Department of Biochemistry, NCHS and GMCS

Majura Gate, Surat

NABL Accreditation

examination_id

name

sample_requirement

instruction_for_requester

units/reference_range/method

class_tag

yes

5030

Protein

Plain-CSF

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL 15-40 (Pyrogallol red) "TIETZ FIRST SOUTH ASIA EDITION 2018'

,CSF,NABL

yes

5059

24 hours Urine Protein

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

Instructions for 24 hours urine collection (With Preservative)

Do not throw away preservative liquid. Discard 8.00 am urine.
There after collect urine in the container till 8 am next morning.
Include last 8 am urine in container.
Keep in refrigerator in between.

24 કલાક પેશાબ સંગ્રહ માટેના સૂચનો (પ્રિઝર્વેટીવ સાથે)

કેન માં રહેલા પ્રિઝર્વેટિવ પ્રવાહી ને ફેકશો નહિ.
સવારે ૮ વાગ્યાથી બીજા દિવસે સવારે ૮ વાગ્યા સુધીનો પેશાબ ભેગો કરવાનો છે.
પરંતુ આજના સવારનો ૮ વાગ્યાનો પેશાબ લેવો નહિ. ત્યાર બાદ બીજો દિવસ ના સવારે ૮ વાગ્યા સુધીનો બધો જ પેશાબ કેનમાં ભેગો કરવો.
દરેક વખતે પેશાબ કેનમાં નખ્યા બાદ કેનને હલાવવું.
વચ્ચેના સમય દરમ્યાન કેનને ફ્રિજમાં રાખવુ.

24 घंटे पेशाब संग्रह के लिए निर्देश (प्रेज़रवेटिव के साथ)

केन के अन्दर का प्रेज़रवेटिव प्रवाही को मत फेको।
सुबह 8 बजे से कल सुबह 8 बजे तक का पेशाब इकट्ठा करना है।
लेकिन आज सुबह 8 बजे का पेशाब लेना नहीं है ओर उसके बाद का कल सुबह 8 बजे तक का सारा पेशाब केन मे इकट्ठा करना है।
इस बार पेशाब दाल ने के बाद केन को हिलाना जरुरी है।
ओर उसके बाद केन को फ्रिज मे रखना है।

mg(Calculated)

,Urine,NABL

5183

ACR (Albumin-creatinine ratio)(not in NABL scope)

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

(Calculated)(mg/gm) Normal<30, Microalbuminuria 30-300, Macroalbuminuria >300

,Urine

yes

5032

Adenosine Deaminase

Plain-CSF

transport at room temperature

Report will be avaialble in 24 hours(Wards) 24 hours(OPD)

U/mL <15 (Berthelot)

,CSF

yes

5033

Adenosine Deaminase

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 24 hours(Wards) 24 hour(opd)

U/mL N/A (Berthelot)

yes

5034

Adenosine Deaminase

Plain-Pleural_Fluid

transport at room temperature
Report will be avaialble in 24 hours(Wards) 24 hours(OPD)

U/mL N/A (Berthelot)

5139

Adenosine Deaminase(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 24 hours(Wards) 24 hours(OPD)

U/mL, Method:Berthelot, No Ref.Interval provided

yes

5006

Alanine Transaminase

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L <45 (L-Alanine LDH UV Kinetic)

,Blood,NABL

yes

5011

Albumin

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL 3.5-5.2 (BCG)

,Blood,NABL

5181

Albumin(not in NABL scope)

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL (BCG)

yes

5007

Alkaline Phosphatase

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L 42-128 (pNPP with AMP buffer)

,Blood,NABL

yes

5008

Amylase

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L 28-100 (CNPG)

,Blood,NABL

5106

Amylase(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L (CNPG)

5040

Amylase(not in NABL scope)

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L (CNPG)

5044

Amylase(not in NABL scope)

Plain-Pleural_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L (CNPG)

yes

5013

Aspartate transaminase

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L <35 L-Aspartate transaminase MDH IFCC Without PLP(UV Kinetic)

,Blood,NABL

yes

5133

B-hCG

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

IU/L, <=25,Enhanced chemiluminescence (ECIA) Vitros Lit.

