POWERCHART NAME

MERCY TEST NAME

AMIKACIN PEAK

MERCY LAB CODE

CMIS

• 1 ml serum.   Minimum volume 0.25 mL.
•  Gel tube not acceptable.
• Serum should be drawn 30 to 60 minutes after last dose.  Spin specimen down within 2 hours of draw.  Send specimen in a plastic vial.         

Send specimen FROZEN to Mercy Lab.  Refrigerated acceptable.  Ambient NOT acceptable.

POWERCHART NAME

MERCY TEST NAME

AMIKACIN,RANDOM

MERCY LAB CODE

CMIS

• 1 ml of serum.   Minimum volume 0.25 mL.
•  Gel tube not acceptable.
• Serum should be down within 2 hours of draw.  Send specimen in a plastic vial.        

Send specimen FROZEN to Mercy Lab.  Refrigerated acceptable.  Ambient NOT acceptable.

POWERCHART NAME

MERCY TEST NAME

AMIKACIN,TROUGH

MERCY LAB CODE

CMIS

• 1 ml of serum.   Minimum volume 0.25 mL.
•  Gel tube not acceptable.
•  Draw blood immediately before next scheduled dose.  Spin specimen down within 2 hours of draw.  Send specimen in a plastic vial.        

Send specimen FROZEN to Mercy Lab.  Refrigerated acceptable.  Ambient NOT acceptable.

TEST NAME

AMINO ACID SCREEN

See:  Inborn Errors Of Metabolism Screen*

TEST NAME

AMINOPHYLLINE

See:  Theophylline

POWERCHART NAME

AMIODARONE LEVEL

MERCY TEST NAME

AMIODARONE*

MERCY LAB CODE

AMDR

• 3.0 ml serum from a PLAIN red top tube. Minimum 0.5 ml.
•  Gel tube not acceptable.
• Collect no sooner than 12 hours after last dose.         

Send 3.0 ml serum FROZEN to Mayo.  Refrigerated acceptable. Ambient <24 hours acceptable.   Mayo #9247

POWERCHART NAME

AMITRIPTYLINE + NORTRIPTYLINE LEVEL

MERCY TEST NAME

AMITRIP NORTRP*

MERCY LAB CODE

AMNP

• 3 ml serum in a plain, red-top tube.  Minimum 1.1 ml.
• Collect 12 hours after last dose.
• Spin down within 2 hours of draw. 

• Centrifuge and remove serum within 2 hours after collection. 
• Send refrigerated to Mayo.  Ambient or frozen also acceptable. Mayo AMT.

80152 Amitriptyline+*
80182 Nortroptyline+*

POWERCHART NAME

AMMONIA LEVEL

MERCY TEST NAME

AMMONIA             

MERCY LAB CODE

AMM

• Draw a separate sodium or lithium heparin green top tube. DO NOT USE SERUM.
• Completely fill tube. 
• Keep tightly stoppered at all times. 
• Patient should not clench fist during specimen collection.  
• Place tube in ice bath immediately after drawing. 
• Venous blood is preferred to capillary blood since the latter may yield higher levels.
• Do not use hemolyzed or lipemic samples.

Processing:

• Preferred in house:  0.5 ml lithium heparin plasma from a PST tube.  Centrifuge within 15 minutes of collection and analyze immediately.
• Preferred reference lab:  0.5 ml lithium heparin plasma from a PST tube.  Centrifuge and seperate plasma within 15 minutes of collection.
• Also acceptable:  Sodium heparin or EDTA plasma.

Reference value:

0-14 days  64-107 mcmol/L
15-30 days  56-92 mcmol/L
> 1 month  16-53 mcmol/L

TEST NAME

AMPHETAMINES

See:   Drug Abuse Random Urine

POWERCHART NAME

AMYLASE

MERCY TEST NAME

AMYLASE            

MERCY LAB CODE

AMY

• Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.  
• Preferred reference lab: 0.5 ml serum from a SST tube.
• Also acceptable: Sodium heperin,  Amm heperin plasma or serum from a plain red top tube.

