POWERCHART NAME

T3 (TRIODOTHYRONINE) FREE

MERCY TEST NAME

T3 FREE

MERCY LAB CODE

T3F

Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 24 hours of collection.

POWERCHART NAME

T3 TOTAL*

MERCY TEST NAME

T3 TOTAL

MERCY LAB CODE

T3

< 3 years: not established
4-23 years: 80 - 200 ng/dl
>24 years: 80 - 180 ng/dl

POWERCHART NAME

T4 (THYROXINE) FREE

MERCY TEST NAME

T4 FREE

MERCY LAB CODE

T4F

Included in Thyroid Hyper Panel and Thyroid Hypo Panel.

Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 24 hours of collection.

Male and Female: 0.61 - 1.12 NG/DL

Pregnant Females:
1st Trimester      0.52 - 1.08 NG/DL
2nd Trimester     0.45 - 0.99 NG/DL
3rd Trimester      0.48 - 0.95 NG/DL

POWERCHART NAME

T4 TOTAL

MERCY TEST NAME

T4 TOTAL

MERCY LAB CODE

T4TL

Males
0-11 months: not established
1 - 9 years: 6.0 - 12.5 µg/dl
10 - 17 years: 5.0 - 11.0 µg/dl
> 18 years: 5.0 - 12.5 µg/dl

Females:
0 - 11 years: not established
10 - 17 years: 5.0 - 11.0 µg/dl
> 18 years: 5.0 - 12.5 µg/dl

TEST NAME

T7

See: TSH Sensitive

POWERCHART NAME

T AND B CELL QUANTITATION BY FLOW CYTOMETRY

MERCY TEST NAME

T&B CELL QN*

MERCY LAB CODE

TBCL

Draw 2 purple top tubes. Need 4.0 ml EDTA whole blood.
Specimen must arrive within 48 hours of collection.

Send 4.0 ml whole blood from purple top tubes ambient to Mayo.
Order Mayo # 9336 T & B Cell Quantitaion by flow Cytometry. Specimen must arrive within 48 hours of collection.

T & B Surface Marker:

% T-cells (CD3): 52 - 84%
% B-cells (CD19): 5 - 25%
% Natural Killer (CD16): 5 - 30%
% Helper cells (CD4): 30 - 61%
% Suppressor cells (CD8): 12 - 42%
 

Absolute counts:

Lymphocytes: 0.66 - 4.60 K/mcl
T-cells (CD3): 582 - 1992 cells/mcl
B-cells (CD19): 71 - 567 cells/mcl
Natural Killer (CD16): 80 - 597 cells/mcl
Helper cells (CD4): 401 - 1532 cells/mcl
Suppressor cells (CD8): 152 - 838 cells/mcl
 

Lymphocyte ratio: H/S ratio > 1.0

86359 – T Cells, Total Count
86360 – Absolute CD4/CD8 Count with Ratio
86355 – B Cells, Total Count
86357 – Natural Killer (NK) Cells, Total count

POWERCHART NAME

TACROLIMUS LEVEL

MERCY TEST NAME

TACROLIMUS*

MERCY LAB CODE

TACRO

3 mL whole blood from a (purple top) EDTA or (green top) Heparin tube.

Send specimen in original collection tube.  Sent refigerated to Mayo. Mayo # 80783

Therapeutic concentration: 5.0 - 15.0 ng/ml

80197 - Tacrolimus

TEST NAME

T&B SURFACE MARKER ABSOLUTE COUNTS

See:  T&B Cell QN by Flow Cytometry*

TEST NAME

THC (MARIJUANA)

See:   Drug Abuse Random Urine
       Drug Screen Body Fluid*
  Drug Screen Serum*

TEST NAME

T-HELPER/T-SUPPRESSOR LYMPHOCYTE RATIO

See:  T&B Cell QN by Flow Cytometery*

TEST NAME

TBG  

See:  Thyroid Binding Globulin*

TEST NAME

TEGRETOL

See:  Carbamazepine

POWERCHART NAME

TESTOSTERONE TOTAL

MERCY TEST NAME

TESTOST TTL*      

MERCY LAB CODE

TSTT

Send refrigerated to Mayo .  Mayo # 8533.
Patients’ age and sex are required on requisition for processing.