,Blood

yes

5065

Band at HbA position

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

,Blood,NABL,AP-REF

yes

5068

Band at HbA2 position

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

,Blood,NABL,AP-REF

yes

5066

Band at HbF position

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

,Blood,NABL,AP-REF

yes

5067

Band at HbS position

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

,Blood,NABL,AP-REF

yes

5079

Band at M position

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

,Blood,NABL

yes

5154

Bicarbonate

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

mmol/L 22.0-28.0 (Calculated)

,Blood

yes

5010

Bilirubin Direct

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL <0.4 (Diazo Reaction)

,Blood,NABL

yes

5024

Bilirubin Indirect

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL <1.3 (Calculated)

,Blood,NABL

yes

5009

Bilirubin Total

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL <1.3 (Diazo Reaction)

,Blood,NABL

yes

5092

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L 25-125 (phosphocreatine G6PD)

,Blood,NABL

yes

5093

CK-MB

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L 0-24 (Immunoinhibition)

,Blood,NABL

yes

5121

CRP

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/L, Ref. Interval: <10
Method: Immunoturbidimetry
Note:
This is not hsCRP. Do not use this result for interpretation when result is less than 10

,Blood,NABL

yes

5014

Calcium

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL 8.6-10.2 (Arsenazo III)

,Blood,NABL

yes

5050

Calcium

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL (Arsenazo III)

,Urine,NABL

yes

5057

Calcium:Creatinine Ratio

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/mg (Calculated)

,Urine,NABL

yes

5123

Cardiac Troponin I (cTnI)

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

ng/L Male: 8.8-23.7 Female: 4.4-21.4 (high sensitivity, ECIA) Vitros Lit.

,Blood

yes

5151

Chloride

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

mmol/L 101-110 (Potentiometry using ISE)

,Blood

105074

Chloride

Plain-Blood

transport at 2-8 degree celsius
Report will be avaialble in 4 hours (Wards)

mmol/L 101-110 (Direct ISE)

,Blood

yes

5015

Cholesterol Total

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
2018 Guideline on the Management of Blood Cholesterol

mg/dL <200 (CHOD-POD)

,Blood,NABL

5109

Cholesterol(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL (CHOD-POD)

5042

Cholesterol(not in NABL scope)

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL (CHOD-POD)

yes

5113

Cholinesterase

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L <3000-13000 (Butyrylcholinesterase )

,Blood,NABL

5215

Cl-

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L (Direct ISE)

,Blood

yes

5101

Corrected Calcium

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL 8.6-10.2 (Calculated)

,Blood,NABL

yes

5001

Creatinine

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

frequency of requesting the examinations
Creatinine
Stable in-patient awaiting rehabilitation/transition/placement	None unless diagnostic suspicion	Consensus
Stable in-patient (admitted >3 days) with resolving medical issues	Q2–3 days—weekly	Weak consensus
Monitoring in patient with sepsis	Daily	Consensus
Initial monitoring with use of new nephrotoxic agents/therapies (contrast, diuretics, antibiotics, large volume paracentesis)	Daily	Consensus
Monitoring in patient with worsening AKI	Daily	Consensus
Monitoring in patient with improving AKI	Daily—q3 days	Weak consensus
Monitoring in patient on chronic dialysis with no residual renal function	None unless diagnostic suspicion	Consensus

mg/dL (Jaffe two point) Male: 0.9-1.3
Female: 0.6-1.1

,Blood,NABL

yes

105083

Creatinine

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL (Jaffe two point)

,NABL

yes

5052

Creatinine

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL (Jaffe two point)

,Urine,NABL

yes

105064

Creatinine Clearance

Plain-Urine

mL/min (Calculated)

,Urine

5094

Creatinine(not in NABL scope)

