
or trimester of pregnancy. pregnancy, 1st tri: 15-50 ng/mL
3rd: 80-200 ng/mL
Postmenopausal: ND-0.3 ng/mL
Oral Contraceptives: 0.1-0.3 ng/mL
Prostate Specific Antigen Serum (SST), 1.0 mL 18 - 65 y: 0-2.5 ng/mL Special Chemistry
> 65 y: 0-4.0 ng/mL
Prostatic acid phosphatase Serum (red top), 1.5 mL 0.0-3.5 ng/mL Reference Lab 3d
(ARUP)
Protein C Citrated plasma (blue top, must be full). <1 month 0.17-0.64 U/mL Core Lab Not available
Do not draw from Hickman, arterial line, or 1-5 months 0.21-0.81 U/mL
with ABG's. >5 months 0.69-1.4 U/mL
Protein S Citrated plasma (blue top, must be full). >5 month, Total: 70-140% Core Lab Not Available
Do not draw from Hickman, arterial line, or 3-5 month, Total: 30-100%
with ABG's.
>5 month, Free: 70-130%
Protein, total Plasma, green top (SST), 0.5 mL 0-15d: 4.1 - 6.3 g/dL Core Lab 2h 1h
16-364d: 4.4 - 7.9 g/dL
1-16y: 5.7 - 8.0 g/dL
>17y: 6.2 - 7.8 g/dL
Protein, total CSF CSF, 0.5mL 0-9d 40-120 mg/dL Core Lab 2h 1h
10-30d 20-90 mg/dL
>30d 15-40 mg/dL
Protein, total, Urine 24h Urine, 24 h, no preservative. Do not <80 mg/day if bed rest Core Lab 2h 1h
collect in acid. <150 mg/day if ambulatory
Protein, total, urine random Urine, random, 0.5 mL No reference ranges available. Core Lab 2h 1h
Prothrombin Mutation Whole blood (yellow top or purple top), 3.0 Immunomolecular This test is multiplexed
mL Pathology with Factor V Leiden Gene
Mutation
Prothrombin time Citrated plasma (blue top, must be full). Neonate: <16.0 sec. Core Lab Includes INR
Do not draw from Hickman, arterial line, or 1 m and over: 10.7-13.4 sec.
with ABG's.
Protoporphyrins, erythrocyte Whole blood (purple top), 1.5 mL. 0-6 y: 0-35 µg/dL Reference Lab 5d
free (EP) >6 y: 0-60 µg/dL (ARUP)
PT, Prothrombin Time, Citrated plasma (blue top, must be full). 0-4 weeks <16.0 sec Core Lab Includes INR 1 hour
Do not draw from Hickman, arterial line, or >4 weeks <12.3 sec
with ABG's.
PTT, Activated Partial Blue top tube. Fill completely. Do not >4wk <29 seconds Core Lab 2h 1h
Thromboplastin Time draw from Hickman, arterial line or with
ABG.
Pyridinium Collagen Cross- Random urine, first morning void Pyridinoline, M: 10.3-20.0 nm/mm Reference Lab
Links preferred, 0.5 mL F: 15.3-33.6 nm/mm (ARUP)
Pyruvate Kinase, quanitative Whole blood, (purple top), 1.0 mL 9.0-22.0 U/g Hgb Reference Lab
(ARUP)
Pyruvic acid, (CSF) CSF, collect in chilled collection tube, 0.06-0.19 mmol/L Reference Lab
1.0 mL (ARUP)
Pyruvic acid, (Whole blood) Whole blood (green top), 2.0 mL; 0.03-0.08 mmol/L Reference Lab
Collect fasting specimen in chilled tube. (ARUP)
Deliver to lab on ice immediately.
