Commonly Ordered Laboratory Tests

Alanine transferase
(ALT) (SGPT)

Liver disease or failure

Albumin

A major protein, nutritional status, kidney disease

Alcohol (Ethanol)
(ETOH)

Intoxication

Alkaline Phosphatase
(ALP)

Bone or liver function

Amikacin

Antibiotic level (pre/post)

Ammonia

Liver disease

Amylase

Pancreatic cancer or disorder

ANA
(Antinuclear Antibody)

Auto-immune disease (systemic lupus erythematosis (SLE) or rheumatoid arthritis

Arterial Blood Gases
(ABG's)

For respiratory or metabolic disorders; measures pH, oxygen (pO2), carbon dioxide (pCO2)

Aspartate Aminotransferase
(AST) (SGOT)

Liver or heart disease

Basic Metabolic Panel
(BMP)

Includes sodium, potassium, chloride, carbon dioxide (CO2), glucose, blood urea nitrogen (BUN), & creatinine

Bilirubin

Liver disease, increased red cell destruction, neonatal jaundice

Bleeding Time

Bleeding disorder, platelet disorder, pre-surgical screen

Blood Culture

Blood infection, aerobic & anaerobic cultures to detect bacteria in blood

Blood group & Rh type

Detection of ABO & Rh antigens on the red blood cells

Blood Urea Nitrogen
(BUN)

Kidney/renal disease or failure

C-Reactive Protein
(CRP)

Acute infection or inflammation

Calcium (Ca++)

Bone disease

CA125
(Carcinogenic Antigen 125)

Tumor marker for ovarian cancer

CA153
(Carcinogenic Antigen 15-3)

Tumor marker for recurrence of breast cancer

CEA
(Carcinoembryonic Antigen)

Tumor marker

Cholesterol

Lipids......Risk of heart disease, metabolic disorder

Cold Agglutinins

Infection.....Mycoplasma pneumonia, viral infections, autoimmune disease

Complete Blood Count
(CBC)

Excellent screening test for infection, anemia, leukemia
Includes:
WBC(white blood cell count)
RBC(red blood cell count)
HgB(hemoglobin)
Hct(hematocrit)
MCV(mean corpuscular volume)
MCH(mean corpuscular hemoglobin)
MCHC(mean corpuscular hemoglobin concent

Comprehensive Metabolic Panel

Screening test includes:
Sodium, potassium, chloride, carbon dioxide, glucose, blood urea nitrogen(BUN), creatinine, calcium, albumin, total protein, alkaline phosphatase, aspartate, aminotransferase(AST), total bilirubin

Cortisol, timed

Hormone, abnormal in Addison's disease, or Cushing's syndrome

Creatine Kinase
(CK)

Muscle disorders, muscular dystrophy, r/o myocardial infraction (heart attack)

Creatinine

Kidney function/disease

Cross Match

Determines compatibility between donor unit and recipient for transfusions

CSF analysis
(cerebral spinal fluid)

Rule out meningitis, infection of the

Culture and Sensitivity
(C&S)

Infection, organisms are grown in culture, then tested for susceptibility to antibiotics

Cyclosporin

Anti rejection drug for transplant patients

Cytomegalovirus
(CMV)

Serious infection for immuno-suppressed patients

Differential WBC

Infection, leukemia, a count of what types of white cells are present

Digoxin

Cardiac Drug

Dilantin
(Phenytoin)

Drug for epilepsy

Electrolytes
(Lytes)

Includes: sodium(Na), potassium(K), chloride(Cl), & dissolved carbon dioxide(CO2)......Relationship among these electrolytes is maintained in careful balance by the function of kidney, lungs, & endocrine glands

Epstein-Barr Virus
(EBV)

Mononucleosis

Fasting Blood Sugar
(FBS)

Blood glucose, diabetes

Ferritin

Storage from iron; to check for anemia, hemochromatosis

Fibrinogen

Coagulation protein, to investigate suspected bleeding disorders

Flourescent Treponemal Antibody Absorption
(FTA-ABS)

Confirmation test for syphilis

Folate
(Folic Acid)

Vitamin deficiency, check for anemia

Gentamicin

Antibiotic level, drawn as pre or post dose

Glucose

Diabetes, hypoglycemia

Glycosylated hemoglobin
(Hgb Alc)

Monitoring diabetes, average glucose level over last 3-4 months

Gram Stain

Infection, specimen is placed on a slide & stained, bacteria can then be identified under a microscope

HDL Cholesterol
(High Density Lipoprotein)

Cardiac disease risk, coronary artery disease

Hematocrit
(Hct)

Anemia

Hemoglobin
(Hgb)