POWERCHART NAME

AMYLASE BODY FLUID

MERCY TEST NAME

AMYLASE BF

MERCY LAB CODE

FAMY

TEST NAME

AMYLASE 12 - HOUR URINE

See:  Amylase 24-Hour Urine

POWECHART NAME

AMYLASE 24 HOUR URINE

MERCY TEST NAME

AMYLASE 24UR

MERCY LAB CODE

VAMY

• 20 ml from a 24-hour or 12-hour urine collection. 
• No preservative needed. 
• Refrigerate during collection.

• A 24-hour collection is the preferred specimen. 
• Note in comment if a 12-hour collection is submitted.  
• If less than a 12-hour collection, order Amylase Random Urine.

Aliquot 20 ml and indicate total 24 hour volume.  Refrigerate.

Performed:

POWERCHART NAME

AMYLASE QUANTITATIVE URINE

MERCY TEST NAME

AMYLASE QUANTITATIVE URINE

MERCY LAB CODE

XAMY

Includes:

Volume (mls)                        Amylase (U/L)
Collection duration (hours)      Calculated Amylase (U/HR)

Specimen: 

Reference Value:

Method:

POWERCHART NAME

AMYLASE RANDOM URINE

MERCY TEST NAME

AMYLASE R UR

MERCY LAB CODE

UAMY

POWERCHART NAME

ANA (ANTINUCLEAR ANTIBODY SCREEN)

MERCY TEST NAME

ANA

MERCY LAB CODE

ANASCN

• 0.5 ml serum from a SST tube.  Freeze. 
• Avoid hemolysis.

If positive, Autoimmune Profile will be reported and charged.  Autoimmune Profile includes autoantibodies to: SSA, SSB, SM, RNP, ScL-70, Jo-1, Centromere B, histones & DSDNA.

Performed: 

<100 AU/ml Negative
100-120 AU/ml Equivocal
> 120 AU/ml Positive

ANA 86038
If ANA is >120 AU/ml. Add DS DNA 86225
Other Auto Antibodies 86235 x 8

TEST NAME

ANABOLIC STEROID SCREEN (test obsolete )

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

80101
82491
84403

TEST NAME

ANAEROBIC CULTURE + SMEAR

MERCY TEST NAME

ANAEROBIC CLT/GS

MERCY LAB CODE

ANER

Order:

Specify collection site when ordering.

Specimen:

DO NOT USE AEROBIC TRANSPORTER!

A Port-A-Cul Cary Blair tube or Port-A-Cul anaerobic transport vial should be used.  Both transport systems contain an indicator which will turn purple when oxygen is present.  DO NOT USE the transporter if the indicator is purple prior to opening the transporter.

Swab specimens: Embed swab deeply into Port-A-Cul Cary Blair tube and cap tightly. Two swabs from the same specimen site should be submitted in one transport tube.

Fluid or pus aspirates:  Inject specimen into Port-A-Cul vials. DO NOT inject air into vial.

ACCEPTABLE specimens for anaerobic culture

• Exudates or aspirated pus from deep wounds/abscesses
• Surgical specimens
• Normally sterile body fluids
• Transtracheal aspirates
• Suprapubic urines from:
  • Percutaneous bladder aspiration
  • Nephrostomy tubes
  • Suprapubic catheter
• Genital specimens ONLY as follows:
  
  • Cul de sac aspiration
  • Culdocentesis
• Nasal Sinus (Aspirate)
• Bartholins gland inflammation/secretions
• Bronchoscopic secretions (protected specimen brush) 

UNACCEPTABLE specimens for anaerobic culture:

• Superficial wounds
• Specimens contaminated with intestinal flora -such as intestinal contents, colostomy sites, drainage from a pilonidal sinus, or bowel perforations.
• Feces/rectal swabs
• Throat/nasopharyngeal/Endotracheal Swab or Tracheostomy secretions 
• Sputum/Bronchoalveolar lavage/Bronchoalveolar wash
• Vaginal/cervical swabs
• Midstream or catheterized urine specimens
• Female: Vaginal/cervical/perineal
• Male: Uretheral swabs/prostrate or seminal fluid

Comments:

• Specimens will be processed according to site.  Only predominant anaerobes will be reported from cultures contaminated with oral, genital, or intestinal flora.
• Identification to genus and species will only be performed on isolates from blood, CSF and other normally sterile body fluids.
• Anaerobic susceptibility testing will not be performed. Anaerobic isolates may be referred to Mayo Laboratories, Rochester, MN for susceptibility testing upon special request.  Contact the Mercy Microbiology Lab for information.

RL Client Comments:

• Write ANAEROBIC CULTURE on the order form. Indicate the specimen source.
• Send anaerobic transporters at room temperature to Mercy lab.

Performed:

Gram stain: Within 8 hours of receipt.
Preliminary report:  2 - 4 days
Final report:  7 days

Reference values:

No anaerobes isolated (applies to normally sterile body sites).  Varies with site of collection.

Method:

Standard culture techniques.

CPT Code:

87205 Gram Stain
87075 Anaerobic Clt

TEST NAME

ANAFRANIL  

See:  Clomipramine*

TEST NAME

ANC (ABSOLUTE NEUTROPHIL COUNT)

See:  WBC and Auto Differential
CBC

TEST NAME

ANCA 

See:  Cytoplasmic Neu AB*

POWERCHART NAME

ANGIOTENSIN 1CONVERTING ENZYME (ACE)

MERCY TEST NAME

ANGIOTENS CONV*

MERCY LAB CODE

ANGV

included with report

ANION GAP

TESTNAME

ANTIBODY IDENTIFICATION

To be ordered by Lab only.

Regional Lab Clients: Order Antibody Screen.  An antibody identification will be ordered and charged only if screen is positive. Please see Special Helps Section for further information.

Two (2) 6 ml pink top tunes.   Refrigerate.
May also be done on an eluate from the patient's red cells or from cord blood red cells. 

POWERCHART NAME

ANTIBODY SCREEN

MERCY TEST NAME

ANTIBDY SC

MERCY LAB CODE

ABSN

• If RHIG is to be given, RHIG Lot # must be ordered also. 
• If antibody screen is positive, Lab will order and charge for an Antibody Identification.

TEST NAME

ANTIBODY SCREENING WITH RHIG

Test no longer available 1/8/2006

TEST NAME

ANTIBODY SCREEN/RH IMMUNE GLOBULIN

See: Antibody Screen
RHIG Lot #

POWERCHART NAME

ANTIBODY TITRATION

MERCY TEST NAME

ANTIBDY TITER

MERCY LAB CODE

ABTT

• Blood Bank will order and charge for an Antibody Screen, and if positive, order and charge for an Antibody Identification if one has not been done within the previous 72 hours. 
• Titer will only be done on a specimen with a positive antibody screen.  
• Includes AHG titer. 
• Saline and 37 degree titers performed only if antibody is saline or 37 degree reactive.

TEST NAME

ANTIBODY TO DS-DNA, SERUM

See:   DNA

TEST NAME

ANTICARDIOLIPIN ANTIBODIES

See:   Cardiolipin Antibodies

TEST NAME

ANTICOAGULANT SCREEN

See:   Mixing Test

TEST NAME

ANTI-DNA

See:   DNA

TEST NAME

ANTI-ENA

See:   Antibodies to Extractable Nuclear Antigens

TEST NAME

ANTIGEN TYPING

MERCY TEST NAME

MISC IMMUNOHEM

MERCY LAB CODE

MISI

• Order Miscellaneous Immunohematology.  Enter specific antigen to be tested in comment.
• Reference Lab Clients: Mark OTHER on requisition form.  Write antigen typing and the specific antigen(s) to be tested.