Units:  ng/dL 
Age-adjusted ranges: Age in years (except 1st row) 
                    Males              Females 
0 - 5 months: 75 - 400                20 - 80
0.5 - 9:         < 7 - 20               < 7 - 20
10 - 11:        <7 - 130               < 7 - 44
12 - 13:        <7 - 800               < 7 - 75
14:              <7 - 1,200             <7 - 75
15 - 16:         100 - 1,200          <7 - 75
17 - 18:         300 - 1,200           20 - 75

>    19:          240 - 950              8 - 60

*Puberty onset (transition from Tanner stage 1 to Tanner stage 2) occurs for boys at a median age of 11.5 (+/-2) years and for girls at a median age of 10.5 (+/-2) years. There is evidence that it may occur up to 1 year earlier in obese girls and in African American girls. For boys there is no definite proven relationship between puberty onset and body weight or ethnic origin. Progression through Tanner stages is variable.  Tanner stage 5 (adult) should be reached by age 18.

84403

POWERCHART NAME

TESTOSTERONE LEVEL TOTAL + FREE

MERCY TEST NAME

TESTOST TTL FRE*   

MERCY LAB CODE

TSTF

Units:  ng/dL 
Age-adjusted ranges: Age in years (except 1st row) 
                    Males              Females 
0 - 5 months: 75 - 400             20 - 80
0.5 - 9:         < 7 - 20             <7 - 20
10 - 11:        <7 - 130             <7 - 44
12 - 13:        <7 - 800             <7 - 75
14:              <7 - 1,200           <7 - 75
15 - 16:       100 - 1,200          <7 - 75
17 - 18:       300 - 1,200           20 - 75

   > 19:        240 - 950               8 - 60

*Puberty onset (transition from Tanner stage 1 to Tanner stage 2) occurs for boys at a median age of 11.5 (+/-2) years and for girls at a median age of 10.5 (+/-2) years. There is evidence that it may occur up to 1 year earlier in obese girls and in African American girls. For boys there is no definite proven relationship between puberty onset and body weight or ethnic origin. Progression through Tanner stages is variable.  Tanner stage 5 (adult) should be reached by age 18.

Free
Male:……………………9 - 30 ng/dl
Female:……………….0.3 - 1.9 ng/dl

% Free:
Male:……………………2.0 - 4.8%
Female:………….…….0.9 - 3.8%

Liquid Chromatography – Tandem Mass spectrometry (LC-MS/MS)
Equilibrium Dialysis

84403 Testost Ttl*
84402 Testost Free+*

POWERCHART NAME

THEOPHYLLINE LEVEL

MERCY TEST NAME

THEOPHYLLINE      

MERCY LAB CODE

THEO

Restrict the following for 24 hours prior to test: Theobromine (in chocolate products), acetaminophen, hydrochlorothiazide, isoniazid, oxazepam, phenylbutazone, probenecid and sulfanilamide. Diphylline is not measured in this test.

0-17 years: 5 - 20 mcg/ml
> 17 years: 10 - 20 mcg/ml

TEST NAME

THEOPHYLLINE PEAK

See:  Theophylline

TEST NAME

THEOPHYLLINE TROUGH

See:  Theophylline

TEST NAME

THIAMIN

See: Vitamin B1

TEST NAME

THERAPEUTIC BLEEDING

See: Phlebotomy

TEST NAME

THRICHOMONAS PREPARATION

See: Microbiology Section
In Pt Micro / Regional Pt Micro

TEST NAME

THORACENTESIS FLUID CYTOLOGY

See: Cytology Section Pleural Fluid

TEST NAME

THROAT CULUTRE STREP A

See: Microbiology Section
In Pt Micro / Regional Pt Micro

POWERCHART NAME     

THROMBIN TIME

MERCY TEST NAME

THROMBIN TIME

MERCY LAB CODE

TT

TEST NAME           

THYROGLOBULIN*

See:  Thyroglobulin Antibody Screen

POWERCHART NAME

THYROGLOBULIN ANTIBODY

MERCY TEST NAME

THYROGLOBULIN AB SCN*

MERCY LAB CODE

THYABS

POWERCHART NAME

THYROGLOBULIN TUMOR MARKER

MERCY TEST NAME

THYROGLOBLN TUMOR*   

MERCY LAB CODE

THYTMR

TEST NAME

THYROID ANTIBODY*

See: Thyroperoxidase Antibodies*

POWERCHART NAME

THYROPIN BINDING INHIBITORY IMMUNOGLOBULINS

MERCY TEST NAME

TBG IMMUNOLOGIC*     

MERCY LAB CODE

TBGI

POWERCHART NAME

THYROID HYPER PANEL

MERCY TEST NAME

THYRD HYPER PNL   

MERCY LAB CODE

THPE

T3 Free:  Within 8 hours of receipt Monday - Friday. Saturday and Sunday 1200 cutoff.
T4 Free:  Within 8 hours of receipt Monday - Friday. Saturday and Sunday 1200 cutoff.

