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Biochemical Profiles

Liver function

Protein, Albumin, Bilirubin, ALT, ALP with GGT automatically reflex tested if ALP > 200

Renal/Electrolytes

Sodium, Potassium, Urea, Creatinine


Cardiac

Troponin I

Lipid

Cholesterol, Triglyceride

Bone

Calcium, Phosphate, ALP, TP, Alb

Blood Films

Blood Film

If the full blood count results are abnormal or there is a specific indication on the request form, a blood film will be stained and examined microscopically. Blood films are spread and stained by a UKAS accredited automated method however in the event of analyser failure blood smears will be manually spread and stained which is currently an unaccredited procedure. Blood films requiring clinical comment will be referred to a Haematology Consultant or Registrar. Delay or marked temperature changes in transit can affect morphology.

Emergency Tests

IT SHOULD BE REMEMBERED THAT AN EMERGENCY REQUEST SHOULD NOT BE MADE UNLESS THE RESULT IS REQUIRED FOR THE IMMEDIATE MANAGEMENT OF THE PATIENT.

An emergency service is provided for the following tests

All routine biochemistry including digoxin and osmolality (excluding cyclosporin and xanthochromia analysis)

Erythrocyte sedimentation rate (ESR)

ESR

This is the standard haematological inflammatory marker, performed in the laboratory, although CRP is the preferred test (Biochemistry request).  The ESR may be performed on the same EDTA sample sent for FBC if sufficient.