Rotunda Hospital Department of Laboratory Medicine
ROTUNDA HOSPITAL DEPARTMENT OF LABORATORY MEDICINE
Biochemistry Active Test Repertoire Table LF-GEN-0066Ed 00
This active test table informs the user of Biochemistry tests available in house.Tests referred to other sites are recorded in the Referred Test Table.
Issue date: 4THApril 2016Contact Phone Number ext.1345/2522
No. / Test / Sample Type / Special Precautions / Routine Turnaround Time / Urgent / Reference Range / INABAccredited
Test
Reg No. 208MT
1. / Alanine Aminotransferase
(ALT) / Lithium Heparin / Sample should arrive in laboratory within 4 hrs / 2-3 hrs
2-3 hrs
2-3 hrs / 45 mins
45 mins
45mins / Adult Female : <33U/L
Adult Male : < 41 U/L
Neonates: <45 U/L /
2. / Albumin / Non pregnant/Male: 35-50 g/L
Pregnant: 23-42 g/L
Neonate: 32-48 g/L /
3. / Alkaline Phosphatase
(ALP) / Adult Female : 35-105U/L
Adult Male: 45-130U/L
Pregnant: 20-230U/L
Neonate:
<10 days: 45-245 U/L
< 4 weeks 45-315 U/L
< 1Y 60-550 U/L
< 9Y 50-450 U/L
<15Y 50-350 U/L /
4. / Amylase / Adult: 28-100U/L
Neonate: <100U/L /
5. / Aspartate Aminotransferase
(AST) / Adults female: <32 U/L
Adult Male: <45U/L
Neonate:
< 4 weeks: < 75U/L
< 1Y: <65U/L
< 4Y <50 U/L /
6. / Bile Acids / Serum or Lithium Heparin / Minimum 4hr fast. Please state fasting status on request form / Adult Female 0 - 10 umo/L /
7. / Bilirubin Direct / Lithium Heparin / Sample should arrive in laboratory within 4 hrs / <5µmol/L /
8. / Bilirubin Total / Adult: <21 mol/L
Neonates: <17mol/L /
9. / Calcium / Adults: 2.15-2.50 mmol/L
Neonates: 2.15-2.65 mmol/L /
10. / Chloride / Adult: 98-107 mmol/L
Neonates: 98-110 mmol/L
Urine : No range quoted /
11. / Cholesterol / Overnight fast / Adults: <5.2 mmol/L /
12. / C-Reactive Protein / Sample should arrive in laboratory within 4 hrs
Sample should arrive in laboratory within 4 hrs / <10 mg/ L /
13. / Creatine Kinase (CK) / Adult Female: 20 - 180U/L
Adult Male 20 - 200
Neonate:
< 2weeks : <600U/L
<1 month: <450 U/L
<1yr : <300 U/L /
14. / Creatinine / Adult Female: 45-85 µmol/L
Adult Male: 60-105µmol/L
Pregnant: 45-80µmol/L
< 7 days: <100µmol/L
< 4 weeks: 10-70µmol/L
< 1yr : 10 - 70 µmol/L
< 4 years: 15-45µmol/L /
15. / Fructosamine / Serum or Lithium Heparin / 205-285µmol/l /
16. / Gentamicin / Lithium Heparin / Dependant on dose and time of dose. /
17. / GGT / Adult Female : 6 - 42 U/L
Adult Male: 10 - 71 U/L
Neonate:
<1 month: 0 - 150 U/L
1 - 2 month : 0 - 114 U/L
2 - 4 month : 0 - 81 U/L
4 - 7 month : 0-34 U/L
<12yr : 0 - 24 U/L /
18. / Glucose / Sodium Fluoride / Collection time must be handwritten on tube and on request form. / Adult fasting: <5.1mmol/L /
19. / Glucose Tolerance Test / Pregnant
Fasting: < 5.1mmol/L
1 Hour: <10mmol/L
2 Hour: <8.5mmol/L /
20. / Breakfast Club / Fasting: < 5mmol/L
1 hour: <7mmol/L /
21. / Haemoglobin A1c / EDTA / Ethnicity must be included on request form / 1 week / Non Pregnant: 20-42mmol/mol /
22. / HDL - Cholesterol / Lithium Heparin / Overnight fast / 2-3 hours / 1.0-2.2 mmol/L /
23. / LDL - Cholesterol / 2.0 - 3.36 /
24. / Lactate Dehydrogenase
(LDH) / Sample should arrive in laboratory within 4 hrs / Adult : 245 - 480 U/L
Neonate:
<30 d: 365 - 1450 U/L
30d-6mth: 310 - 790U/L
6mth-1yr : 325 - 670 U/L
>1yr - 2yr: 200-565U/L
>2yr - 16yr : 230 - 600U/L /
25. / Lactate / Sodium Fluoride / Send to the lab immediately / 2-3 hours / 45 mins / 0.5 - 2.2 mmol/L /
26. / Magnesium / Lithium Heparin / Sample should arrive in the laboratory within 4 hrs / Adult: 0.7-1.1mmol/L
Neonates: 0.6-1.0mmol/L /
27. / Phosphate / Adult: 0.8-1.45 mmol/L
Neonates: 1.5-2.55 mmol/L /
28. / Potassium / Lithium Heparin /
Urine / Adult: 3.4-4.5mmol/L
Neonates: 3.5-5.5 mmol/L
Urine : No range quoted /
29. / Sodium / Non pregnant: 136-145 mmol/L
Pregnant: 133-143 mmol/L
Neonate: 133-144 mmol/L
Urine : No range quoted /
30. / Total Protein / Lithium Heparin / Non pregnant: 65-90 g/L
Pregnant: 56-76 g/l
Neonate: 60-80 g/L /