84439 T4 Free
84481 T3 Free

POWERCHART NAME

THYROID HYPO PANEL (TSH SENSITIVE AND FREE T4)

MERCY TEST NAME

THYRD HYPO PNL

MERCY LAB CODE

THPO

T4 Free: Within 8 hours of receipt Monday - Friday. Saturday and Sunday 1200 cutoff.
TSH: Within 8 hours of receipt Monday - Friday. Saturday and Sunday 1200 cutoff.

84439 T4 Free
84443 TSH

TEST NAME

THYROID RELEASING HORMONE STIMULATION TEST

See:  TSH Sensitive

TEST NAME

THYROID-STIMULATING IMMUNOGLOBULIN SERUM*

MERCY TEST NAME

THYROID STIM IMGLB*

MERCY LAB CODE

THYIMG

POWERCHART NAME

THYROPEROXIDASE ANTIBODY (TPO)

MERCY TEST NAME

THYROPEROXDSE AB*

MERCY LAB CODE

TPXD

TEST NAME

THYROXINE

See:  T4 Free
        T4 Total*  

TEST NAME

TIBC

See:  Iron & IBC

TEST NAME

TISSUE / TISSUE TYPING DONOR

See:   Donor Collection

TEST NAME

TISSUE CULTURE

See: Microbiology Section
In Pt Micro / Regional Pt Micro

TEST NAME

TISSUE EXAMINATION GROSS & MICROSCOPIC

Complete manual Pathology Specimen requisition form. Requisition must include pre-op diagnosis and operative findings. Specific specimen source and relevant patient history must be indicated. 

Tissue specimen covered with 10% Formalin. Transport containers and 10% formalin are available from the Laboratory.

TEST NAME

TISSUE EXAM GROSS ONLY

See:  Tissue Examination Gross & Microscopic

TEST NAME

TISSUE SPECIMEN

See:  Tissue Exam Gross & Microscopic

POWERCHART NAME

TISSUE TRANSGLUTAMINASE ANTIBODIES, IgA and IgG

MERCY TEST NAME

TISSUE TRANSGLUT AB*

MERCY LAB CODE

TISTA

Minimum volumes:  Adult: 1.0 ml      Pediatric: 0.5 ml

included with report

POWERCHART NAME

TOBRAMYCIN LEVEL

MERCY TEST NAME

TOBRAMYCIN INT

MERCY LAB CODE

TBI

POWERCHART NAME

TOBRAMYCIN PEAK LEVEL

MERCY TEST NAME

TOBRAMYCIN PEAK   

MERCY LAB CODE

TBPK

POWERCHART NAME

TOBRAMYCIN TROUGH LEVEL

MERCY TEST NAME

TOBRAMYCIN TRGH   

MERCY LAB CODE

TBTR

POWERCHART NAME

TORCH SCREEN

MERCY TEST NAME

TORCH TEST*        

MERCY LAB CODE

TORC

This test is to be ordered only on neonates, pregnant women or women who have had miscarriages. If the patient does not meet any of these qualifications, then each test must be ordered separately.

Reference Lab Clients - Mark "Other" and specify TORCH.

TEST NAME

TOTAL PROTEIN

See: Protein Total 24 Hour Urine
Protein Total Body Fluid
Protein Total CSF
Protein Total Random Urine
Protein Total Serum

POWERCHART NAME

TOXIC VOLATILE SCREEN

MERCY TEST NAME

TOXIC VOLATILE SCRN

MERCY LAB CODE

TVS

Acetone                               Alcohol, Ethyl              Calculated Osmolality
Interpretation                        Metabolic Panel            Osmolality                    
Osmolality Gap                       pH Venous

1 lithium Heparin PST tube, 1 plain red top, 1 gray top, and 1 small green top tube completely filled and on ice. Use aqueous betadyne for cleaning venipuncture site, not alcohol swab.

1.0 ml heparin plasma from a PST tube for metabolic panel and osmolality. Perform alcohol and acetone testing upon first opening. Keep small green top tube closed and on ice for venous pH. Plain red top tube and gray top tube are used only if confirmatory tests are indicated.

Refer to individual test entry and Toxic Volatile Screen Laboratory Results for Frequent Situations table which follows on next page. Mercy technical staff, refer to Osmolality procedure for analysis, calculations,& interpretation.         

