Labs Checklist

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

Authors

Ross Donaldson, Neil Young, Daniel Ostermayer