TEST NAME

ANTIMITOCHONDRIAL ANTIBODIES

See:  Mitochondrial Antibody*

TEST NAME

ANTINUCLEAR ANTIBODIES

See:   ANA

POWERCHART NAME

SMOOTH MUSCLE ANTIBODIES

MERCY TEST NAME

ANTI SMOOTH MUS AB*

MERCY LAB CODE

SMAB

86255 Screen
86256 Titer

TEST NAME

ANTISPERM ANTIBODY, INDIRECT

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Viable semen specimen

1. After semen collection, wait 30 to 40 minutes until the semen is liquefied, then place in freezer.
2. Send specimen frozen in plastic vial/container.
3. Indicated seminal plasma for indirect assay on request form.
4. Label specimen appropriately (seminal plasma for indirect assay)

Caution: Sperm antibody testing is not recommended for routine infertility testing.  In cases where specimen production may present difficulties, a serum specimen can be tested (see #9502 "Sperm Antibody, Serum).

• Send frozen, Mayo #89883 
• Minimum 1 ml.

89325

TEST NAME

ANTISTREPTOLYSIN O TITER

See:   ASO

TEST NAME

ANTITHROMBIN III ACTIVITY, PLASMA

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

• Centrifuge, remove plasma, spin plasma again and place 1 ml of citrate platelet-poor plasma in plastic vial. (Glass vials cannot be accepted.)  Minimum 0.5 ml.
• NOTE:  Double centrifuged specimens are critical for accurate results as platelet contamination may cause spurious results.
• Freeze specimen immediately. 
• Send frozen to Mayo.  Mayo# 9030.

Included in hypercoagability coagulation consult. See Hypercoag Consult for ordering and collection information. Can be ordered separately. Order as a miscellaneous chemistry [CMIS] with the test name in comment. Indicate if patient is receiving Coumadin or Heparin.

Adults: 80 - 120%
Pediatric ranges available.

TEST NAME

ANTITHYROID ANTIBODY

See:   Thyroperoxidase Antibodies*

TEST NAME

ANTI – Xa ASSAY

See:   Factor XA

TEST NAME

aPTT

See:   PTT

TEST NAME

APT TEST

MAERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

The APT test is rapid screening test used to differentiate fetal hemoglobin from maternal hemoglobin in emesis and bloody stools of newborns, and bloody vaginal discharge during pregnancy.

• 0.5 - 2.0 ml specimen.  Less specimen may be needed if grossly bloody. 
• Deliver to lab Immediately. 
• Acceptable specimens from neonate;  bloody stool, bloody emesis. 
• Acceptable specimens from mother;  bloody vaginal discharge.

TEST NAME

ARSENIC

See:  Metals Heavy/Essential 24-Hour Urine*  
        Metals Heavy Blood*

TEST NAME

ASCITES FLUID CYTOLOGY

See: Cytology Section Peritoneal Fluid

POWERCHART NAME

ASO (Antistreptolysin O Quantitative)

MERCY TEST NAME

ASO               

MERCY LAB CODE

ASO

<2 years:  0-50 IU/ML
2-5 years:  0-100 IU/ML
6-19 years:  0-166 IU/ML

>20 years:  0-250 IU/ML

Latex particle Immuno Turbidimetric

86060

TEST NAME

ASO TITER

See:    2-14-13 No longer needed because ASO is reported quantatively.

TEST NAME

ASPIRIN

See:   Salicylates

POWERCHART NAME

AST/SGOT

MERCY TEST NAME

AST              

MERCY LAB CODE

AST

• Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
• Preferred reference lab: 0.5 ml serum from a SST tube. 
• Also acceptable: Sodium heparin, AMM heparin, or serum from a plain red to tube. 

15-41 IU/L

TEST NAME

AUTOIMMUNITY PANEL

See:   ANA