Basingstoke and north hampshire hospital pathology user handbook

TEST	SPECIMEN CONTAINER	VOLUME NEEDED	SAMPLE TYPE	REFERENCE RANGES	UNITS	SPECIAL PRECAUTIONS	KEY FACTORS	REFERRAL LABORATORY (INC ADDRESS)
TURN – AROUND (working days)
Immunoglobulins	see Igs
Indirect immuno-fluorescence	see Epidermal antibodies					Lab Note: SAS 4°C PEMP
Inhibin B	Gold Top Vacuette	4mL	Serum	Male 25 - 325; Female <341, Day 3 of cycle <273, Post menopause <5	ng/L	Lab Note: SAS -20°C		Medical Oncology Charing Cross Hospital Fulham Palace Road London W6 8RF 0208 8461468	28 DAYS
Insulin	Gold Top Vacuette and Grey Top Vacuette	2 x 4mL	Serum and Fluoride Oxalate Plasma	< 10	mu/L	TO LAB AT ONCE - SAMPLE MUST BE FROZEN WITHIN 1 HOUR Lab: Serum SAS -20°C Lab Note: FLOX to track	Patient MUST be fasting	Specialist Biochemistry Mail Pint 8 Level C South Block Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 798717	18 DAYS
Glucose / Insulin Ratio				> 0.25	mmol/mu
Insulin antibodies	Gold Top Vacuette	4mL	Serum	­ _	_	Lab Note: SAS -20°C INSA		Sheffield Protein Department of Immunology Protein Reference Unit PO Box 894 Sheffield S5 7YT 01142 715552	10 DAYS
Insulin like growth factor 1	see IGF1

TEST	SPECIMEN CONTAINER	VOLUME NEEDED	SAMPLE TYPE	REFERENCE RANGES	UNITS	SPECIAL PRECAUTIONS	KEY FACTORS	REFERRAL LABORATORY (INC ADDRESS)	TURN – AROUND (working days)
Intrinsic factor antibodies	Gold Top Vacuette	4mL	Serum	0 - 6.0	u/mL	Lab Note: SAS 4°C IFAB		Southampton Immunology Mailpoint 8 Level C Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 796615	18 DAYS
Iron	Gold Top Vacuette	4mL	Serum	M 14.3 - 28.6 F 12.5 - 25.0	umol/L		Levels are artefactually increased by in vitro haemolysis		4 HOURS
Iron - urine	Plain 24h bottle		Urine	0.2 – 1.0	umol/d	24 hour collection Lab Note: Univ 4ºC		Trace Metals Unit Chemical Pathology Level D South Block Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 796237	10 DAYS
Islet cell antibodies	Gold Top Vacuette	4mL	Serum	0 - 100	IU/L	Lab Note: SAS -20°C ICAB		Sheffield Protein Department of Immunology Protein Reference Unit PO Box 894 Sheffield S5 7YT 01142 715552	14 DAYS
Jo-1 antibodies	see AIP					Lab Note: SAS 4°C ANAE
K	see Potassium								4 HOURS

TEST	SPECIMEN CONTAINER	VOLUME NEEDED	SAMPLE TYPE	REFERENCE RANGES	UNITS	SPECIAL PRECAUTIONS	KEY FACTORS	REFERRAL LABORATORY (INC ADDRESS)	TURN – AROUND (working days)
Karyotype	Green Top Vacutte	4mL	Lithium Heparin Whole Blood			Lab Note: WB 4ºC	Results returned direct to requesting physician	Wessex Regional Genetics Laboratory Salisbury District Hospital Odstock Salisbury SP2 8BJ 01722 429080	28 DAYS
La antibodies	see ENA
Lactate	Grey Top Vacuette	4mL	Fluoride Oxalate Plasma	0.6 - 2.4	mmol/L	TO LAB AT ONCE Lab NB: Advia BMS			24 HOURS
				1 Day 0.0 - 3.7
				2 Days 0.0 - 2.7
Lactate dehydrogenase	see LDH								4 HOURS
Lamotrigine	Gold Top Vacuette	4mL	Serum	1 - 15	mg/L	Lab Note: SAS -20°C		Medical Toxicology Unit 4^th Floor North Wing St Thomas’ Hospital London SE1 7EH 02071 888689	10 DAYS
Laxative screen	Plain (white top) Universal	3 x 10mL	Urine			Take 3 samples over 3 consecutive days Lab Note: Univ -20ºC		Chemical Pathology West Park Hospital Epsom Surrey KT19 8PB 01372 734724	28 DAYS
LDH	Gold Top Vacuette	4mL	Serum	230 - 460	IU/L		Levels are reduced in patients on hrt/ocp and during pregnancy		4 HOURS
LDL	Gold Top Vacuette	4mL	Serum	< 3.0	mmol/L	Fasting sample			4 HOURS
LE Screen (SLE Screen)	Gold Top Vacuette	4mL	Serum			Lab Note: 4°C ANAE			10 DAYS

TEST

SPECIMEN CONTAINER

VOLUME NEEDED

SAMPLE TYPE

REFERENCE RANGES

UNITS

SPECIAL PRECAUTIONS

KEY FACTORS

REFERRAL LABORATORY (INC ADDRESS)

TURN – AROUND (working days)

Lead

Lavender Top Vacuette

3mL

EDTA Whole blood

< 0.5

umol/L

Lab Note: WB 4ºC

Trace Metals Unit Dept of Chemical Pathology Level D South Block Southampton General Hospital Tremona Road Southampton SO16 6YD 02380 796237

14 DAYS

Levetiracetam

Gold Top Vacuette

4mL

Serum

Lab Note: SAS -20°C

Medical Toxicology Unit 4^th Floor North Wing St Thomas’ Hospital London SE1 7EH 02071 888689

10 DAYS

LFT

Gold Top Vacuette

4mL

Serum

ALB 32-48 ALP 35 -140 ALT 0 - 49 BILI 0 - 17

g/L IU/L IU/L Umol/L

4 HOURS

LH:

Gold Top Vacuette

4mL

Serum

IU/L

72 HOURS

Pre pubertal

<2.0

Male

1.5 - 9.3

Female:

Follicular

1.9 - 12.5

Mid cycle

8.7 - 76.3

Luteal

0.5 - 16.9

post menopausal

15.9 - 54.0

post GnRH at 20 mins

LH rises by 400 - 800%

Lipids

Gold Top Vacuette

4mL

Serum

see cholesterol, triglyceride, HDL & LDL

4 HOURS