Labs Checklist

Labs/Orders

Serum	Other
CBC Chem10 LFTs Lipase Coags T&S/T&C BCx x2, catheters D-dimer BNP ESR/CRP Fungal Cx VBG ABG Lactate B-OH, Acetone qX CKMB, TnI qX Total CK q Rapid HIV LDH	Accu-check HemoCue Icon UA, UCx, grm stain Flu Strep Thick & thin Sputum Cx CXR (PA/lat v portable) EKG qX CT/CTA U/S Angio MRI/MRA Foley/NG/OG/CT

Case Specific

AMS	UA Utox Serum EtOH Tylenol/Salicylate TSH ABG/CO level Ammonia Rapid HIV EKG/CXR Lactate Dilantin/Phenobarb B12, Folate, RPR non-con Head CT LP
Anemia ==	Consent for transfusion Retic Fe TIBC Ferritin Coombs (Direct/Indirect) B12 Folate
DIC	CBC (platelets) D-Dimer Fibrinogen FDP
GYN	GC/Chlam Cx v Urine Wet mount, Grm stain T&S B-HCG; serum progesterone U/S
Abruption	CBC Coags FDP Fibrinogen D-dimer T&S
Preeclampsia	BUN/Cr CBC AST/ALT Uric Acid if RI LDH

Procedure / Fluid

Lumbar Puncture	consent/1-2cc Prot/Gluc Cx/Grm stain Cell count with dif Hold HSV PCR Fungal Cx India ink/Cryptococcal Ag
Synovial Fluid	– consent/1-2cc Cell count with dif Cx and Grm stain Crystals Protein/Glucose Cytology Test for string sign (nl 5-10cm) If only one test: Cx
Peritoneal Fluid	- consent Cell count with dif Cx (BCx bottles) and Grm stain Albumin and SERUM albumin Protein/glucose LDH and SERUM LDH at same time Amylase Specific circumstances: TB smear and Cx Cytology TG Billirubin
Pleural Fluid	- consent Protein/Glucose Cx and Grm stain Cell count with dif LDH and SERUM LDH pH Specific circumstances: TB smear and Cx Cytology

DeBonis 11/1/08

Labs / Orders

Serum

Other CBCChem10

LFTs

Lipase

Coags

T&S/T&C

BCx x2, catheters

D-dimer

BNP

ESR/CRP

Fungal Cx

VBG

ABG

Lactate

B-OH, Acetone qX

CKMB, TnI qX

Total CK q

Rapid HIV

LDH

Accu-check

HemoCue

Icon

UA, UCx, grm stain

Flu

Strep

Thick & thin

Sputum Cx

CXR (PA/lat v portable)

EKG qX

CT/CTA

U/S

Angio

MRI/MRA

Foley/NG/OG/CT

Case Specific

AMS

UA

Utox

Serum EtOH

Tylenol/Salicylate

TSH

ABG/CO level

Ammonia

Rapid HIV

EKG/CXR

Lactate

Dilantin/Phenobarb

B12, Folate, RPR

non-con Head CT

LP

Anemia

Consent for transfusion

Retic

Fe

TIBC

Ferritin

Coombs (Direct/Indirect)

B12

Folate

DIC

CBC (platelets)

D-Dimer

Fibrinogen

FDP

GYN

GC/Chlam Cx v Urine

Wet mount, Grm stain

T&S

B-HCG; serum progesterone

U/S

Abruption

CBC

Coags

FDP

Fibrinogen

D-dimer

T&S

Preeclampsia===

BUN/Cr

CBC

AST/ALT

Uric Acid if RI

LDH

Procedure / Fluid

Lumbar Puncture

consent/1-2ccProt/Gluc

Cx/Grm stain

Cell count with dif

Hold

HSV PCR

Fungal Cx

India ink/Cryptococcal Ag

Synovial Fluid

– consent/1-2ccCell count with dif

Cx and Grm stain

Crystals

Protein/Glucose

Cytology

Test for string sign (nl 5-10cm)

If only one test: Cx

Peritoneal Fluid

- consentCell count with dif

Cx (BCx bottles) and Grm stain

Albumin and SERUM albumin

Protein/glucose

LDH and SERUM LDH at same time

Amylase

Specific circumstances:

TB smear and Cx

Cytology

TG

Billirubin

Pleural Fluid

- consentProtein/Glucose

Cx and Grm stain

Cell count with dif

LDH and SERUM LDH

pH

Specific circumstances:

TB smear and Cx

Cytology

Source

DeBonis 11/1/08