ROTUNDA HOSPITAL DEPARTMENT OF LABORATORY MEDICINE

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1 This active test table informs the user of Biochemistry tests available in house. s referred to other sites are recorded in the Referred Table. Issue date: 4 TH April 2016 Contact Phone Number ext.1345/2522 Page 1! of 11!

2 Alanine Aminotransferase (ALT) Albumin Alkaline Phosphatase (ALP) Amylase Aspartate Aminotransferase (AST) 2-3 hrs 45 mins Adult Female : <33U/L Adult Male : < 41 U/L Neonates: <45 U/L Non pregnant/male: g/l Pregnant: g/l Neonate: g/l Adult Female : U/L Adult Male: U/L Pregnant: U/L Neonate: <10 days: U/L < 4 weeks U/L < 1Y U/L < 9Y U/L <15Y U/L Adult: U/L Neonate: <100 U/L Adults female: <32 U/L Adult Male: <45 U/L Neonate: < 4 weeks: < 75U/L < 1Y: <65U/L < 4Y <50 U/L Page 2! of 11!

3 Bile Acids Bilirubin Direct Bilirubin Total Calcium Serum or Minimum 4hr fast. Please state fasting status on request form 2-3 hrs 45 mins Adult Female 0-10 umo/l <5 µmol/l Adult: <21 µmol/l Neonates: <17µmol/L Adults: mmol/l Neonates: mmol/l Chloride Adult: mmol/l Neonates: mmol/l Urine : No range quoted Cholesterol Overnight fast Adults: <5.2 mmol/l C-Reactive Protein Creatine Kinase (CK) <10 mg/ L Adult Female: U/L Adult Male Neonate: < 2weeks : <600U/L <1 month: <450 U/L <1yr : <300 U/L Page 3! of 11!

4 Creatinine Fructosamine Gentamicin GGT Glucose Glucose Tolerance Serum or Sodium Fluoride Collection time must be handwritten on tube and on request form. 2-3 hrs Adult Female: µmol/l Adult Male: µmol/l Pregnant: µmol/l < 7 days: <100 µmol/l < 4 weeks: µmol/l < 1yr : µmol/l < 4 years: µmol/l µmol/l Dependant on dose and time of dose. Adult Female : 6-42 U/L Adult Male: U/L Neonate: <1 month: U/L 1-2 month : U/L 2-4 month : 0-81 U/L 4-7 month : 0-34 U/L <12yr : 0-24 U/L Adult fasting: < 5.1 mmol/l Pregnant Fasting: < 5.1 mmol/l 1 Hour: < 10 mmol/l 2 Hour: < 8.5 mmol/l Page 4! of 11!

5 Breakfast Club request form. Haemoglobin A1c EDTA Ethnicity must be included on request form HDL - Cholesterol Overnight fast 1 week 45mins Fasting: < 5 mmol/l 1 hour: < 7 mmol/l Non Pregnant: mmol/mol mmol/l LDL - Cholesterol Lactate Dehydrogenase (LDH) 2-3 hours Adult : U/L Neonate: <30 d: U/L 30d-6mth: U/L 6mth-1yr : U/L >1yr - 2yr: U/L >2yr - 16yr : U/L Lactate Sodium Fluoride Send to the lab immediately mmol/l Magnesium Phosphate Adult: mmol/l Neonates: mmol/l Adult: mmol/l Neonates: mmol/l Potassium Adult: mmol/L Neonates: mmol/l Urine : No range quoted Page 5! of 11!

6 Sodium Total Protein / Urine the 2-3 hours 45 mins Non pregnant: mmol/l Pregnant: mmol/l Neonate: mmol/l Urine : No range quoted Non pregnant: g/l Pregnant: g/l Neonate: g/l Total Protein Urine (24hr collection) 24 hr Urine collection Adult : < 0.15g/L Creatinine Clearance (24hr collection) 24 hr urine & Hep Non Pregnant: ml/min Protein / Creatinine Ratio Spot Urine < 15 mg/mmol Cr Normal to mildly increased mg/mmol Cr Moderately Increased > 50 mg/mmol Cr Severely Increased NICE guidelines do not apply to pregnant women. PET women with PCR > 30 mg/mmol Cr should be confirmed with 24 hr urine collection CSF Protein CSF CSF g/l CSF Glucose mmol/l Page 6! of 11!

7 CSF Lactate Triglycerides Urea Uric Acid CSF in sodium fluoride tube Send to the lab immediately Overnight fast 2-3 hours 45 mins Adult : Neonate : 0-3d : mmol/l 3d-10d : mmol/l 10d - 2yrs: mmol/l >2yrs : mmol/l Adults: <2.26 mmol/l Neonate: < 1.7mmol/L Non-pregnant mmol/L Pregnant: mmol/l Neonates: mmol/l Non pregnant : µmol/l Pregnant: µmol/l Male: µmol/l Neonates µmol/l Page 7! of 11!

8 Endocrinology Page 8! of 11!

9 Anti Thyroid-Specific Peroxidase AMH Serum Serum Same day (except at weekends) Run twice weekly Urge nt s N/A N/A 0-34kU/L Only performed on 1. Pregnant patients with TSH>2.0 miu/l 2. Non pregnant patients with TSH > 4.0 miu/l Adult Female: yrs yrs yrs yrs yrs Neonate Female: <3m <12m <8Y Neonate Male: <15d <6m <1Y <4Y <6Y <9Y Accredit ed CA-125 Serum Run twice weekly ku/l Ferritin Serum Same day (except at weekends) N/A Female: µg/l Male: µg/l Page 9! of 11!

10 Folate weekends) Urge nt s Accredit ed ng/ml Follicle Stimulating Hormone Free Thyroxine (FT4) Human ChoronicGonadotrophin Lutenizing Hormone Oestradiol Progesterone Prolactin Sex Hormone Binding Globulin osterone Serum Same day (except at weekends) 2 hours N/A Thyroid Stimulating Hormone 2 hours See table below Adult: 12-22pmol/L < 1 month: 10-36pmol/L < 1 year: 10-26pmol/L Male and non-pregnant females: < 1.0 U/L Pregnant female: See below See table below Female: miu/l Male: miu/l Female: nmol/ll Male: nmol/l Female: nmol/l Male: 9-29 nmol/l Adult: miu/l < 2 days: miu/l < 11 years: miu/l Vitamin B12 N/A Adult: pg/ml Page 10! of 11!

11 s for Fertility Hormones Analyte Unit Male Follicular Phase Midcycle Luteal phase Post-menopausal LH U/L FSH U/L Oestradiol pmol/l <183 Progesterone nmol/l > Average HCG (U/L) and days of cyesis (days post LMP) Royal Berkshire Hospital figures: Day HCG Day HCG Day HCG Day HCG Figures are based on data collected between December 1996 and February 1997 in the Endocrinology Department, RBH, from apparently normal pregnancies. There is considerable individual variation, but around 50% of normal pregnancies give HCG values within 3 days of the average day, and around 80% within 1 week of the average day. After 60 days of cyesis, HCG values plateau and being to decline. HCG results cannot therefore be used to predict dates for pregnancies of duration likely to be more than 60 days. Page 11! of 11!

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