Anemia

Hepatic Function Panel
"Livers

Liver disease;
Includes: albumin, total & direct bilirubin, alkaline phosphatase, AST/SGOT, and ALT/SGPT

Hepatitis A Virus
(HAV)

Checks for hepatitis A Infection

Hepatits B Surface Antibody
(HBsAB)

Determination of previous infection & immunity by hepatitis B

Hepatits B Surface Antigen
(HBsAG)

Diagnosis of acute or chronic current infection of hepatitis B

Hepatitis C Antibody
(HCV)

Current or past hepatitis C infection

HIV Viral Load

Measures the amount of HIV-1 present, to monitor progress of the disease

Homocysteine
(Hcy)

Indicates increased risk of heart disease

Human immunodeficiency virus antigen
(HIV-1)

Screen for donated blood; as an aid in the diagnosis of HIV-1 infection

Human chorionicgonadotropin
(HCG)

Pregnancy test, tumor marker

Iron & total iron binding capacity
(Fe & TIBC)

Diagnosis of type of anemia

KOH Prep

Fungal or yeast infections of sputum, skin, nail, hair

Lactate dehydrogenase
(LD)

Liver disease or myocardial infarction (heart attack)

Lead

Measurement of lead exposure

Lipase

Pancreatic disease

Lipid Profile Lipoprotiens
(HDL & LDL)

Evaluates lipid disorders & risk of coronary artery disease

Lithium
(Li)

Drug for the treatment of psychosis

Magnesium
(Mg)

Metabolic disorders, renal disease

Mono Screen
Mono Spot

Screen for infectious mononucleosis

Myoglobin

Muscle damage, myocardial infarction

Newborn Screen

Required by state, tests for metabolic disorders

Occult Blood

Blood in stool specimen, checks for ulcers, colorectal cancer

Ova & Parasites
(O &P)

Stool specimen for intestinal parasites

Partial thromboplastin time
(PTT or APTT)

Clotting factor deficiency, also monitors heparin therapy

Phenobarbital

Anticonvulsant drug for epilepsy

Phosphorous
Phos, (PO4)

Parathyroid disorder

Pinworm Exam Scotch Tape Prep

Pinworm infection, scotch tape pressed to perianal area, read under microscope

Potassium
(K+)

Renal failure, cardiac arrythemias

Progesterone

Hormone to assess infertility & placental function

Prostate-Specific Antigen
(PSA)

Tumor marker for prostate cancer

Protein Electrophoresis

Identifies abnormal proteins in blood, urine, or spinal fluid

Prothrombin Time
(PT)

Clotting factor deficiency, also monitors coumadin therapy

Reticulocyte Count

Anemia, evaluates RBC production

Rheumatoid Factor
(RA) (RF)

Arthritic conditions

Rhogam

Given to Rh negative women after devilering an Rh positive infant, or after a miscarriage or abortion

Rapid Plasma Reagin
(RPR)

Screening test for syphilis

Rubella Screen

Screening test for pregnant women to check for antibody to rubella virus and immunity to German measles

Sedimentation Rate
(ESR)

Checks rate at which RBC's settle out of blood, useful in detecting inflammatory process

Sickle Cell Screen

Screening test to detect presence of hemoglobin S

Streptococcus Screen
(Strep Screen)

Latex agglutination test for the detection of group A Strep directly from throat swabs

T3
(Triiodothyroxine)

Hyper-or hypothyroid conditions

T4
(Thyroxine)

Hyper-or hypothyroid conditions

Theophyllin
Aminophyllin

Asthma medication

TSH
(Thyroid Stimulating Hormone)

Hyper-or hypothyroid conditions

Tobramycin

Antibiotic level, drawn as pre or post dose

Trichomonas Prep
Wet Mount

Examine vaginal or urethral discharge for Trichomonas vaginalis infection

Triglyceride

Risk of heart disease

Troponin

Rule out myocardial infarction (heart attack)

Uric Acid

Gout, renal disease

Urinalysis (Routine)

Sreening test, notes color & clarity of the specimen & the following chemical tests: Specific gravity-indicator of the concentrating ability of the kidney, pH-acid/base balance, Protein-indicator of kidney function, Glucose-indicator of carb metabolism, K

Urinalysis & microscopic exam

Involves identifying the different types of cells, microorganisms, and other structures in the urine sediment

Vancomycin

Antibiotic level, drawn as pre or post dose

Pre

A blood sample collected 5-15 minutes before the next dose of antibiotic is called a "pre" level

Post

A blood sample collected 15, 30, ,or 60 minutes after an antibiotic is given is called a "post" level