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 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.
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Birmingham Heartlands Hospital
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)
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.