Chemical Pathology Lab

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Overview

Bio chemical analysis of blood and body fluids is done at Chemical pathology laboratory. All routine clinical biochemistry tests, special chemistry tests and immunoassay tests are performed with fully automated bio chemistry and immunoassay analyzers.

  • Routine chemistry tests are performed daily and reports are available to collect by the relevant wards on the same day. Urgent test results and critical values are informed to the relevant wards over the phone immediately after result validation.
  • Lipid profile test is performed on Mondays and Thursdays and dates are given to clinic patients to ensure the reports are available for next clinic visit.
  • Immunoassays including hormone (thyroid profile, LH, FSH, Testosterone, cortisol, HCG), tumor markers (CA 125, CEA, PSA, Alpha feto protein), troponin I and ferritin are performed at chemical pathology laboratory.
  • Separate laboratory sections are available in Dialysis unit and OPD.
  • In dialysis unit laboratory routine biochemistry tests of patients of renal unit and clinic are performed. Apart from that certain immunoassay tests are performed in immunoassay analyzer available at dialysis unit laboratory. Facilities to perform Parathyroid hormone, Vitamin D level, vitamin B 12 levels are available.
  • Urine full report analysis is performed in OPD laboratory.
  • Night laboratory
  • Facilities to do routine bio chemistry tests are available at night laboratory. Troponin I test is performed in night laboratory using point of care testing analyzer).
  • Accuracy of test results is ensured with daily internal quality control process and participating in internationally recognized external quality assurance programs.
  • Consultant Chemical pathologist will provide opinion on line of investigations for patients with metabolic disorders, electrolyte disturbances and on analytical aspect of abnormal results.
  • Advice on patient preparation, sample collection and process of send away samples to other laboratories will be provided by chemical pathology laboratory

 

1. ROUTINE INVESTIGATIONS

Accepting from 8.00am to 2.30 pm –week days /Sundays/ PHs and 8.00 am to 10.30 am on Saturdays

Serum investigations

Tube

Special remarks

AST/SGOT

Plain tube

 

ALT/SGPT

Plain tube

 

ALP

Plain tube

 

Total Protein

Plain tube

 

Albumin

Plain tube

 

Globulin

Plain tube

 

Gamma GT

Plain tube

 

Bilirubin (Total /Direct)

Plain tube

 

Amylase

Plain tube

 

Creatinine

Plain tube

 

CK

Plain tube

 

Cholesterol (Total)

Plain tube

 

CRP

Plain tube

 

Total Calcium/corrected calcium

Plain tube

 

Ionize Calcium

Plain tube

 

Electrolytes(NA+,K+,Cl-)

Plain tube

 

Iron studies (Fe,TIBC ,% saturation)

Plain tube

 

Lithium

Plain tube

 

Magnesium

Plain tube

 

Phosphorus

Plain tube

 

Uric acid

Plain tube

 

Urea

Plain tube

 

HBA1C

EDTA tube

Need consultant signature and stamp

FBS

Sugar tube

 

PPBS

Sugar tube

Sample should be received to lab before 2.30 pm

 

2. URINE INVESTIGATIONS

Urine investigations

Container

Special remarks

Electrolytes(Na+/K+/Cl-)

Urine Bottle

 

Calcium

Acid washed tube

 

Phosphorus

Urine Bottle

 

Creatinine

Urine Bottle

 

Protein

Urine Bottle

 

Protein /Creatinine ratio (spot sample)

Urine Bottle

1st /2nd morning urine sample

Calcium/ Creatinine ratio

Urine Bottle

 

Potassium /Creatinine ratio

Urine Bottle

 

Uric acid

Urine Bottle

 

Amylase

Urine Bottle

 

 

Urine for Bence jones protein

(screening test)

Urine Bottle

 

 

Urine full report

 

Urine Bottle

 

Test done at OPD lab (Room No 15)

Urine Strip Test

(pH, specific gravity, Ketone bodies, Bilirubin, Urobilinogen, protein)

Urine bottle

Test done at OPD lab (room No 15)

 

  1. CSF for Sugar and Protein -Special tube provided by chief MLT room (Room no 5)
  2. Biochemical analysis of
    • Pleural Fluid
    • Peritoneal Fluid