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL (Jaffe two point)

yes

5122

D-dimer(not in NABL scope)

Citrate-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

microgram/L, <500, Immunoturbidimetry (ECIA)

,Blood

yes

5071

Dithonite test with Urea

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

,Blood,NABL,AP-REF

yes

5070

Dithonite test without Urea

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

,Blood,NABL,AP-REF

yes

5130

FSH

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

IU/L (Enhanced chemiluminescence)
normal female follicular phase => 1.98-11.6
normal female midcycle peak=>5.14-23.4
normal female lueal phase => 1.38-9.58
post menopausal female => 21.5- 131
Normal male=> 1.555-9.74 Vitros Lit.

,Blood

5118

Ferritin

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

microgram/L Male(Adult): 20-250, Female(Adult): 10-120, Newborn: 25-200, 1 month: 200-600, 2-5 month:50-200, 6 month-15 years:7-140 (Enhanced chemiluminoscence) Vitros Lit.

,Blood

yes

5128

Free T3

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

pmol/L 4.26-8.10 (Enhanced chemiluminescence)Vitros Lit.

,Blood

yes

5127

Free T4

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

pmol/L 10.0-28.2 (Enhanced chemiluminescence)Vitros Lit.

,Blood

yes

5031

Glucose

Fluoride-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2024

Unit: mg/dL
[mmol/L Glucose] = [mg/dL Glucose] / 18

Criteria for the diagnosis of diabetes (any one of below)

FPG >=126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for at least 8 h.*
2-h PG >=200 mg/dL (11.1 mmol/L) during OGTT. The test should be performed as described by WHO, using a glucose load containing the equivalent of 75 g anhydrous glucose dissolved in water.*
A1C >=6.5% (48 mmol/mol). The test should be performed in a laboratory using a method that is NGSP certified and standardized to the DCCT assay.*
In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose >=200 mg/dL (11.1 mmol/L).

Note1: DCCT, Diabetes Control and Complications Trial; FPG, fasting plasma glucose; OGTT, oral glucose tolerance test; NGSP, National Glycohemoglobin Standardization Program; WHO, World Health Organization; 2-h PG, 2-h plasma glucose.

Note2: *In the absence of unequivocal hyperglycemia, diagnosis requires two abnormal test results from the same sample or in two separate test samples.

,Blood,NABL

5212

Glucose

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

,Blood

yes

5029

Glucose

Plain-CSF

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dl 40-70 (GOD-POD)

,CSF,NABL

yes

5108

Glucose

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dl (GOD-POD)

,NABL

yes

5035

Glucose

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dl (GOD-POD)

,NABL

yes

5036

Glucose

Plain-Pleural_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dl NA(GOD-POD)

,NABL

5136

Glucose(not in NABL scope)

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dl(GOD-POD endpoint)

,Urine

yes

105046

H+

Heparinised-Arterial_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

nmol/L 35.48-44.67 (Calculated)

,Blood

105047

H+

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

nmol/L 37.15-50.12 (Calculated)

,Blood

5187

HCO3

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L 23.0-29.0 (Calculated)

,Blood

yes

5016

HDL Cholesterol

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL >40 (Dextransulphate-Mg2 precipitation)

,Blood,NABL

yes

5174

HbA1c

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level reference Required

Method: HPLC	Units: % of total adult hemoglobin
Result	Probable Diagnosis
<5.7	Normal
5.7-6.4	Prediabetes Mellitus
>6.4	Diabetes Mellitus
Note: Values above are for diagnosis of Diabetes Mellitus only If you are already diagnosed/treated for Diabetes Mellitus, goal for most people is 7% or less. However, this goal will depend on many things such as your age and any other medical conditions. Work with your doctor to set your own individual A1C goal.

