For the most accurate interpretation of chemistry test results, consideration must be
giving to the following concepts:
Pre-analytical, analytical and post-analytical factors influence test Non-disease results independently of the actual disease process(es). This section variables includes assessment of common interferences (e.g. lipemia, hemolysis, icterus) on clinical chemistry test results. Reference This section provides information on how reference intervals of intervals laboratory results are determined Grouping tests that represent organ function or disease processes Pattern (e.g. liver tests, acid-base tests) helps facilitate interpretation of the recognition array of chemistry results. This section provides detailed knowledge of clinical chemistry tests grouped by organ or disease process.
Electrolytes: Sodium, potassium, chloride
Acid-base: Bicarbonate and anion gap, acid-base disturbances Renal: Urea and creatinine Minerals: Calcium (total and ionized), phosphate, magnesium Proteins: Total protein, albumin, globulins, AG ratio, Test result ammonia, uric acid, electrophoresis interpretation Carbohydrate/lipids: Glucose, fructosamine and glycosylated hemoglobin, triglycerides, cholesterol, non- esterified fatty acids (NEFA), β-hydroxybutyrate (BHB), transition dairy cow energy metabolite assessment Liver: Enzymes (ALT, AST, SDH, GLDH, LDH, ALP, GGT), bilirubin (total, indirect, direct), bile acids, ammonia Pancreas: Amylase, lipase Muscle: AST, CK, LDH Iron: Iron, total iron binding capacity, % saturation, ferritin