PATIENT CARE

ROUTINE CLINICAL BIOCHEMISTRY INVESTIGATIONS

  1. FOR ENTIRE HOSPITAL

1.       Blood glucose.

2.       Serum electrolytes

3.       Lipid Profile

  1. FOR CRITICAL CARE

1.       Blood glucose

2.       Serum electrolytes

3.       Lipid profile

4.       Liver function tests (LFT)

5.       Renal Function tests (RFT)

6.       Serum calcium

7.       Serum inorganic phosphorus

8.       Serum uric acid

9.       Serum amylase

10.   Serum lactate dehydrogenase (LDH)

11.   Blood ammonia

12.   Ascitic  and pleural fluid analysis for sugar proteins, cholesterol and    triglycerides.

13.   Urine biochemistry

 DETAILS OF ROUTINE CLINICAL INVESTIGATIONS AND THE WORKLOAD

 1.     Blood glucose                                                300-350 tests/day

2.     Serum Electrolytes                                        250-300 tests/day

3.      Lipid profile

        i)   Cholesterol                                                25-35 tests/day

       ii)   Triglycerides                                              25-35 tests/day

      iii)   HDL cholesterol                                        5-10 tests/day     

      iv)   VLDL cholesterol                                      5-10 tests/day     

      V)   LDL cholesterol                               5-10 tests/day

 4.    Liver function tests(LFT)

       i)  Total Billirubin                                              70-90 tests/day

      ii)  Direct Billirubin                                            70-90 tests/day

      iii)  Aspartate transaminase (AST)                 70-90 tests/day                                                   

     iv)  Aspartate transaminase (ALT)                  70-90 tests/day

 5.  Renal function tests (RFT)

i)   Blood urea nitrogen                                     80-100 tests/day

ii)  Serum creatinine                                          80-100 tests/day

6.    Serum calcium                                                20-25 tests/day

7.    Serum inorganic phosphorus                         20-25 tests/day

8.    Serum uric acid                                               20-25 tests/day

9.    Serum amylase                                               3-5 tests/day

10.  Serum lactate dehydrogenase(LDH)            5-10 tests/day

11.  Blood Ammonia                                               10-15 tests/week

12.  Ascitic and pleural fluid analysis                    5-7 tests/day

13.  Urine biochemistry                                         5-7 tests/day

 

SPECIAL CLINICAL BIOCHEMISTRY INVESTIGATIONS FOR HOSPITAL

1. Protein Electrophoresis                                     5-10 tests/week

2. Stone analysis                                                   3-5 tests/week

3. Urine Myoglobin                                                 1-2 tests/week

4. Urinary VMA                                                      2-3 tests/week

5. Urine and stool porphobilinogen and                1-2 tests/week

      coporhyrins

6. Serum prostate specific antigen                       5-10 test/week

    (PSA)

7  Methemoglobin                                                   1-2 tests/week

8. Serum magnesium

9. Blood and CSF lactate and pyruvate                1-2 tests/week

10. Serum and urine amino acidogram                3-5 tests/week

11.Therapeuctic drug monitoring (TDM)              3-5 test/week

      for anticonvulsant drugs

i)                Phenobarbitone

ii)              Phenytoin

iii)             Carbamazepine

iv)            Valproic acid

12. Prenatal and postnatal screening 2-3 tests/week & confirmatotry tests for inborn errors of carbohydrate and protein metabolism