Labs Checklist: Difference between revisions

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==Labs/Orders==
==General Labs/Orders==


{| width="723" border="1"
{| border="1" width="723"
|
|-
|  
'''Serum'''
'''Serum'''
| '''Other'''
| '''Other'''
|-
|-
|
|  
CBC<br />
CBC


Chem10
Chem10
Line 19: Line 21:
T&S/T&C
T&S/T&C


BCx x2, catheters
blood culture x2, catheters


D-dimer
D-dimer
Line 44: Line 46:


LDH
LDH
|
 
|  
Accu-check
Accu-check


Line 51: Line 54:
Icon
Icon


UA, UCx, grm stain
UA, urine culture, grm stain


Flu
Flu
Line 63: Line 66:
CXR (PA/lat v portable)
CXR (PA/lat v portable)


EKG qX
ECG qX


CT/CTA
CT/CTA
Line 73: Line 76:
MRI/MRA
MRI/MRA


Foley/NG/OG/CT <br />
Foley/NG/OG/CT
|}
 
 
==Case Specific==
 
{| style="border-collapse: collapse" width="433" border="1"
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
 
===AMS===
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
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
|-
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
==Anemia==
 
======
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
Consent for transfusion
 
Retic
 
Fe
 
TIBC
 
Ferritin
 
Coombs (Direct/Indirect)
 
B12
 
Folate
 
<br /><br />
|-
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
===DIC===
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
CBC (platelets)
 
D-Dimer
 
Fibrinogen
 
FDP
|-
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
===GYN===
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
GC/Chlam Cx v Urine
 
Wet mount, Grm stain
 
T&S
 
B-HCG; serum progesterone
 
U/S
 
<br /><br /><u> </u>
|-
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
===Abruption===
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
CBC
 
Coags
 
FDP
 
Fibrinogen
 
D-dimer
 
T&S
|-
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
===Preeclampsia===
| style="padding: 0in 5.4pt; width: 221.4pt" width="221" valign="top" border="1"|
BUN/Cr
 
CBC
 
AST/ALT
 
Uric Acid if RI
 
LDH
|}
 
==Procedure / Fluid==
 
{| width="430"
| style="width: 294px" width="221" valign="top" border="1"|
===Lumbar Puncture<u><br /></u>===
| style="width: 294px" width="221" valign="top" border="1"|
consent/1-2cc
 
Prot/Gluc
 
Cx/Grm stain
 
Cell count with dif
 
Hold
 
HSV PCR
 
Fungal Cx
 
India ink/Cryptococcal Ag
|-
| style="width: 294px" width="221" valign="top" border="1"|
===Synovial Fluid===
| style="width: 294px" width="221" valign="top" border="1"|
– 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
|-
| style="width: 294px" width="221" valign="top" border="1"|
===Peritoneal Fluid===
| style="width: 294px" width="221" valign="top" border="1"|
- 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
|-
| style="width: 294px" width="221" valign="top" border="1"|
===Pleural Fluid===
| style="width: 294px" width="221" valign="top" border="1"|
- 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==
==Case Specific==


===[[altered mental status]]===
#UA
#Utox
#Serum EtOH
#Tylenol/Salicylate
#TSH
#ABG/CO level
#Ammonia
#Rapid HIV
#ECG/CXR
#Lactate
#Dilantin/Phenobarb
#B12, Folate, RPR
#non-con Head CT
#LP


===AMS===
===[[Anemia]]===
 
#Consent for transfusion
 
#Retic
#Fe
 
#TIBC
#Ferritin
 
#Coombs (Direct/Indirect)
#B12
 
#Folate
 
UA
 
Utox
 
Serum EtOH
 
Tylenol/Salicylate
 
TSH
 
ABG/CO level
 
Ammonia


Rapid HIV
===[[DIC]]===
#CBC (platelets)
#D-Dimer
#Fibrinogen
#FDP


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===
===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


GC/Chlam Cx v Urine
===[[Preeclampsia]]===
 
#BUN/Cr
Wet mount, Grm stain
#CBC
 
#AST/ALT
T&S
#Uric Acid if RI
 
#LDH
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==
==Procedure / Fluid==


===[[Lumbar Puncture]]===
#consent/1-2ccProt/Gluc
#Cx/Grm stain
#Cell count with dif
#Hold
#HSV PCR
#Fungal Cx
#India ink/Cryptococcal Ag


===Lumbar Puncture===
consent/1-2ccProt/Gluc
Cx/Grm stain
Cell count with dif
Hold
HSV PCR
Fungal Cx
India ink/Cryptococcal Ag
===Synovial Fluid===
===Synovial Fluid===
 
