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54 Cards in this Set

  • Front
  • Back
Alanine aminotransferase ALT (SGPT)
Serum: Red-top or serum gel-barrier tube.
Plasma: Green-top (heparin) or lavender-top (EDTA) tube.
Centrifuge and separate within 45 min of collection.
Dept: C
Evaluates hepatic disease
Alcohol (blood) (ETOH)
Serum: Gray sodium fluoride tube (preferred) or red top. Use non-alcohol antiseptic to clean site; do not open tube. Chain of custody required if for legal purposes.
Dept: C
Intoxication
Alkaline phosphatase (ALP)
Serum (preferred): Red-top or serum gel-barrier tube.
Plasma: Green-top tube. Centrifuge and separate ASAP. 8- to 12-hr fast required.
Dept: C
Liver function
Ammonia (NH3)
Plasma. Lavender-top tube. (Some methods use green, no gel.) Place immediately in ice slurry. Centrifuge within 15 min without removing stopper; separate plasma and freeze in plastic vial.
Dept: C
Evaluates liver function. High levels in the blood
lead to a problem know as hepatic encephalopathy.
Amylase
Serum: Red-top, serum gel-barrier tube.
Plasma: Green or lavender top.
Centrifuge, separate, and refrigerate serum or plasma ASAP. Avoid hemolysis and lipemia.
Dept: C
Acute pancreatitis.
Aspartate aminotransferase (AST, GOT, SGOT)
Serum (preferred): Red-top or serum gel-barrier tube.
Plasma: Heparin gel-barrier tube.
Centrifuge for complete separation and refrigerate.
Dept: C
Acute and chronic liver disease.
Basic metabolic panel (BMP)
Plasma (preferred): Green-top tube.
Serum: Gel-barrier tube.
Refrigerate unopened spun barrier tube. Separate within 45 min of venipuncture. 8- to 12-hr fast required.
Dept: C
A designated number of tests covering body systems
Bilirubin, total and direct (Bili)
Serum. Serum gel-barrier tube. Wrap in foil to protect from light. Spin and separate within 45 min. Refrigerate.
Dept: C
Increased with types of jaundice (i.e., obstructive, hepatic, or hemolytic; hepatitis or cirrhosis).
Blood group & Rh type (ABO & Rh)
Whole blood: Dedicated large lavender- or pink-top (EDTA) tube.
Special ID procedure; hand label with special band.
Dept I
Detection of ABO and Rh antigens on the red blood cells. Detects atypical antibodies for prenatal screen or crossmatch.
Calcium, ionized (iCa2)
Serum: Serum gel-barrier tube.
Plasma: Green-top tube, immediately place ”do not open” tape over the top. Centrifuge and refrigerate as is. Place a piece of tape over the top of tube and write “Do not open.”
Dept: C
Bone cancer, nephritis, multiple myeloma.
Carcinoembryonic antigen (CEA)
Serum: Red-top or serum gel barrier
tube.
Plasma: Green gel-barrier tube.
Centrifuge, separate, and refrigerate.
Dept: C
Monitoring of patients with diagnosed malignancies; malignant or benign liver disease;
indicator of tumors.
Complete blood count (CBC)
Whole blood: Lavender-top tube.
Invert gently 6–8 times immediately after drawing; includes WBC, RBC, Hgb, Hct, indices, platelets, and diff.
Dept: H
Blood diseases
Creatine kinase (CK)
Serum: Serum gel-barrier tube; refrigerate serum
Dept: C
Muscular dystrophy and trauma to skeletal muscle.
Creatine kinase MB (CK-MB)
Serum: gel-barrier tube; refrigerate serum.
Dept: C
Organ differentiation and to rule out myocardial infarction.
Creatinine (Creat)
Serum: Serum gel-barrier tube. Separate ASAP; refrigerate serum.
Dept C
Kidney function
D-dimer (D-D1)
Plasma: Light blue-top tube. Test requires 1 mL frozen citrated plasma from a completely filled light blue tube. Separate and freeze plasma immediately in plastic vials. Transport frozen.
Dept: CO
DIC and thrombotic episodes such as pulmonary emboli.
Differential (Diff)
Whole blood: Lavender-top EDTA tube. Make blood smear and stain with Wright's stain.
Dept: H
Classifying types of leukocytes, describing erythrocytes, and estimating platelets.
Troponin
Cardiac monitor, Cardiac marker, Heart attack.
Digoxin (Lanoxin)
Dept: C
Heart stimulant.
Phenytoin (Dilantin)
Dept: C
Treatment of epilepsy.
Salicylates (Aspirin)
Dept: C
Evaluation of therapy.
Theophylline (Aminophylline)
Dept: C
Asthma medication.
Vancomycin (Vancocin)
Dept: C
Broad-spectrum antibiotic.
Electrolytes (Na, K, Cl, CO2, lytes)
Plasma (preferred): Heparin gel barrier
tube.
Serum: Red-top serum gel-barrier tube. Centrifuge within 30 min after drawing. Do not remove stopper.
Avoid hemolysis and lipemia.
Dept: C
Fluid balance, cardiotoxicity, heart failure, edema.
Eosinophil (Eos)
Whole blood: Lavender-top tube. Invert gently 6–8 times immediately after drawing.
Dept: H
Allergy studies.
Erythrocyte sedimentation rate (ESR)
Whole blood: Lavender-top tube. Invert gently 6–8 times immediately after drawing.
Dept: H
Indication of degree of inflammation.
Gamma-glutamyl transpeptidase (GGT or GT)
Serum (preferred): Red top or serum gel-barrier tube. Refrigerate serum. Spin and separate.