TEST NAME

TOXICOLOGY QUANTITATIVE SCREEN METALS

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

POWERCHART NAME

TOXOPLASMOSIS ANTIBODY IgG IgM

MERCY TEST NAME

TOXOPLASMA IGG, IGM*

MERCY LAB CODE

TOXOGM

86777/IgG
86778/IgM

POWERCHART NAME

TRANSFERRIN

MERCY TEST NAME

TRANSFERRIN        

MERCY LAB CODE

TRNS

TEST NAME

TRANSFUSION REACTION WORK-UP

Nursing Service reports the possible transfusion reaction on the Blood Bank Component Transfusion Form (MH 1463).  Notify the physician and Lab immediately. Deliver the Lab copy of the Blood /Blood Component Transusion Form and the blood/component bag with all attached tubings and  IV solutions to the Lab immediately. Continue to monitor the patient.  There is no charge to the patient.

POWERCHART NAME

TRAUMA PANEL

MERCY TEST NAME

TRAUMA PANEL

MERCY LAB CODE

TPNL

Draw 1 SST tube, 2 plain red top tubes, 1 blue top tube filled appropriately with amount of blood listed on label and 1 purple top tube.  Do not use alcohol, use aqueous betadyne for cleaning venipuncture site.

85025 CBC
85610 Protime
85730 PTT
80048 Basic Metabolic Pnl
82150 Amylase
82055 Alcohol Ethy Bld

TEST NAME

TRAVEL CHARGE

MERCY TEST NAME

TRAVEL CHG

MERCY LAB CODE

TRVL

POWERCHART NAME

TRIGLYCERIDES

MERCY TEST NAME

TRIGLYCERIDE

MERCY LAB CODE

TRIG

The National Cholesterol Education Program of the National Heart, Lung, and Blood Institute has announced the following guidelines:

POWERCHART NAME

TRIGLYCERIDE BODY FLUID

MERCY TEST NAME

TRIGLYCERIDE BF   

MERCY LAB CODE

FTRG

TEST NAME

TROPONIN

See:  Troponin I

POWERCHART NAME

TROPONIN I

MERCY TEST NAME

TROPONIN I

MERCY LAB CODE

TRPI

Troponin I is NOT included in Cardiac Enzyme Profile.  It is however included in the Cardiac Marker Panel. It can also be ordered as a separate test.

1 ml lithium heparin plasma from a PST tube.  Draw one FULL tube. DO NOT collect in a glass tube. 
If collected in a glass tube, transfer to an appropriate container within 8 hours of collection.

Serum is NOT acceptable. Fibrin and particulate matter must be avoided.

Centrifuge.  Recentrifuge before testing if plasma is more than 1 hour old.

Reference Lab Clients: Centrifuge and remove plasma to aliquot tube.  Store and send refrigerated.

0.00 - 0.04 ng/ml

0.05 - 0.49 ng/ml  Elevated but not diagnostic of acute myocardial injury and rarely may occur in non-cardiac conditions

0.50 ng/ml and greater  Myocardial Infarction

TEST NAME

TSH

See:  TSH Sensitive

POWERCHART NAME

TSH (THYYOID STIMULATING HORMONE)

MERCY TEST NAME

TSH SENSITIVE

MERCY LAB CODE

TSH

Stable 8 hours at room temperature.  Stable 48 hours refrigerated.  Freeze if testing is not completed within 48 hours of collection.

Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 24 hours of collection.

6 years old to Adult:       0.30 - 5.00 mcIu/ml
1 year old to 5 year old:  0.30 - 6.00 mcIu/ml
> 1 year old:                 0.30 - 6.30 mcIu/ml

TEST NAME

TYPE & CROSS

See:  Crossmatch

POWERCHART NAME

TYPE AND SCREEN

MERCY TEST NAME

TYPE AND SCRN     

MERCY LAB CODE

TYSC

ABO Group/RH Type and Antibody Screen.
Please note:  NO units will be crossmatched.

Type and Screen is included in:  Crossmatch.

One 6 ml pink top tube. 

A (check mark) must be put by the Medical Record number on the tubes drawn for a Type and Screen by the person drawing the specimen.  Date, time, and initials of the individual collecting the specimen must be on the tube.

If a type and screen specimen is subsequently used for a crossmatch order, the crossmatch expiration is 3 days following the day the type and screen specimen was collected.

86900 ABO+
86901 RH+
86850 Antibdy Sc

TEST NAME

TZANCK SMEAR

See: Cytology Section Tzanck Smear