,Blood,NABL,AP-REF

5216

HbA1c(IFCC)

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level reference Required

mmol/mol(Calculated)
<38.78=normal
38.78-46.43=prediabetes
>46.43=diabetes

,Blood,NABL

5146

Hematocrit

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

Unit: %, Method: Impedance Conductimetry
Male: 41-50
Female: 36-48<

,Blood

5223

Hematocrit

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

Unit: %, Method: Impedance Conductimetry
Male: 41-50
Female: 36-48<

,Blood

5160

Hemoglobin

Heparinised-Arterial_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

Unit: gm/dL, Method: Calculation
Male: 13.2 - 16.6
Female: 11.6 - 15

,Blood

5224

Hemoglobin

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

Unit: gm/dL, Method: Calculation
Male: 13.2 - 16.6
Female: 11.6 - 15

,Blood

yes

5150

Ionized Calcium(Ca2+)

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

mmol/L 1.15-1.30 (Potentiometry using ISE)

,Blood

5192

Ionized Calcium(Ca2+)

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L 1.14-1.29 (Direct ISE)

,Blood

yes

5021

Iron

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

microgm/dL 41-141 (Ferrozine)

,Blood,NABL

5189

K+

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L 3.5-5.1 (Direct ISE)

,Blood

yes

5102

Ketone bodies

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

(Nitroprusside powder slide test )

,Blood,NABL

yes

5054

Ketone body

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

(Nitropruside)

,Urine,NABL

yes

5025

LDH

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L <360 (Lactate to Pyruvate)

,Blood,NABL

yes

1099

LDL Cholesterol

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL <=130 (Calculated) Maureen Sampson Equation

,Blood,NABL

yes

5017

LDL Cholesterol

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL <130 (Calculated) Friedewald's formula

,Blood,NABL

yes

5131

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

IU/L
Normal female follicular phase ≥ 2.58-12.1
Normal female mid-cycle peak ≥ 27.3-96.9
Normal female luteal phase ≥ 0.833-15.5
Post menopausal female ≥ 13.1- 86.5 (Enhanced chemiluminescence) Vitros Lit.

,Blood

5047

Lactate Dehydrogenase(not in NABL scope)

Plain-CSF

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L (L to P UV Kinetic)

,CSF

5105

Lactate Dehydrogenase(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L (L to P UV Kinetic)

5041

Lactate Dehydrogenase(not in NABL scope)

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L (L to P UV Kinetic)

5046

Lactate Dehydrogenase(not in NABL scope)

Plain-Pleural_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L (L to P UV Kinetic)

yes

5026

Lipase

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L 0-5 (Turbidimetry )

,Blood,NABL

5107

Lipase(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L NA (Turbidimetry)

5039

Lipase(not in NABL scope)

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L NA (Turbidimetry)

5045

Lipase(not in NABL scope)

Plain-Pleural_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

U/L NA (Turbidimetry)

yes

5132

Magnesium

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL 1.7-2.7 (Xylidyl blue)

,Blood,NABL

yes

105085

Magnesium

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL N/A (Xylidyl blue)

,Urine,NABL

5111

Micro Protein(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL NA(Pyrogallol Red)

yes

5125

NT-proBNP

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level reference required

pg/ml (Enhanced chemiluminesecnce) Vitros Lit.

Result	Age	Interpretation
<300	Any age	Heart Failure Unlikely
>450	20-50 Yrs	Heart Failure Likely
>900	50-75 Yrs	Heart Failure Likely
>1800	>75 Yrs	Heart Failure Likely

,Blood,AP-REF

5188

Na+

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L 136-145 (Direct ISE)

,Blood

yes

5069

Other Bands

EDTA-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level Reference required

,Blood,NABL,AP-REF

yes

5100

Phosphorus

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL 2.5-4.5 (Ammonium Molybdate)

,Blood,NABL

yes

5051

Phosphorus

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL N/A (Ammonium Molybdate)

,Urine,NABL

yes

105062

Plasma Creatinine

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL

,Blood,NABL

yes

5149

Potassium

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

mmol/L 3.5-5.1 (Potentiometry using ISE)