Q fever Antibodies (includes Serum (red top), 1.5 mL Phase 1: <1:16 No antibody detected Reference Lab 5d N/A
Phase I and II antibodies) Phase 2: <1:16, No antibody detected (ARUP)
Quinidine, quantitative Serum, plain red top (PST), 2.0 mL Therapeutic: 1.5-4.5 µg/mL Reference Lab
Toxic: >10 µg/mL (ARUP)
Rabies Antibodies Serum (red top), 2.0 mL By Report Reference Lab 10 days
(ARUP)
RBC Cholinesterase Whole blood (2 purple Tops), 25-52 U/g Hgb Reference Lab 3 days
6.0 mL total (2 mL minimum) (ARUP)
RBC Indices Order as Hemogram (HEM) MCH Core Lab Included in Hemogram 2h 1h
0-6d 32-39 pg
>6d 27-34 pg
MCHC
32.2-36.5%
MCV
<7d 96-115 fL
1-7wk 84-115 fL
2-23m 70-88 fL
2-9y 76-90 fL
10-17y 78-100 fL
>17y 79-98 fL
RBC, Red Blood Cell Count Whole blood (purple top), 1.0 uL or <7d 4.1-6.7 M/µL Core Lab 2h 1h
Microtainer 1-7wk 2.8-5.4 M/µL
2-23m 3.6-5.4 M/µL
2-9y 4.0-5.3 M/µL
10-17y 4.1-5.6 M/µL
>17y M 4.5-5.8 M/µL
F 4.0-5.2 M/µL
Reducing Substances, Feces See Stool, reducing substances and pH. Negative Microbiology
Renin, plasma Plasma (purple top), 2.0 mL. Place on ice with report Reference Lab
and deliver to lab immediately. (ARUP)
Reovirus Antibody Serum (red top), 2.0 mL <1:8, No antibody detected Reference Lab
(ARUP)
Respiratory Syncytial Available 7-10 AM; suction recommended. No virus isolated Microbiology
Virus Isolation
Respiratory Syncytial Virus Serum (red top), 1.5 mL <1:8, No antibody detected Reference Lab
Antibody Titer (ARUP)
Reticulocyte Count Whole blood (purple top), 1.0 mL Absolute Counts 20-130 k/µL Core Lab 24h Not offered as
%Reticulocytes 0.5-2.5% STAT.
Retinol binding protein Serum (SST), 2.0 mL 3.0-6.0 mg/dL Reference Lab
(ARUP)
Reverse T3 Serum (red top), 1.0 mL 0-7 d: 600-2,500 pg/mL Reference Lab
> or equal to 7d: 90-350 pg/mL (ARUP)
Rh and ABO typing, blood Clotted blood (red top), 10 mL. Blood Bank
Infant, 1 Bullet tube or 3.0 mL red top
Rh typing, amniotic fluid Amniotic fluid, 5 mL Given with report Reference Lab
(ARUP)
Rheumatoid factor Plasma, green top (PST) 0.5 mL <20 IU/mL Core Lab 2h 1h
Riboflavin Whole blood (purple top), 2.0 mL By report Reference Lab 10 days
(ARUP)
RNP, anti-RNP Serum, 2 mL red top tube. <20 EU/mL Core Lab Ordered as ENA I Not available
Rochalimaea Antibodies Serum (red top), 3.0 mL. B. henselae, Reference Lab
Clinical history required. R. quintana, <1:64 neg (CDC)
Rocky Mountain spotted fever Serum (red top), 2.0 mL <0.9 IV: No antibodies detected Reference Lab
(IgG) 0.9-1.1 IV: Equivocal (ARUP)
>1.1 IV: Positive
Rocky Mountain spotted fever Serum (red top), 2.0 mL Negative: < 0.9 IV Reference Lab 5 days
(IgM) Equivocal: 0.9-1.1 IV (ARUP)
Positive: >1.1 IV
Routine culture Submit in sterile container within 30 min. Not applicable Microbiology
Rubella IgM (Rubazyme) Serum (SST), 2.0 mL Negative: < 0.9 IV Reference Lab 3 days
Equivocal: 0.9-1.09 IV (ARUP)
Positive: >1.09 IV
Rubeola IgG Antibody Serum (SST), 2.0 mL <0.90 IV: Negative Reference Lab
0.90-1.09 IV: Equivocal (ARUP)
>1.09 IV: Positive
Rubeola IgM Antibody Serum (red top), 2.0 mL <0.90 IV: No antibodies detected Reference Lab
0.9-1.10 IV: Equivocal (ARUP)
>1.10 IV: Positive
Salicylate, quanitative Plasma, green top (PST), 2.0 mL Therapeutic: 2--25 mg/dL Toxicology
Toxic: >30 mg/dL
SCL 70 Serum, red top tube 0-20 EU/mL Core Lab Not available
Sed Rate, Sedimentation Rate Whole blood (purple top), 2 mL F: 0-20 mm/hour Core Lab Specimen is only stable 2h Not offered as
M: 0-10 mm/hour for up to 2 hours STAT
procedure
Serotonin Serum (red top), 2.0 mL. 50-220 ng/mL Reference Lab
Deliver on ice immediately. (ARUP)
Sickle Cell Screen Whole blood (purple top), 1.0 mL Negative for sickling hemoglobin Core Lab Not available
Sirolimus 1 mL, whole blood, EDTA (purple top tube) 3 - 20 ng/mL Toxicology Patient samples in lab by See N/A
Obtain just prior to next dose (trough) 11:00 am will be reported comment
by 4:00 pm. Patient
sample in lab after 11:00
am will be analyzed the
following day.
