Glendale Career College, ADN

Lab Information Sheet

Lab Test: (If not listed, Normal Date: ________ Date:_______ Date: ________ Reason for Abnormality Actions to Resolve Abnormality
write on bottom of page) Ranges Value Value Value
CBC:
WBC
RBC
HGB
HCT
RDW
MCV
MCHC
MCH
PLT
DIFF:
NEUT %
LYMPH %
MONO %
EOS %
BASO %
BMP:
NA
K
CL
CO2
BUN
CREAT
CA
GLUCOSE
ANION GAP
GFR
CMP:
ALBUMIN
PRE-ALBUMIN
T. PROTEIN
LFT:
TOTAL BILI
ALK PHOS
AST
ALT
 Glendale Career College, ADN
Lab Information Sheet

MISC:
 Glendale Career College, ADN
Lab Information Sheet

PHOS
MG
AMYLASE
LIPASE
URIC ACID
PTN (Phenytoin)
HbA1C

IRON TESTS:
IRON
TIBC
FERRITIN

COAGS:
PTT
PT
INR

LIPID PANEL:
CHOLESTEROL
HDL
LDL
TRIGLYCERIDES

UA:
COLOR
CLARITY
pH
SPECIFIC GRAVITY
PROTEIN
GLUCOSE
KETONES
NITRITES
LEUKOCYTES
BILI
WBC
RBC

CARDIAC ENZ:
 Glendale Career College, ADN
Lab Information Sheet

CK
CK-MB
TROPONIN
BNP

OTHERS:

THYROID TEST:
TSH
T3
FREE T4
PTH (parathyroid)

ABG:
pH
HCO3
PaCO2
PaO2
SaO2

CULTURES DATE RESULTS/LOCATION PRECAUTIONS ACTIONS TO RESOLVE

Blood Negative
Urine Negative
Sputum Negative
Wound(s) Negative
Stool Negative
MRSA Negative
VRE Negative
ESBL Negative
Acinetobacter Baumannii Negative
C-diff Negative