Basingstoke and north hampshire hospital pathology user handbook

Bilirubin - adult	Gold Top Vacuette	4mL	Serum	0 - 17	umol/L		Haemolysis will falsely elevate results
4 HOURS
Bilirubin – direct or conjugated	Gold Top Vacuette	4mL	Serum	0 - 3	umol/L		Haemolysis will falsely elevate results		4 HOURS
Bilirubin - paediatric	Gold Top Vacuette	4mL	Serum	0 - 17	umol/L		Haemolysis will falsely elevate results		4 HOURS
Bilirubin - urine			see Bile Pigments						24 HOURS

TEST	SPECIMEN CONTAINER	VOLUME NEEDED	SAMPLE TYPE	REFERENCE RANGES	UNITS	SPECIAL PRECAUTIONS	KEY FACTORS	REFERRAL LABORATORY (INC ADDRESS)	TURN – AROUND (working days)
Biotinidase	Green Top Vacuette	4mL	Plasma	2.0 – 6.0	umol /L / min	Consultant confirmation required – contact lab Lab Note : SAS -20ºC		Clinical Biochemistry Bristol Royal Infirmary Marlborough Street BRISTOL BS2 8HW 0117 928 2590	14 DAYS
BNP	see B-Type Natriuretic Peptide
BJP	See Bence Jones Protein
Bone alkaline phosphatase	See Alk Phos Iso enzymes
Bone Turnover	See UDPD
B-Type Natriuretic Peptide	Lavender Top Vacuette	3mL	EDTA plasma	M < 45 0 – 29 F < 45 0 – 36 M 45 - 54 0 – 33 F 45 - 54 0 – 57 M 55 - 64 0 – 39 F 55 - 64 0 – 76 M 65 - 74 0 – 68 F 65 - 74 0 – 76 M 75Y + 0 – 121 F 75Y + 0 – 167	pg/mL	To lab same day Note : Centaur-20ºC			10 DAYS
C Peptide	Gold Top Vacuette plus Grey Top Vacuette	1 x 4 mL plus 1 x 4 mL	Serum plus Fluoride oxalate plasma for glucose	< 480	ug/mL	TO LAB AT ONCE - SAMPLE MUST BE FROZEN WITHIN 1 HOUR Lab Note: SAS -20°C Lab Note: FLOX to track		Specialist Biochemistry Mail Point 8 Level C South Block Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 798717	14 DAYS

TEST	SPECIMEN CONTAINER	VOLUME NEEDED	SAMPLE TYPE	REFERENCE RANGES	UNITS	SPECIAL PRECAUTIONS	KEY FACTORS	REFERRAL LABORATORY (INC ADDRESS)	TURN – AROUND (working days)
C1 esterase inhibitor	Gold Top Vacuette	4mL	Serum	0.15 – 0.35	g/L	Lab Note: C 3 & C4 first Lab Note: SAS 4°C	Not indicated if C4 is within normal limits	Southampton Immunology Level C Mailpoint 8 Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 796615	14 DAYS
C3	Gold Top Vacuette	4mL	Serum	0.9 - 1.5	g/L				24 HOURS
C4	Gold Top Vacuette	4mL	Serum	0.14 - 0.45	g/L				24 HOURS
CA 125	Gold Top Vacuette	4mL	Serum	0 - 35	kU/L		levels may be increased during menstruation		24 HOURS
CA 15-3	Gold Top Vacuette	4mL	Serum	0 - 28	kU/L	Lab Note: SAS -20°C		Medical Oncology Charing Cross Hospital Fulham Palace Road London W6 8RF 0208 8461468	10 DAYS
CA 19-9	Gold Top Vacuette	4mL	Serum	0 - 33	kU/L				14 DAYS
Cadmium - urine	Plain (white top) universal	10mL	Urine	< 1.3	nmol / mmolCr	Lab Note: Univ 4ºC		Trace Metals Unit Chemical Pathology Level D South Block Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 796237	14 DAYS

TEST	SPECIMEN CONTAINER	VOLUME NEEDED	SAMPLE TYPE	REFERENCE RANGES	UNITS	SPECIAL PRECAUTIONS	KEY FACTORS	REFERRAL LABORATORY (INC ADDRESS)	TURN – AROUND (working days)
Cadmium - blood	Lavender top Vacuette	3mL	EDTA Whole Blood	< 1.3	nmol/L	Lab Note: WB 4ºC		Trace Metals Unit Chemical Pathology Level D South Block Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 796237	14 DAYS
Caeruloplasmin	Gold Top Vacuette	4mL	Serum	0 – 4M 0.08 – 0.23	g/L				24 HOURS
				5M – 1Y 0.12 – 0.35
				2Y – 10Y 0.20 – 0.40
				11Y – 13Y 0.15 – 0.23
				>13Y - Adult 0.2 - 0.45
Calcitonin	Gold Top Vacuette	4mL	Serum	Male 0 - 8.4 Female 0 - 5.0	ng/L	A.M. FASTING TO LAB AT ONCE - SAMPLE MUST BE FROZEN IN 20 MINUTES Lab: 2 x SAS -20°C		Specialist Biochemistry Mail Point 8 Level C South Block Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 798717	21 DAYS
Calcium (as Corrected Calcium)	Gold Top Vacuette	4mL	Serum	2.12 - 2.62	mmol/L		Levels may be artifactually increased by torniquet during venesection		4 HOURS

TEST	SPECIMEN CONTAINER	VOLUME NEEDED	SAMPLE TYPE	REFERENCE RANGES	UNITS	SPECIAL PRECAUTIONS	KEY FACTORS	REFERRAL LABORATORY (INC ADDRESS)	TURN – AROUND (working days)
Calcium – 24hr urine	Plain 24h container		Urine (24h)	2.5 - 7.5	mmol/d	24 hour collection Lab: White top vacuette,Advia tray			24 HOURS
Calcium – random urine	Plain (white top) universal	4mL	Urine		mmol/L	Lab: White top vacuette,Advia tray	Measure Creatinine as well		24 HOURS
Calculus	Plain (white top) universal		Stone			Lab:Dry,Univ 4ºC		Chemical Pathology Royal Hampshire County Hospital Romsey Rd Winchester SO22 5DG 01962 824287 01962824288	21 DAYS
Carbamazepine	Gold Top Vacuette	4mL	Serum	4.0 - 12.0	mg/L	Sample should be taken pre dose	If not possible to obtain a pre-dose sample, standardise sample times for comparison purposes		24 HOURS
Carbon Monoxide	see Carboxyhaemoglobin