Smith antibody, anti-SM Serum, 2mL red top tube 0-30 EU/mL Core Lab Order as ENA 1 Not available
Sodium Plasma, green top (PST), 0.5 mL. 0-6d: 133-146 mmol/L Core Lab 2h 1h
Whole blood, blood gas syringe on ice. 7d-<1m: 134-144 mmol/L
1-5m: 134-142 mmol/L
6-11m: 133-142 mmol/L
1-11y: 134-143 mmol/L
12-18y: 136-144 mmol/L
>18y : 136-142 mmol/L
Sodium, Urine 24h Urine, 24 h, no preservative 6-10 y, M: 41-115 mmol/d Core Lab
F: 20-69 mmol/d
10-14 y, M: 63-177 mmol/d
F: 48-168 mmol/d
Adult:40-220 mmol/d (diet dependent)
Full-term, 7-14 d old neonates have sodium
clearance of about 20% of adult values.
Sodium, Urine random Random urine, 0.5 mL Not available Core Lab
Soluble Liver Antigen Antibodies Serum (red top), 2.0 mL 0-5 U/mL Reference Lab
(ARUP)
Spinal Fluid Cell Count CSF (screw top) unspun, 0.5 mL. WBC Count Core Lab 1 hr 1 hr
Deliver to lab immediately. >12y 0-5 WBC (Mononuclears)
5-12y 0-10 WBC (Mononuclears)
1-4y 0-20 WBC (Mononuclears
<1y 0-30 WBC
0-28 Mononuclears
0-2 Polys
RBC Count 0
Spinal fluid culture and smear 1 mL CSF in sterile container. Submit No growth Microbiology
within 30 min of collection. Note antibiotic
administration.
Spinocerebellar Ataxia by DNA Whole blood (purple or yellow top), 2.0 mL with report Reference Lab
Analysis (Athena/Baylor)
Sputum culture, rout. And 2 mL in sterile container; submit within 2 h. Acceptable specimens: <10 Epithelial cells/lpf, Microbiology
smear` >25 WBC/lpf.
Sputum, Cytology Deliver fresh to lab. See p. 14-15. See Report Cytology
Cannot share container with Bacteriology.
SSA, anti-SSA Serum, 2mL red top tube 0-20 EU/mL Core Lab Ordered as ENA 2. Not available
SSB, anti-SSB Serum, red top tube 0-20 EU/mL Core Lab Ordered as ENAII Not available
Stool culture, routine Collect minimum of 2 g. Submit within 1 h Mixed fecal flora Microbiology
of collection.
Striated Muscle Antibody Serum (red top), 1.5 mL <1:40, No antibody detected Reference Lab
(ARUP)
Sweat chloride, iontophoresis In-Patients schedule procedure prior to Normal: 0-39 mmol/L Toxicology
sponge test the day to be performed (7-1550). Marginal: 40-60 mmol/L
No scheduling after 10 AM for the same Consistent with diagnosis of cystic fibrosis: >60
day. mmol/L
Available M-F.
T4 and T8 Lymphocyte Whole blood (yellow top), 3.0 mL; See report sheet for normal ranges in children Immunomolecular
enumeration A Hemogram must be ordered also. and adults. Pathology
(purple top), 2 mL
Tacrolimus Whole blood (purple top), 3.0 mL. Therapeutic, (ng/mL): Toxicology Patient samples in lab by
Obtain just prior to next dose (trough). Kidney Liver Heart 11 am will be reported by
Initial (<3 mo.): 10-15 10-15 10-18 4 pm. Patient samples in
Maintenance: 5-10 5-10 8- lab after 11 am will be
15 analyzed the following day.