#consent/1-2ccCell count with dif
 
#Cx and Grm stain
– consent/1-2ccCell count with dif
#Crystals
 
#Protein/Glucose
Cx and Grm stain
#Cytology
 
#Test for string sign (nl 5-10cm)
Crystals
 
Protein/Glucose
 
Cytology
 
Test for string sign (nl 5-10cm)


If only one test: Cx
If only one test: Cx


===Peritoneal Fluid===
===Peritoneal Fluid===
#Consent
#Cell count with dif
#Cx (blood culture bottles)
#Grm stain


 
Consider:
- consentCell count with dif
#Albumin and SERUM albumin
 
#Protein/glucose
Cx (BCx bottles) and Grm stain
#LDH and SERUM LDH at same time
 
#Amylase
Albumin and SERUM albumin
 
Protein/glucose
 
LDH and SERUM LDH at same time
 
Amylase


Specific circumstances:
Specific circumstances:
#TB smear and Cx
#Cytology
#TG
#Billirubin


TB smear and Cx
See [[Paracentesis]]
 
Cytology
 
TG


Billirubin
===Pleural Fluid===
===Pleural Fluid===
 
#consentProtein/Glucose
 
#Cx and Grm stain
- consentProtein/Glucose
#Cell count with dif
 
#LDH and SERUM LDH
Cx and Grm stain
#pH
 
Cell count with dif
 
LDH and SERUM LDH
 
pH


Specific circumstances:
Specific circumstances:
#TB smear and Cx
#Cytology


TB smear and Cx
==References==
 
<references/>
Cytology
 
==Source==
DeBonis 11/1/08


[[Category:Misc/General]]
[[Category:Misc/General]]

Latest revision as of 22:43, 26 February 2025

General Labs/Orders

Serum

Other

CBC

Chem10

LFTs

Lipase

Coags

T&S/T&C

blood culture 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, urine culture, grm stain

Flu

Strep

Thick & thin

Sputum Cx

CXR (PA/lat v portable)

ECG qX

CT/CTA

U/S

Angio

MRI/MRA

Foley/NG/OG/CT

Case Specific

altered mental status

  1. UA
  2. Utox
  3. Serum EtOH
  4. Tylenol/Salicylate
  5. TSH
  6. ABG/CO level
  7. Ammonia
  8. Rapid HIV
  9. ECG/CXR
  10. Lactate
  11. Dilantin/Phenobarb
  12. B12, Folate, RPR
  13. non-con Head CT
  14. LP

Anemia

  1. Consent for transfusion
  2. Retic
  3. Fe
  4. TIBC
  5. Ferritin
  6. Coombs (Direct/Indirect)
  7. B12
  8. Folate

DIC

  1. CBC (platelets)
  2. D-Dimer
  3. Fibrinogen
  4. FDP

GYN

  1. GC/Chlam Cx v Urine
  2. Wet mount, Grm stain
  3. T&S
  4. B-HCG; serum progesterone
  5. U/S

Abruption

  1. CBC
  2. Coags
  3. FDP
  4. Fibrinogen
  5. D-dimer
  6. T&S

Preeclampsia

  1. BUN/Cr
  2. CBC
  3. AST/ALT
  4. Uric Acid if RI
  5. LDH

Procedure / Fluid

Lumbar Puncture

  1. consent/1-2ccProt/Gluc
  2. Cx/Grm stain
  3. Cell count with dif
  4. Hold
  5. HSV PCR
  6. Fungal Cx
  7. India ink/Cryptococcal Ag

Synovial Fluid

  1. consent/1-2ccCell count with dif
  2. Cx and Grm stain
  3. Crystals
  4. Protein/Glucose
  5. Cytology
  6. Test for string sign (nl 5-10cm)

If only one test: Cx

Peritoneal Fluid

  1. Consent
  2. Cell count with dif
  3. Cx (blood culture bottles)
  4. Grm stain

Consider:

  1. Albumin and SERUM albumin
  2. Protein/glucose
  3. LDH and SERUM LDH at same time
  4. Amylase

Specific circumstances:

  1. TB smear and Cx
  2. Cytology
  3. TG
  4. Billirubin

See Paracentesis

Pleural Fluid

  1. consentProtein/Glucose
  2. Cx and Grm stain
  3. Cell count with dif
  4. LDH and SERUM LDH
  5. pH

Specific circumstances:

  1. TB smear and Cx
  2. Cytology

References

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