Labs Checklist: Difference between revisions

(Undo revision 1039 by Rossdonaldson1 (talk))
 
(14 intermediate revisions by 3 users not shown)
Line 1: Line 1:
== Labs/Orders ==
==General Labs/Orders==


{| border="1" width="723"
{| border="1" width="723"
Line 21: Line 21:
T&S/T&C
T&S/T&C


BCx x2, catheters
blood culture x2, catheters


D-dimer
D-dimer
Line 54: Line 54:
Icon
Icon


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


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


EKG qX
ECG qX


CT/CTA
CT/CTA
Line 80: Line 80:
|}
|}


== Case Specific ==
==Case Specific==


{| style="border-collapse: collapse" border="1" width="433"
===[[altered mental status]]===
|-
#UA
| style="padding: 0in 5.4pt;  width: 221.4pt" valign="top" width="221" |
#Utox
=== AMS ===
#Serum EtOH
 
#Tylenol/Salicylate
| style="padding: 0in 5.4pt;  width: 221.4pt" valign="top" width="221" |
#TSH
UA
#ABG/CO level
 
#Ammonia
Utox
#Rapid HIV
 
#ECG/CXR
Serum EtOH
#Lactate
 
#Dilantin/Phenobarb
Tylenol/Salicylate
#B12, Folate, RPR
 
#non-con Head CT
TSH
#LP
 
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" valign="top" width="221" | <br/>
|}
 
== 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/>|- | 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" valign="top" width="221" |
=== Lumbar Puncture<br/> ===
 
| style="width: 294px" valign="top" width="221" |
consent/1-2cc
 
Prot/Gluc
 
Cx/Grm stain
 
Cell count with dif
 
Hold
 
HSV PCR
 
Fungal Cx
 
India ink/Cryptococcal Ag
 
|-
| style="width: 294px" valign="top" width="221" |
=== Synovial Fluid ===
 
| style="width: 294px" valign="top" width="221" |
– 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" valign="top" width="221" |
=== Peritoneal Fluid ===
 
| style="width: 294px" valign="top" width="221" |
- 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" valign="top" width="221" |
=== Pleural Fluid ===
 
| style="width: 294px" valign="top" width="221" |
- 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
 
 
 
 
 
<br/>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
===[[Anemia]]===
#Consent for transfusion
#Retic
#Fe
#TIBC
#Ferritin
#Coombs (Direct/Indirect)
#B12
#Folate


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


Icon
===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


UA, UCx, grm stain
==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===
Flu
#consent/1-2ccCell count with dif
 
#Cx and Grm stain
Strep
#Crystals
 
#Protein/Glucose
Thick & thin
#Cytology
 
#Test for string sign (nl 5-10cm)
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
 
<br/>Preeclampsia===
 
<br/>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
If only one test: Cx


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


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


<br/>[[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

Retrieved from "https://www.wikem.org/w/index.php?title=Labs_Checklist&oldid=375842"