Tau transferrin Serum (red top), 1.0 mL, with report. Reference Lab (U.
plus fluid of VA)
Tay-Sachs Diseaseby DNA Whole blood (purple or yellow top), 2.0 mL with report. Reference Lab
Analysis (Baylor)
Teichoic Acid Antibody Serum (red top), 1.5 mL None detected Reference Lab
> or equal to 1:2 suggestive of infection (ARUP)
Testosterone, Free Serum (red top), 2.0 mL For prepubertal values, call lab at Reproductive
3-5123 Endocrinology
Males: AGE 20-39 8.8 - 27 pg/mL
40-59 7.2 - 23
60-80 5.6 - 19
Testosterone, Total Serum (red top), 2.0 mL Adult Male: 200-810 ng/mL Reproductive
Adult Female: 65-119 ng/mL Endocrinology
Postmenopausal: 49-113 ng/mL
Children, call the lab at 323-5123
Tetanus Antibody Titer Serum (red top), 1.5 mL > or equal to 0.10 IU/mL= Usually protective Reference Lab
level of antibody (ARUP)
Thiamine Plasma (green top), 3.0 mL. 1.6-4.0 µg/dL Reference Lab
Deliver immediately to lab on ice. (ARUP)
Thiocyanate, quanitative Plasma, green top (PST), 2.0 mL Nonsmoker: 1-4 µg/mL Toxicology 2-8 hrs 1 hr
Smoker: 3-12 µg/mL
Nitroprusside infusion,
Short term: <72 h: 6-29 µg/mL
Long term: >72 h: 50-100 µg/mL
Toxic: >100-200 µg/mL
Throat culture Swab in sterile container (not for detection Mixed throat flora Microbiology
of C. diphtheriae, B. pertussis).
Thrombin time Citrated plasma (blue top, must be full). >4 weeks 16.0-21.0 sec Core Lab 1 hr
Do not draw from Hickman, arterial line, or
with ABG's.
Thyroglobulin antibodies, Serum (SST or plain) or plasma < 2.2 IU/mL Special Chemistry
thyroid
Thyroglobulin Profile Serum (SST or plain), or plasma Thyroglobulin: Normal Thyroid < 35 ng/mL Special Chemistry Includes Thyroglobulin
Thyroglobulin: Antibody <2.2 IU/mL antibodies
Thyroid stimulating Serum (red top), 3.0 mL <130 % of basal activity Reference Lab Activation of human
immunoglobulins (ARUP) thyroid membrane
adenylate cyclase
Thyrotropin-releasing hormone Serum (red top), 0, 30 and 60 min. TSH: 5-10 fold rise above baseline Immunochemistry Dose, adult: 500 ug/TRH,
stimulation test Prolactin, I.V.
Male and child: Child: 7 ug/kg
3-5 fold rise above baseline TRH, I.V. over 15-30 sec.
(deminishes with age)
Female:
6 to 20 fold rise above baseline
(increase in pregnancy)
Thyroxine Binding Globulin Serum (red top), 1.0 mL 13.0-30.0 ug/mL Reference Lab
(ARUP)
Tobramycin Plasma, green top (PST), 1.0 mL Therapeutic, Peak: Special Chemistry A trough specimen should
Less severe inf: 5-8 µg/mL be drawn just prior to the
Severe inf: 8-10 µg/mL next dose. A peak
specimen is drawn 60
Trough, minutes after teh IV
Less severe inf: <1 µg/mL infusion is begun.
Moderate inf: <2 µg/mL
Severe inf: <2-4 µg/mL
Toxic:
Peak: >10 µg/mL
Trough: >2-4 µg/mL
Toxoplasma gondii detection Whole blood collected in ACD or EDTA, Negative Microbiology
By Nucleic Acid Amplification CSF, Amniotic fluid, Tissue (snap frozen) (ARUP)
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
Transferrin Plasma, green top (PST), 1.0 mL 0-5 d 124-288 mg/dL Core Lab 2h 1h
6-364d 190-302 mg/dL
1-3y 190-302 mg/dL
4-6y 181-329 mg/dL
7-9y 196-314 mg/dL
10-13y 195-385 mg/dL
14-19y 203-386 mg/dL
>19y 198-327 mg/dL
Transfusion-reaction Clotted blood red top, 10 mL and 5 mL Not applicable Blood Bank
whole blood (purple top) and sample of
first voided urine. Empty blood bag with
recipient set attached. Unit tag attached to
bag (and accompanying Blood Bank
Transfusion Record). Follow directions on
Blood Bank Transfusion Record (H964)
and BB Requisition H259 SUN.