31. / Total Protein Urine (24hr collection) / 24 hr Urine collection / Adult : 0.15g/L /
32. / Creatinine Clearance
(24hr collection) / 24 hr urine & Lithium Hep / Non Pregnant: 80-125ml/min /
33. / Protein / Creatinine Ratio / Spot Urine / < 15 mg/mmol Cr
Normal to mildly increased
15 - 50 mg/mmol Cr
Moderately Increased
> 50 mg/mmol Cr
Severely Increased
NICE guidelines do not apply to pregnant women. PET women with PCR > 30 mg/mmol Cr should be confirmed with 24 hr urine collection
34. / CSF Protein / CSF / Send to the lab immediately / 2-3 hours / 45 mins / CSF 0.1-0.4 g/L /
35. / CSF Glucose / CSF in sodium fluoride tube / 2.5-4.0 mmol/L /
36. / CSF Lactate / Adult : 1.1 - 2.4
Neonate :
0-3d : 1.1 - 6.7 mmol/L
3d-10d : 1.1 - 4.4 mmol/L
10d - 2yrs: 1.1 - 2.8 mmol/L
>2yrs : 1.1 - 2.4 mmol/L
37. / Triglycerides / Lithium Heparin / Overnight fast / Adults: <2.26 mmol/L
Neonate: < 1.7mmol/L /
38. / Urea / Lithium Heparin / Sample should arrive in laboratory within 4 hrs / Non-pregnant 2.8-8.1mmol/L
Pregnant: 1.0-3.8 mmol/L
Neonates: 1.0 -6.0 mmol/L /
39. / Uric Acid / Non pregnant :145-345mol/L
Pregnant: 120-375mol/L
Male: 200-420mol/L
Neonates 150-330mol/L /
Endocrinology
No. / Test / Sample Type / Routine Turnaround Time / Urgent Times / Reference Range / INAB Accredited Test1. / Anti Thyroid-Specific Peroxidase / Serum / Same day
(except at weekends) / N/A / 0-34kU/L
Only performed on
1. Pregnant patients with TSH>2.0 mIU/L
2. Non pregnant patients with TSH > 4.0 mIU/L /
2. / AMH / Serum
Serum
Serum
Serum / Run twice weekly / N/A / Adult Female:
13.1 - 53.8 20 -29 yrs
6.8 - 47.8 30 -34 yrs
5.5 - 37.4 35 -39 yrs
0.7 - 21.2 45 -44 yrs
0.3 - 14.7 45 -50 yrs / Neonate Female:
3.6 - 24 <3m
2.4 - 15 <12m
1.5 - 46 <8Y
Neonate Male:
111 - 347 <15d
599 - 1544 <6m
279 - 651 <1Y
367 - 631 <4Y
316 - 1118 <6Y
257 - 974 <9Y /
3. / CA-125 / Run twice weekly / N/A / 0-35kU/L /
4. / Ferritin / Same day
(except at weekends) / Female: 13-150g/L
Male: 30-450 g/L /
5. / Folate / 4.6-18.7 ng/ml /
6. / Follicle Stimulating Hormone / Same day
(except at weekends) / See table below /
7. / Free Thyroxine (FT4) / 2 hours / Adult: 12-22pmol/L
< 1 month: 10-36pmol/L
< 1 year: 10-26pmol/L /
8. / Human ChoronicGonadotrophin / Male and non-pregnant females: 1.0 U/L
Pregnant female: See below /
9. / Lutenizing Hormone / N/A / See table below /
10. / Oestradiol /
11. / Progesterone /
12. / Prolactin / Female: 100-500mIU/L
Male: 85-325mIU/L /
13. / Sex Hormone Binding Globulin / Female: 32-128 nmol/LL
Male: 18-54 nmol/L /
14. / Testosterone / Female: 0.2-3.0 nmol/L
Male: 9-29 nmol/L /
15. / Thyroid Stimulating Hormone / 2 hours / Adult: 0.1-4.0 mIU/L
< 2 days: 5.0 -45mIU/L
< 11 years: 0.1-5.5 mIU/L /
16. / Vitamin B12 / N/A / Adult: 141-489 pg/ml /
Reference Ranges for Fertility Hormones
Analyte / Unit / Male / Follicular Phase / Midcycle / Luteal phase / Post-menopausalLH / U/L / 1-9 / 2-13 / 14-96 / 1-12 / 8-60
FSH / U/L / 1-12 / 3-12 / 5-25 / 1-8 / 25-135
Oestradiol / pmol/L / - / 45-854 / - / - / <183
Progesterone / nmol/L / 0.7-4.3 / 0.6-4.7 / 2.4-9.4 / > 20 / 0.3-2.5
Average HCG (U/L) and days of cyesis (days post LMP) – Royal Berkshire Hospital figures:
DayHCGDayHCGDayHCGDayHCG
24502563268027102
28135291803024531320
32420335453471035945
361300371700382300393100
4543004162004282004311000
4414500451800045230004728000
4834500494500050460005151000
5256000536200054680005574500
5680000578600058910005996000
60101000
Figures are based on data collected between December 1996 and February 1997 in the Endocrinology Department, RBH, from apparently normal pregnancies. There is considerable individual variation, but around 50% of normal pregnancies give HCG values within 3 days of the average day, and around 80% within 1 week of the average day. After 60 days of cyesis, HCG values plateau and being to decline. HCG results cannot therefore be used to predict dates for pregnancies of duration likely to be more than 60 days.
Page 1 of 8
Ref: lpgen0007