,Blood

yes

5020

Potassium

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

frequency of requesting the examinations
Electrolytes
Stable in-patient awaiting rehabilitation/transition/placement	None unless diagnostic suspicion	Consensus
Monitoring in DKA being treated with IV insulin infusion	Q2-4h	Consensus
Monitoring on treatment associated with electrolyte abnormalities (e.g. new diuresis)	Daily	Consensus
Monitoring acute severe hyponatremia (<120 mEq/L)	Q2-8h	Weak consensus
Monitoring hypernatremia not requiring hypotonic IV fluids	BID—daily	Weak consensus
Initial monitoring of acute hyperkalemia requiring shifting	Q2-8h	Weak consensus
Initial monitoring of mild/moderate acute hyperkalemia not requiring shifting	BID—daily	Weak consensus
For a patient with stable hyperkalemia (5.5–6.0 mmol/L) would you in general be comfortable with only daily monitoring (not more frequently) of potassium as an in-patient?	Daily	Consensus
Monitoring new hypokalemia requiring IV/PO replacement	BID—daily	Weak consensus
Monitoring new hypokalemia not requiring potassium replacement		Weak consensus

mmol/L 3.5-5.1 (Direct ISE)

,Blood,NABL

5219

Potassium(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L N/A(Direct ISE)

,Other

5173

Potassium(not in NABL scope)

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L N/A(Direct ISE)

,Urine

yes

5129

Prolactin

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

ng/mL
Normal Nonpregnant Female: 3.0-18.6
Male: 3.7-17.9 (ECIA) Vitros Lit.

,Blood

yes

5038

Protein

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL NA(Biuret)

,NABL

yes

5082

Protein

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL NA(Pyrogallol Red)

,NABL

yes

5037

Protein

Plain-Pleural_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL NA(Biuret)

,NABL

yes

5081

Protein

Plain-Pleural_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL NA(Pyrogallol Red)

,NABL

yes

5062

Protein Electrophoresis

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level reference required

,Blood,NABL,AP-REF

5086

Protein:creatinine Ratio (Not in NABL Scope)

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

(Calculated)(mg/mg)

,Urine

yes

5061

Serum Osmolality

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

(Calculated)

,Blood,NABL

yes

5148

Sodium

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

mmol/L 136-145 (Potentiometry using ISE)

,Blood

yes

5019

Sodium

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

frequency of requesting the examinations
Electrolytes
Stable in-patient awaiting rehabilitation/transition/placement	None unless diagnostic suspicion	Consensus
Monitoring in DKA being treated with IV insulin infusion	Q2-4h	Consensus
Monitoring on treatment associated with electrolyte abnormalities (e.g. new diuresis)	Daily	Consensus
Monitoring acute severe hyponatremia (<120 mEq/L)	Q2-8h	Weak consensus
Monitoring hypernatremia not requiring hypotonic IV fluids	BID—daily	Weak consensus
Initial monitoring of acute hyperkalemia requiring shifting	Q2-8h	Weak consensus
Initial monitoring of mild/moderate acute hyperkalemia not requiring shifting	BID—daily	Weak consensus
For a patient with stable hyperkalemia (5.5–6.0 mmol/L) would you in general be comfortable with only daily monitoring (not more frequently) of potassium as an in-patient?	Daily	Consensus
Monitoring new hypokalemia requiring IV/PO replacement	BID—daily	Weak consensus
Monitoring new hypokalemia not requiring potassium replacement		Weak consensus

mmol/L 136-145 (Direct ISE)

,Other,NABL

yes

5048

Sodium

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L N/A(Direct ISE)

,Urine,NABL

5083

Sodium(not in NABL scope)

Plain-CSF

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L N/A(Direct ISE)

,CSF

5218

Sodium(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmol/L N/A(Direct ISE)

,Other

yes

5022

TIBC

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

microgm/dL 251-406(calculated)

,Blood,NABL

yes

5117

TSH

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mIU/L (CLIA), 0.465-4.68 Vitros Lit.

