Basingstoke and north hampshire hospital pathology user handbook



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TEST

SPECIMEN CONTAINER

VOLUME NEEDED

SAMPLE TYPE

REFERENCE RANGES

UNITS

SPECIAL PRECAUTIONS

KEY FACTORS

REFERRAL LABORATORY

(INC ADDRESS)

TURN – AROUND

(working days)

Down's Syndrome

 

 

See Triple Test

 

 

 

 

 

 

Drugs of abuse screen

Plain (white top) Universal

10mL

Urine

 

 

 

 

 

10 DAYS

Effusion screen

Plain (white top) Universal

4mL

Effusion

 

 

 

 

 

4 HOURS

eGFR:

 

 

Serum

 

mLs/min

calculated

Multiply result by 1.212 for Afro-Caribbean patients. See local guidelines for interpretation of results.

 

4 HOURS

Kidney Damage Stage 1

90+

Kidney Damage Stage 2

60-89

Kidney Damage Stage 3

30-59

Kidney Damage Stage 4

15-29

Kidney Damage Stage 5

< 15

Elastase

Plain

(orange top) specimen pot



 

Faeces

> 200

ug/g




Lab Note: -20ºC




 

Chemical Pathology

Level D


South Block Southampton General Hospital

Tremona Road Southampton

SO16 6YD 02380 796427


10 DAYS

Electrolytes - serum

Gold Top Vacuette

4mL

Serum

Na 134 - 147

K 3.5 - 5.0

Urea 2.6 - 6.0

Creat 62 -124 



 mmol/L

 

Potassium levels are significantly increased by invitro haemolysis and delayed sample centrifugation. Levels may also be significantly raised in patients with high platelet count

 

4 HOURS



TEST

SPECIMEN CONTAINER

VOLUME NEEDED

SAMPLE TYPE

REFERENCE RANGES

UNITS

SPECIAL PRECAUTIONS

KEY FACTORS

REFERRAL LABORATORY

(INC ADDRESS)

TURN – AROUND

(working days)

Electrolytes - urine

Plain 24h bottle or

Plain (white top) Universal for Random sample



10mL

Urine

Na 130 – 220

K 25 – 100

Urea 199 - 332 


mmol/d 

24 h collection



Lab: White top vacuette,Advia tray




 

 

24 HOURS

Electrophoresis

Gold Top Vacuette

4mL

Serum









Serum only







5 DAYS

Electrophoresis - urine

Plain (white top) Universal

10mL

Urine

 

 

 

 

 

5 DAYS

Extractable Nuclear Antibodies

(ENA)

Gold Top Vacuette

4mL

Serum

NEGATIVE

 

 

Lab Note : SAS 4ºC

ENAS





 

Southampton Immunology Mailpoint 8 Level C Southampton General Hospital

Tremona Road Southampton

SO16 6YD 02380 796615


10 DAYS

Endomyseal antibodies

 see Coeliac screen

 




 

 

 

Lab Note: COEL 4°C




 

 

 

Epanutin

 see Phenytoin

 




 

 

 

 

 

 

Epidermal antibodies

Gold Top Vacuette

4mL

Serum

 

 

 

Lab Note: SAS 4°C

PEMP





 

Southampton Immunology Mailpoint 8 Level C Southampton General Hospital

Tremona Road Southampton

SO16 6YD 02380 796615


10 DAYS

Epilim

 see Valproate

 




 

 

 

 

 

 


TEST

SPECIMEN CONTAINER

VOLUME NEEDED

SAMPLE TYPE

REFERENCE RANGES

UNITS

SPECIAL PRECAUTIONS

KEY FACTORS

REFERRAL LABORATORY

(INC ADDRESS)

TURN – AROUND

(working days)

Erythropoietin

Gold Top Vacuette

4mL

Serum

5.0 - 25.0

mu/mL



Lab Note: SAS -20°C




 

Department of Clinical Biochemistry King's College School of Medicine

Denmark Hill London SE5 9RS 020 3299 3856



14 DAYS

Everolimus

Lavender Top Vacuette

3mL

EDTA Whole Blood

 

ng/mL




Lab Note: WB 4ºC




 

Analytical Unit

St. Georges Hospital

London

SW17 0RE


0208 725 5345

10 Days 

Executive screen

Gold Top Vacuette

4mL

Serum

 

 

 

 

 

4 HOURS

Ferritin

Gold Top Vacuette

4mL

Serum

22 - 332

ug/L

 

 

 

3 DAYS

Flecainide

Gold Top Vacuette

4mL

Serum

400 - 700

ug/L

Lab Note : SAS -20ºC




 

Analytical Unit

St. Georges Hospital

London

SW17 0RE


0208 725 5345

14 DAYS

FOB

see Occult blood 

 




 

 

 

 

 

 

Folate

Gold Top Vacuette

4mL

Serum

2.9 - 16.9

ug/L

 

 

 

3 DAYS

Free light chains:

Gold Top Vacuette

4mL

Serum

(Diagnostic Range)

mg/L

 

 

 

10 DAYS

Kappa

3.3 - 19.4

Lambda

5.7 - 26.3

Ratio

0.26 - 1.65



TEST

SPECIMEN CONTAINER

VOLUME NEEDED

SAMPLE TYPE

REFERENCE RANGES

UNITS

SPECIAL PRECAUTIONS

KEY FACTORS

REFERRAL LABORATORY

(INC ADDRESS)

TURN – AROUND

(working days)

Free PSA Free PSA %

Gold Top Vacuette

4mL

Serum

10-18%

Low diagnostic value


<10% Higher risk
>18% Lower risk 

ug/L
%


Lab Note : SAS -20ºC

 

 

Medical Oncology Charing Cross Hospital Fulham Palace Road London W6 8RF 0208 8461468

10 DAYS

Free Fatty Acids

Grey top Vacuette

4mL

Fluoride Oxalate plasma

 

 

TO LAB AT ONCE - SAMPLE MUST BE FROZEN IN 20 MINUTES

Lab Note : SAS -20ºC




 

Clinical Chemistry and Molecular Genetics Children's Hospital Western Bank Sheffield S10 2TH 0114 2717445

 21 DAYS

Fructosamine

Gold Top Vacuette

4mL

Serum

205 - 285 

umol/L

 



Lab Note : SAS -20ºC




 

Clinical Biochemistry Royal United Hospital Area Central Laboratory Combe Park Bath BA1 3NG 01225 824711

14 DAYS 

FSH
Pre pubertal
Male
Female:

Follicular

Mid cycle

Luteal


Post Menopausal
Post GnRH at 20 minutes

Gold Top Vacuette

4mL

Serum

 

<8.0


1.4 - 11.0

Follicular 2.5 - 10.2

Mid cycle 3.4 - 33.4

Luteal 1.5 - 9.1

Post m’pause 23 – 116
FSH rises by

100 - 200%



IU/L




Levels are reduced in patients on HRT / oral contraceptive and during pregnancy. Early follicular phase FSH levels above 15IU/L suggestive of perimenopausal transition

 





72 HOURS



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