Labs Checklist

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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

DeBonis 11/1/08