Blood Tube Guide
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1REPLACE AFTER JUN 2017. SEE BELOW FOR DETAILS
UW MEDICINE
BOLD INDICATES AVAILABLE
DEPARTMENT OF LABORATORY MEDICINE
BY PRIORITY STATUS
BLOOD TUBE GUIDE
When ordering tests for which Medicare reimbursement will be sought, physicians should only order tests
which are medically necessary for diagnosis or treatment. Please be aware that Medicare generally does
not cover routine screening tests. See reverse side for additional medical necessity information.
B
LUPUS ANTICOAGULANT w/ INTERP
CMS APPROVED CHEMISTRY PANELS
CORTISOL
[CRT]
TRANSFERRIN
[TRSF]
[LUPI]
9
COPPER
[CU]
BASIC METABOLIC PANEL
TRANSTHYRETIN
[BMP]
(PRE-ALBUMIN) [TTHY]
Two
B
LUPUS ANTICOAGULANT AND
(NA,K,CL,CO2,GLU,BUN,CREAT,CA)
CREATININE
[CREG]
APL PANEL w/ INTERP
[LUPGI]
TRIGLYCERIDES
[TRIG]
COMPREHENSIVE METABOLIC PANEL
CRYOGLOBULINS
15
[CRYOG]
LUTEINIZING HORMONE
O
TROPONIN I
[TROPIG]
[LH]
(BMP, TP, ALB, TBILI, AST, ALK, ALT) [COMP]
Transport to Lab at 37degrees
UREA NITROGEN
[BUN]
MAGNESIUM
[MG]
3
CYCLOSPORINE by LC-MSMS
ELECTROLYTES
[CSAG]
(NA,K,CL,CO2) [LYT]
URIC ACID
[URIC]
B
3
D-DIMER, QUANT.
MONONUCLEOSIS TEST
[DDI]
[MONO]
HEPATIC FUNCTION PANEL
[HFPA]
VITAMINS:
(ALB,TP,TBILI,DBILI,ALK,AST,ALT)
+
3
DIC PANEL w/ PLT
OSMOLALITY
B
[DICP1]
[OSMO]
RENAL FUNCTION PANEL
One
for A, C and/or E
[RENFP]
DIC PANEL without PLT
B
[DICNP1]
PARATHYROID HORMONE,
[ IPTH ]
(BMP, ALB, P)
B1 (FASTING)
3
CALCIUM
[ IPTHG ]
WITH
DIGOXIN
[DIG]
LIPID PANEL
[LIPID]
B2 and/or B6 (FASTING)
(TOTAL CHOL, TRIG, HDL, LDL)
DIRECT THROMBIN INHIBITOR
PHENYTOIN (Dilantin), TOTAL
B
[DIL]
[DTI]
Wrap tube in foil to light protect
B12
X
PHENYTOIN (Dilantin), FREE&TOTAL
ESTRADIOL
[EDOL]
ACETAMINOPHEN
X
[TYL]
[FTDIL]
G
D-(25-OH)
PHOSPHATE (PO4)
[P]
ETHANOL (Ethyl Alcohol)
[ETOH]
6
AFP, NON-MATERNAL
[AFPNOT]
H
PLATELET COUNT
[PLTG]
FERRITIN
[FER]
ALBUMIN
[ALB]
VANCOMYCIN
[VANCOP / VANCOT / VANCOR]
B
FIBRINOGEN
POTASSIUM
[FIBCL]
[K]
Peak, Trough or Random Sample
ALKALINE PHOSPHATASE
[ALK]
FOLATE
3
PROGESTERONE
[FOLAT]
[PROG]
B
VON WILLEBRAND DISEASE GROUP
ALT
[ALT]
(VWFAG, F8, MULTI, VWFCB)
[VWDG]
3
FREE LIGHT CHAINS
[FLC]
PROLACTIN
[PRL]
AMMONIA
X
[PLNH3]
Send to lab on ice
H
WBC
[WBCG]
FSH
[FSH]
PROSTATE SPECIFIC ANTIGEN
AMYLASE
[AY]
S
O
ZINC
[ZN]
3
G6PD SCREEN
TOTAL
[G6PD]
[PSA]
§
B
ANTI-FACTOR Xa
(For Heparin Infusion,
O
3
TOTAL, REFLEXIVE FREE
[PSAFRP]
ZPPH
GGT
[ZPPH]
[GGT]
)
LMW Heparin, Rivaroxiban or Apixaban
B
PROTEIN C ACTIVITY
[PCCLOT]
GLUCOSE
[GLU]
Fasting
[GLUF]
3
ANTI-NUCLEAR ANTIBODIES
[ANAG]
B
ACTIVATED PROTEIN C RESISTANCE
HAPTOGLOBIN
6
REFLEXIVE TESTING
[ANARC]
[HPT]
WITH
VIROLOGY BLOOD TESTING
(Also includes ENA, Jo-1, Scl-70, SSA/Ro)
[APCR]
PROTEIN S ANTIGEN, FREE
B
[PSAGF]
HCG (QUANTITATIVE):
AST
[AST]
Common Molecular Testing
O
PREGNANCY
3
PROTEIN ELECTROPHORESIS
[PG]
[ELP]
P
B-TYPE NATRIURETIC PEPTIDE
[BNAP]
3
ADENOVIRUS by PCR, QNT
[ADVQN]
§
REFLEXIVE TESTING
[ELPP]
6
(3 mL for both)
WITH
TUMOR MARKER
[HCGTUM]
BETA-HYDROXY BUTYRATE
3
[BHOB]
BK VIRUS by PCR
PROTEIN, TOTAL
[BKVQN]
[TP]
H
HEMATOCRIT
[HCTG]
3
BILIRUBIN, TOTAL
CMV DNA by PCR