,Blood,NABL

5141

Total 25-OH Vit-D

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level reference required

nmol/L (ECIA)Vitros Lit.

condition	result
Deficient	<50
Insufficient	50-75
Sufficient	75-250
potential toxicity	>250
Multiply nmol/L result with 0.4 to convert it into ng/ml

,Blood,AP-REF

yes

105065

Total Cholesterol:HDL Cholesterol Ratio

Plain-Blood

mg/mg (Calculated)

,Blood

yes

5012

Total Protein

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL 6.4-8.3 (Biuret)

,Blood,NABL

yes

5080

Total Protein

Plain-CSF

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL 0.015-0.040 (Biuret)

,CSF,NABL

yes

5053

Total Protein

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL N/A (Biuret)

,Urine,NABL

yes

5085

Total Protein

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL NA(Pyrogallol Red)

,Urine,NABL

5112

Total Protein(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

g/dL N/A (Biuret)

yes

105075

Transferrin Saturation

Plain-Blood

males-20-50% (Calculated) females-15-50%

,Blood

yes

5018

Triglyceride

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL <150 (GPO-POD)

,Blood,NABL

5110

Triglyceride(not in NABL scope)

Plain-Other

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL N/A(Lipase GPO - POD)

5043

Triglyceride(not in NABL scope)

Plain-Peritoneal_Fluid

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL N/A(Lipase GPO - POD)

yes

5023

UIBC

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

μgm/dL 120-470 (Ferrozine Alkaline PH)

,Blood,NABL

yes

5002

Urea

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

frequency of requesting the examinations
Urea
Urea testing is NOT indicated for most stable inpatients without specific diagnostic suspicion	None unless diagnostic suspicion	Consensus
Diagnosis of gastrointestinal bleed	Once or not indicated	Weak consensus

mg/dL 13-43 (Urease GLDH)

,Blood,NABL

5135

Urea(not in NABL scope)

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dl(urease GLDH)

,Urine

5208

Urea(not in NABL scope)

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dl(urease GLDH)

,Urine

yes

5027

Uric Acid

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL 2.6-7.2 (Uricase POD)

,Blood,NABL

yes

5055

Uric Acid

Plain-Urine

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL N/A (Uricase POD)

,Urine,NABL

yes

5028

VLDL Cholesterol

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mg/dL <30 (Calculated)

,Blood,NABL

yes

5142

Vitamin B12

Plain-Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)
AP Level reference required

pmol/L 176-687 (ECIA)Vitros Lit.

,Blood,AP-REF

yes

5060

eGFR (MDRD, Non african)

Plain-Blood

mL/min/1.73 m²
MDRD

,Blood,NABL

yes

5225

eGFRcr (CKD-EPI)

Plain-Blood

mL/min/1.73 m²
CKD-EPI (2021)

,Blood,NABL

yes

5144

pCO2

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

mmHg 32-48 (Potentiometry)

,Blood

5185

pCO2

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmHg 38-58 (Potentiometry using ISE))

,Blood

yes

5143

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

7.35-7.45 (Potentiometry using ISE)

,Blood

5184

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

7.30-7.43 (Potentiometry using ISE))

,Blood

yes

5145

pO2

Heparinised-Arterial_Blood

transport at 2-8 degree celsius
Report will be avaialble in 5 minutes(Wards)

mmHg 83-108 (Amperometry)

,Blood

5186

pO2

Heparinised-Venous_Blood

transport at room temperature
Report will be avaialble in 4 hours(Wards) 24 hours(OPD)

mmHg 19-65 ((Amperometry)

,Blood

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Department of Biochemistry, NCHS and GMCS

Majura Gate, Surat

Instructions for 24 hours urine collection (With Preservative)

24 કલાક પેશાબ સંગ્રહ માટેના સૂચનો (પ્રિઝર્વેટીવ સાથે)

24 घंटे पेशाब संग्रह के लिए निर्देश (प्रेज़रवेटिव के साथ)