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Biochemistry

Referred Work (108)

Blood Sciences - Biochemistry referred work. These tests are available via the standard electronic and paper request cards. Site specific processing will be detailed in the test information. These tests are referred to other laboratories for analysis.
Referred Work

Solihull Biochemistry Laboratory (2)

Solihull Blood Sciences - Biochemistry - Test menu. These tests are available routinely on the Solihull Hospital site and/or may required site specific sample processing. All other biochemistry tests are available, but site specific processing may be required. This section details those tests
Solihull Biochemistry Laboratory

Heartlands Biochemistry Laboratory (27)

Heartlands Blood Sciences - Biochemistry - Test menu. These tests are available routinely on the Heartlands site and/or may required site specific sample processing. All other biochemistry tests are available, but site specific processing may be required. This section details those tests
Heartlands Biochemistry Laboratory

Good Hope Biochemistry Laboratory (2)

Good Hope Blood Sciences - Biochemistry - Test menu. These tests are available routinely on the Good Hope site and/or may required site specific sample processing. All other biochemistry tests are available, but site specific processing may be required. This section details those tests
Good Hope Biochemistry Laboratory
3 HydroxyButyrate (BHB)

3 HydroxyButyrate (BHB)

Provided by reference laboratory.

5 Hydroxy Indole Acetic Acid (5HIAA)

5 Hydroxy Indole Acetic Acid (5HIAA)

5HIAA <50μmol/24h

5HIAA is affected by diet; levels can increase following ingestion of pineapples, bananas and some nuts.

17 alpha hydroxyprogesterone (17OHP)

17 alpha hydroxyprogesterone (17OHP)

Age Dependant

Neonates (>48 hrs): <8nmol/L. For neonates please record gestational age, birth weight and sex. Premature or small babies can have inappropriately high values.

Adult males: 1.2 - 3.7 nmol/L.

Adults females: 0.6 - 4.0 nmol/L (follicular phase) and 1.0 - 6.0 nmol/L (luteal phase).

Paediatrics

Neonates: <8.0 nmol/L

Female & male Tanner stage 1: <5.0 nmol/L

Tanner Stage 1 Males/Females:  <5.0 nmol/L

Albumin

Albumin

Neonate (<4wks)   30-45 g/L

Infant (4wks-1yr)    30-45 g/L

1-16yrs                 30-50 g/L

Adult                    35-50 g/L

(Source : Pathology Harmony Recommendations)

Albumin (Urine) (microalbumin ACR)

Albumin (Urine) (microalbumin ACR)

  • Male                     <2.5 mg/mmol
  • Female                 <3.5 mg/mmol
 
Reference range only applicable in patients with Diabetes Mellitus
Aldosterone

Aldosterone

Recumbant: <375 pmol/L (This relies on the patient lying down for at least 4 hours). Standing: <750 pmol/L

For paediatric ranges (from http://hyper.ahajournals.org/content/56/3/391.full)

95th Percentile = 491 pmol/L

5th Percentile = 69 pmol/L

Please note change in reference range from 01/03/2018:

Standing <750pmol/L (provided by referral lab)

Alkaline Phosphatase (ALP)

Alkaline Phosphatase (ALP)

Neonate (<4weeks)   70-380 U/L

4wks-16yrs               60-425 U/L

Adult                        30-130 U/L

(Source : Pathology Harmony Recommendations)

Alkaline Phosphatase (ALP) Isoenzymes (APISO)

Alkaline Phosphatase (ALP) Isoenzymes (APISO)

Reported as a comment:

ALP1

Predominantly liver isoenzyme present.

ALP2

Predominantly bone isoenzyme present.

ALP3

Both liver and bone isoenzymes are present in approximately equal concentrations.

ALP4

Biliary isoenzyme also present.

ALP5

Intestinal isoenzyme also present: this may indicate intestinal disease but also may occur in the absence of pathology in some individuals of blood group O and B after eating.

ALP

Alkaline phosphatase isoenzyme analysis is not indicated when the total alkaline phosphatase is not markedly raised.

Alpha Fetoprotein (AFP)

Alpha Fetoprotein (AFP)

0.7-7.3 kU/L(when used as a tumour marker)

(Source: Abbott Diagnostics)

Alpha Subunits (ASU)

Alpha Subunits (ASU)

  • Adult males and pre-menopausal females: <1.0 IU/L
  • Post-menopausal or mid-cycle females: <3.0 IU/L

Pregnancy - there is a 0.1% cross reaction with hCG resulting in very high ASU results in pregnancy.

Results should be interpreted along with the serum LH, FSH and TSH results and renal function tests.

Alpha-1-Antitrypsin (A1AT or AAT)

Alpha-1-Antitrypsin (A1AT or AAT)

Adult range 1.1 - 2.1 g/L.

Age related ranges are available by contacting the Immunology department.

Alpha/beta Carotenes

Alpha/beta Carotenes

Alpha carotene <0.25 umol/L

Beta carotene 0.19-0.89 umol/L

Amikacin Antibiotic Assay

Amikacin Antibiotic Assay

For once daily dosing aim for pre-dose levels (taken 15 minutes before dose) of <5mg/L and post dose levels (taken 1 hour post dose) of >35mg/L.

For multiple daily dosing aim for pre-dose levels of <10mg/L and post dose levels of 20-30mg/L.

Amino Acids

Amino Acids

Provided by Reference laboratory

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