 


 

SPECIAL INVESTIGATIONS

1.DATE NEED TO BE TAKEN FROM BOICHEMISTRY LAB

Investigations

Container

Special remarks

24 hrs urine creatinine clearance

Special bottle provided by lab

 

24 hrs urine Protein Excretion

Special bottle provided by lab

 

24 hrs urine Calcium Excretion

Special bottle provided by lab

 

24 hrs urine Phosphate Excretion

Special bottle provided by lab

 

24 hrs urine Sodium and Potassium Excretion

Special bottle provided by lab

 

24 hrs urine Uric acid Excretion

Special bottle provided by lab

 

24 hrs urine Magnesium Excretion

Special bottle provided by lab

 

24 hrs urine For VMA

Special bottle provided by lab

 

24 hrs urine For Metanephrine

Special bottle provided by lab

 

OGTT

Sugar tube

 

Lipid Profile

Plain tube

Need consultant signature and stamp

Cryoglobulin

 

Need consultant signature and stamp

With proper history of the patient, instructions sampling done at biochemistry lab

 

2.IMMUNO ASSAY TESTS -HORMONE TESTS ,TESTS FOR TUMOR MARKERS AND CARDIAC MARKERS (need proper request form with patient history consultant signature and stamp)

Samples accepting from 8.00am to 2.30 pm –week days / PHs and 8.00 am to 10.30 am on Saturdays .

Investigation

Tube

Special remarks

TSH/FT4/FT3

Plain tube

 

FSH

Plain tube

 

LH

Plain tube

 

Cortisol

Plain tube

Overnight fasting

9am Prolactin

Plain tube

Overnight fasting

9am Testosterone

Plain tube

Overnight fasting

PSA

Plain tube

 

CEA

Plain tube

 

AFP

Plain tube

 

CA125

Plain tube

 

Beta HCG

Plain tube

 

Serum Ferritin

Plain tube

 

Troponin I

Plain tube

Accepting as a routine test

 

3. INVESTIGATIONS DONE AT DIALYSIS UNIT

9.00 am PTH

Plain tube

Overnight fasting, Date need to be taken from biochemistry lab, Sampling done at DU lab.

9 .00am ACTH

Iced EDTA tube

Overnight fasting ,Date need to be taken from biochemistry lab, Sampling done at DU lab

Vit D level

Plain tube

Overnight fasting ,Date need to be taken from biochemistry lab, Sampling done at DU lab

Vit B12 level

Plain tube

Overnight fasting ,Date need to be taken from biochemistry lab, Sampling done at DU lab

Serum Osmolality

Plain tube

 

Urine Osmolality

Urine bottle

 

Tacrolimus level

Plain tube

 

Cyclosporine level

Plain tube

 

Gentamycin level

Plain tube

 

Vancomycin level

Plain tube

 

 

4. SEND AWAY INVESTIGATIONS

24 hrs urine For VMA

Special bottle provided by biochemistry lab

Date need to be taken from biochemistry lab, sample accepting to biochemistry lab and sending to MRI for investigation.

24 hrs urine For Metanephrine

Special bottle provided by biochemistry lab

Date need to be taken from biochemistry lab ,sample accepting to biochemistry lab and sending to MRI for investigation

Renin / Aldosterone

 

Need consultant referral

 

 

Performance

 

Staff

Chemical Pathology Lab

Investigation 2017 2016 2015
TSH  19631  16819  15091
T4  9660  8956  9346
FT3  3360  3114  3270
Prolactin  1068  1020  729
LH  783  718  373
Troponin I  9797  8442  5032
CA 125  1508  1338  1321
PSA  1593  730  690
FSH  784  690  637

 

 

 Room No. 17

 

Consultant Chemical Pathologist
Dr. Dulani Jayawardana

Biochemistry Lab

Medical Officers 2
Registrar 1
MLT 15
Lab Orderly 4
SKS 4
   

OPD Lab

 
 MLT  5
 Lab Orderly  2
 SKS  2
   

OPD Lab

 
 MLT  7
 Lab Orderly  2
 SKS 2


Milestones / Special Events

   
 

Future Goals

   
  • Capacity building of staff
  • Outreach services
   

 

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