Transplant monitoring Whole blood (yellow top), 3.0 mL See report for normal values Immunomolecular
OKT3/ATG A hemogram must be ordered (purple Pathology
top), 2 mL
Trichinosis Antibody Serum (red top), 2.0 mL None Detected Reference Lab
(ARUP)
Troponin I Plasma, green top (PST), 1.0 mL <0.05 ng/mL normal TDM
Trypsin in stool Submit stool or duodenal fluid in sterile Infants and Newborns: Microbiology
container within 1 h of collection between Positive in 1:80 dilution
7 AM - 2:30 PM.
Type and hold Clotted blood (red Top), 10 mL. Not applicable Blood Bank Includes ABO and Rh
typing, and antibody
screen
Specimen will be held 3
days for possible
crossmatch
UA, Urinalysis Minimum 10 mL freshly voided urine; test Specific gravity: Core Lab 1 hour
must be performed within 2 hours of 0-4 weeks 1.001-1.020
collection unless refrigerated. >4 weeks 1.001-1.030
Protein: Negative
Glucose: Negative
Ketone: Negative
Bilirubin: Negative
Blood Negative
Nitrite: Negative
Urobilinogen: 0.2-1.0 EU/dL
Leukocyte esterase: Negative
Microscopic:
Leukocytes: 0-4/hpf
Erythrocytes: 0-1/hpf
Casts: 0-1/hpf
Bacteria: Negative
Urea nitrogen, Urine 24 h Urine, 24 h, no preservative Adult: 12-20 g/d Core Lab
Urea nitrogen, Urine random Random urine, 0.5 mL Not available Core Lab
Urea Nitrogen/Creatinine ratio Calculate - BUN divided by CREA 8:1-20:1 Core Lab
Uric Acid Plasma, green top (PST), 1.0 mL FEMALE Core Lab 2H 1H
<1m: 1.0-4.6 mg/dL
1m-11m: 1.1-5.4 mg/dL
1-3y: 1.8-5.0 mg/dL
4-6y: 2.0-5.1 mg/dL
7-9y: 1.8-5.5 mg/dL
10-12y: 2.5-5.9 mg/dL
13-15y: 2.2-6.4 mg/dL
16-17y: 2.4-6.6 mg/dL
18-59y: 2.9-6.5 mg/dL
60-89y: 3.5-7.3 mg/dL
>89y: 2.2-7.7 mg/dL
MALE
<1m: 1.2-3.9 mg/dL
1m-11m: 1.2-5.6 mg/dL
1-3y: 2.1-5.6 mg/dL
4-6y: 1.8-5.5 mg/dL
7-9y: 1.8-5.4 mg/dL
10-12y: 2.2-5.8 mg/dL
13-15y: 3.1-7.0 mg/dL
16-17y: 2.1-7.6 mg/dL
>17y: 4.3-8.6 mg/dL
Uric Acid, Urine 24 h Urine, 24 h, no preservative Adult: 250-750 mg/d Core Lab
Diet: Average, 250-750 mg/d
Free purine, M: <420
F: slightly lower
Low purine, M: <480
F: <400
High purine: <1000
Uric Acid, Urine random Random urine, 0.5 mL Not available Core Lab
Urine screen Sterile container; follow direction in kit. Negative; if positive, culture will be Microbiology
Submit within 1 h of collection. performed.
Call lab for instructions.
Urine, Cytology Deliver fresh to laboratory. Indicate patient See Report Cytology
history/symptoms and whether voided,
catheterized/cystoscope, or bladder
washing.
Urine, routine culture Sterile container; follow direction in kit. Suprapubic puncture: no growth. Microbiology
Submit within 1 h of collection. Cath. Spec.: <10,000 organisms/mL
Call lab for instructions. Clean catch: <100,000 organisms/mL
Valproic Acid Plasma, green top (PST), 1.0 mL Therapeutic: 50-100 µg/mL -anti convulsant, TDM
50-125 µg/mL -manic episodes
associated with bipolar disorder
Toxic: >120 µg/mL
Vancomycin Plasma, green top (PST), 1.0 mL Therapeutic, trough: 5-15 µg/mL TDM A trough specimen is
peak: 20-40 µg/mL drawn prior to the next
(peak values less meaningful dose.
than trough values) A peak specimen is drawn
Toxic: >80-100 µg/mL 60 minutes after an IV
(not well established) infusion is begun.