Dept: C
Assists in the diagnosis of liver problems; specific
for hepatobiliary problems.
Glucose, fasting (FBS)
Plasma: Gray-top sodium fluoride or heparin-gel tube.
Serum: Red-top or serum gel-barrier tube. Separate from cells within 1 hr or use gray-top tube.
Dept: C
Diabetes, hypoglycemia
Glucose tolerance (GTT)
Plasma: Gray-top sodium fluoride tube. Multiple collections depending on length of test.
Glycosylated hemoglobin (Hgb A1c)
Whole blood: Lavender-top tube.
Dept: C
Monitoring of diabetes mellitus.
Hematocrit (Hct)
Whole blood: Lavender-top tube.
Invert gently 6–8 times immediately after drawing.
Dept: H
Anemia
Hemoglobin (hgb)
Whole blood: Lavender-top tube.
Invert gently 6–8 times immediately after drawing.
Dept: H
Anemia
Hemoglobin A1c (Hgb A1c)
Whole blood: Lavender-top tube.
Dept: C
Monitoring of diabetes mellitus.
Human chorionic gonadotropin (HCG)
Serum: Serum gel-barrier tube.
Refrigerate serum.
Dept C
Pregnancy, testicular cancer.
Iron and total iron binding capacity (TIBC & Fe)
Serum (preferred): Serum gel-barrier tube. Separate from cells within 1 hr of collection; refrigerate serum.
Fasting morning specimen is preferred.
Dept C
Assist in differential diagnosis of anemia.
Lead (Pb)
Whole blood: Royal blue EDTA or tan-top lead-free tube. Use of other evacuated tubes or transfer tubes
may produce falsely elevated results due to contamination.
Dept: C
Screens for lead toxicity, which can lead to neurologic dysfunction and possible permanent
brain damage.
Lipase
Serum (preferred): Red top or serum gel-barrier tube. Plasma: Green top.
Dept: C
Used to distinguish between abdominal pain and that owing to acute pancreatitis.
High-density lipoprotein (HDL)
Serum: Red-top or serum gel-barrier tube. Patient must be fasting a minimum of 12 hr.
Evaluates lipid disorders and coronary artery disease risk.
Low-density lipoprotein (LDL)
Serum: Red top or serum gel-barrier tube. Must be fasting a minimum of 12 hr
Evaluates lipid disorders and coronary artery disease risk.
Magnesium (Mg)
Serum: Serum gel-barrier tube. Plasma: Green-top gel-barrier tube. Separate from cells within 45 min. Maintain specimen at room temperature.
Dept: C
Mineral metabolism, kidney function.
Mononucleosis screen (Mono-test)
Serum: Plain red-top or serum gel-barrier tube. Plasma: Lavender or pink-(EDTA) top tube. Refrigerate
serum or plasma.
Dept: S
Infectious mononucleosis
Partial thromboplastin time (Activated PTT)
(PTT/APTT)
Plasma: Light blue–top tube filled to stated tube volume. Invert 3–4 times immediately after drawing. Do not centrifuge or freeze if the sample
will not be tested within 24 hr.
Dept: CO
Clotting factor deficiency, monitoring of heparin therapy.
Platelet count (Plt. ct)
Whole blood: Lavender-top tube. Invert gently 6–8 times immediately after drawing.
Dept H
Bleeding disorders.
Prostate-specific antigen, total and free (PSA)
Serum: Red-top or serum gel-barrier tube. Plasma: Green-top gel-barrier tube. Separate and freeze serum or plasma immediately in a plastic vial. Transport frozen.
Dept: C
Screen for the presence of prostate cancer, to
monitor the progression of the disease and
monitor the response to treatment for prostate
cancer.
Prothrombin time (PT)
Plasma: Light blue–top tube filled to stated tube volume. Invert 3–4 times immediately after drawing. Do not centrifuge or freeze if the sample is to be transported.
Dept CO
Clotting factor deficiency monitoring of warfarin therapy.
Red cell count (RBC)
Whole blood: Lavender-top tube. Invert gently 6–8 times immediately after drawing.
Dept: H
Anemia
Reticulocyte count (Retic)
Whole blood: Lavender-top tube. Invert gently 6–8 times immediately after drawing.
Dept: H
Anemia
Thyroid profile (comprehensive) (FTI, T3, T4, TSH)
Serum: Serum gel-barrier or red top tube. If red-top tube is used, transfer separated serum to plastic
transport tube.
Dept: C
Hyper- or hypothyroid conditions.
Triglycerides
Serum (preferred): Red-top or serum gel-barrier tube; refrigerate serum. Strict fasting for 12–14 hr is required (water only).
Dept: C
Used to evaluate risk of coronary heart disease.
Urea nitrogen (BUN)
Serum: Serum gel-barrier tube. Centrifuge for complete separation and refrigerate.
Dept: C
Kidney function.
Uric acid
Serum: Serum gel-barrier or red-top tube; must be separated within 45 min. Maintain specimen at room
temperature.
Dept C
Gout.
White cell count (WBC)
Whole blood: Lavender-top tube. Invert gently 6–8 times immediately after drawing.
Dept: H
Zinc (serum) (Zn)
Serum: Non-additive royal blue–top tube. Separate serum within 45 min and transfer to plastic transport
tube.
Dept:C
Liver dysfunction.
Zinc (RBC) (ZNRBC)
Whole blood: Royal blue–top EDTA tube. Refrigerate immediately; hemolysis unacceptable.
Dept: C
Screening test for lead poisoning and iron deficiency.