[BIL]
[CMVQN]
B
PROTHROMBIN TIME (PT)
[PRO]
H
HEMOGLOBIN (HB)
[HBG]
3
EBV DNA by PCR
BILIRUBIN, TOTAL/DIRECT
[EBVQ]
[BILTD]
PTT
B
[PTT]
3
HB A1C
[A1C / A1CRPD]
3
HSV DNA by PCR
[HSVQN]
C-REACTIVE PROTEIN
RETICULOCYTE COUNT
H
[HSCRP]
[RETIC]
3
HB ELEC
(w/o interpretation) [HBELEC]
CARDIAC RISK ASSESSMENT
WITH
3
G
VZV DNA by PCR
RHEUMATOID FACTOR
[VZVQN]
[RF]
[HSCRPG]
3
HB S, QUANTITATIVE
[HBSQH]
X
SALICYLATE
4
CA 125
[ASA]
(Cancer Ag 125) [CA125X,CA125R]]
3
HOMOCYSTEINE, TOTAL
[HMCY]
3
SEDIMENTATION RATE
[ESR]
4
CA 27.29 / CA 15.3
[CA2715 / CA153R]
Send to lab on ice
G
SEROLOGIC SYPHILIS PANEL
[SYPHS]
CALCIUM (CA), TOTAL
[CA]
Hepatitis Serology Testing
2
IMMUNOFIXATION
[IFIX]
§
3
SIROLIMUS
[SIROLG]
Any combination of Hepatitis A, B or C batteries
CALCIUM, IONIZED, REFLEXIVE,
[ ICAR ]
for hepatitis serology testing w/ reflex PCR.
IMMUNOGLOBULINS:
SODIUM
[NA]
H
CBC
Send one
G
tube and one
P
tube.
(HCT,HB,WBC,RBC, RBC INDICES
3
3
IGA [IGA]
IGG [IGG]
and PLT)
WITH:
[CBC]
3
TACROLIMUS
[TACROG]
3
IGE [IGET]
3
IGM [IGM]
H
HIV Testing
ABS NEUTROPHIL COUNT [CBANC]
TESTOSTERONE, TOTAL
[TEST]
H
DIFFERENTIAL
[CBD]
P
HIV Antigen and Antibody Screen
IRON
THROMBIN TIME
[HVAGAB]
[FE]
TIBC
B
[TT]
WITH
AND
(Always draw a separate Pearl Top for this test)
CEA
3
TRANSFERRIN [IBCD]
[CEA]
It cannot be shared with any other testing)
LD
[LD]
THROMBOSIS, VENOUS
CHOLESTEROL, TOTAL
[CHOL]
Other Viral Serology Testing
LIDOCAINE
[LIDO]
COMPREHENSIVE VEN THROMBOSIS GROUP
OLTG
CK-TOTAL
[CK]
(See OLTG for Components) [CVTHI / CVTHN]
LIPASE
CMV IMMUNE STATUS
[LPASE]
3
[CMVS]
3
FACTOR 5 DNA
[F5DNA]
COAG SCREEN (PT,PTT)
B
[PPP]
+
B
3
EBV IMMUNE STATUS
[EBVEIA]
F8 THROMBOSIS (CHRF8, HSCRP)
[F8THR1]
3
PROTHROMBIN DNA
[PRODS]
HSV1 & HSV2 TYPE SPECIFIC SEROLOGY
3
BY WESTERN BLOT
[ HSWB]
Tube Type Key
THYROID TESTING:
3
MEASLES IMMUNE STATUS
[RBIS]
T3, FREE
[T3FR]
For any combination, one 4.5 mL LIME GREEN PST
T3, TOTAL
[T3]
3
MUMPS IMMUNE STATUS
[MPIS]
T4, FREE
[T4FR]
3
RUBELLA IMMUNE STATUS
X
One extra 4.5 mL LIME GREEN PST for each test
[RUIS]
T4, TOTAL
[T4]
TSH
O
[TSH]
3
VARICELLA ZOSTER IMMUNE STATUS
4 mL GREEN TOP
[VZIS]
O
5 mL ORANGE RST (Rapid Serum Tube)
G
5 mL GOLD SST
(or RED TOP if GOLD unavailable)
RED TOP, number in box indicates volume of
3
See Online Laboratory Test Guide
OLTG
blood needed for that test. If multiple tests
B
2.7 mL BLUE TOP, MUST BE FULL DRAW
at website:
requiring red tops are ordered, add volumes
menu.labmed.washington.edu
H
One 3 mL LAVENDER TOP for any combination
together, round up to nearest appropriate
number of 4 mL and/or 10 mL red top tubes
Separate 3 mL LAVENDER TOP for each test
3
Current pdf files of this form can be
RED CAP SARSTEDT SYRINGE
S
found on the Online Laboratory Test
Separate 6 mL LAVENDER TOP for each test
6
Guide website shown above.
5 mL PEARL WHITE PPT
P
ALL
PLEASE NOTE THAT
BLOOD TUBES MUST BE WELL MIXED IMMEDIATELY AFTER DRAW.
POORLY MIXED TUBES CAN RESULT IN ERRONEOUS LAB RESULTS OR LAB INSTRUMENT
Tube Guide Rev Date: APR 2016
MALFUNCTION. MIX BY GENTLY INVERTING THE TUBE 8 TIMES.
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