Vanillylmandelic acid Urine, 24 h; refrigerated during collection. <7.0 mg/d Reference Lab
Obtain container from Lab Central, HA619. (ARUP)
Varicella IgM Antibody Serum (SST), 2.0 mL <0.9 Negative Reference Lab
0.91-1.09 Equivocal (ARUP)
> or equal to 1.10 Positive
Varicella-Zoster Virus detection CSF, Occular fluid, vesicle fluid, or tissue Negative Microbiology
By Nucleic Acid Amplification biopsy. (ARUP)
NOTE: THIS TEST IS FOR RESEARCH
USE ONLY.
VDRL, CSF Specimens only CSF, 2 mL, sterile container Nonreactive Reference Lab
(For serum tests, see RPR)
Virus isolation (unknown Contact Virology Lab, 3-5411. No virus isolated Microbiology
virus screen) Blood cultured for CMV only.
Vitamin B12 binding capacity Serum (red top), 1.0 mL 743-1,632 pg/mL Reference Lab
unsaturated (ARUP)
Vitamin B6 Plasma (purple top), 1.0 mL; 5.0-30.0 ng/mL Reference Lab
protect from light. (ARUP)
Vitamin C Plasma (green top), 5.0 mL. Deliver to lab 0.4-2.0 mg/dL Reference Lab
immediately. Protect from light. Deficiency: <0.2 mg/dL (ARUP)
Vitamin D(1,25-(OH)2 D3) Serum (red top), 3.0 mL 15-75 pg/mL Reference Lab
(Quest)
Vitamin D25-(OH)D, total Serum (red top), 1.0 mL 15-57 ng/mL Reference Lab
(Quest)
Vitamin E Serum red top), 1.0 mL alpha-tocopherol, 0-1 m: 1.0-3.5 mg/L Reference Lab
2-5m: 2.0-6.0 mg/L (ARUP)
6m-1y: 3.5-8.0 mg/L
2-12y: 5.5-9.0 mg/L
>13y: 5.5-18.0 mg/L
Volume, blood Whole blood (purple top) Premature: 90-108 mL/kg Nucl. Med.
Newborn: 80-110 mL/kg
Infant: 70-111 mL/kg
Adult: 72-100 mL/kg
Volume, plasma Plasma (green top) Adult: 49-59 mL/kg Nucl. Med.
Von Willebrand Antigen Citrated plasma (blue top, must be full). All ages: 0.6-2.0 U/mL Core Lab Not available
Do not draw from Hickman, arterial line, or
with ABG's.
Von Willebrand Factor Citrated plasma (blue top, must be full. All ages: 0.6-2.0 U/mL Core Lab Not available
Ristocetin Cofactor Do not draw from Hickman, arterial line, or
with ABG's.
WBC Whole blood (purple top), 2.0 mL. <7d 9.0-30.0 k/µL Core Lab 2h 1h
Mix well. May be collected by fingerstick 1-7wk 5.0-21.0 k/µL
in microtainer tube. 2-23m 6.0-15.0 k/µL
2-9y 4.0-12.0 k/µL
>9y 4.0-10.5 k/µL
West Nile Virus RNA by PCR CSF (0.5 mL), Not detected Microbiology (MRL)
Serum from clotted blood 3 mL.
Western blot for HIV-I Serum (red top), 2.0 mL Nonreactive Reference Lab (VA)
Whey allergen Serum (red top), 1.0 mL Given with report Reference Lab
(Quest)
Whipples Bacillus DNA by PCR CSF or Tissue Biopsy Not detected Microbiology (MRL)
x Citrated plasma (5.0 mL blue top, must be 17-22 sec Core Lab
full); deliver specimen on ice.
Do not draw from Hickman, arterial line, or
with ABG's.
Xylose absorption, blood Serum (red top), at least half full. By report Reference Lab
Adults: fasting and 2 h after xylose (ARUP)
administration.
Child: fasting and 1 h after xylose
administration.
Xylose absorption, urine Urine. Adults and children; 5 h collection By report Reference Lab
after xylose administration; use no (ARUP)
preservatives.
Zinc, quanitative, serum Serum (plastic red top), 2.0 mL. Male Female Reference Lab
Deliver to lab immediately. Due to diurnal 0-16 66-144 66-144 (ARUP)
variation, samples should be collected in 17+ 75-291 65-256
early morning while still fasting.