50 |
Klinisk Biokemi i Norden · 4 2013
C
M
Y
CM
MY
CY
CMY
K
D Disability
Central nervous system
Lack of substrate
Toxic
Infection/inflammation
Altered potential
Circulatory problems
Structural damage
Endocrine
Glucose
Alcoholes
Osomolality
Tox-screen
ABG+lactate
Na, K, Creatinine
BUN
Osomolality
WBC
PCT, CRP, Il6 (neonates)
Liquor: leucocytes, lactate, glucose,
microscopy
Malaria test
Na, K, ionCa, Mg
Creatinine, BUN
Liver enzymes
ABG
Tox-screen
Antiepileptics (valproic acid, carbama-
zepine)
Lithium
See above
Trauma-panel (see above)
INR, aPTT (Stroke, bleed)
Liquor: erythrocytes, xantochromia,
proteins (demylinisation)
Na, K, Creatinin (Addison)
TSH, T3, T4, fT4(Myxoedema, thyreo-
toxicosis)
E Exposure
Temperature
Hyperthermia
Hypothermia
Myoglobin
Electrolytes, including creatinine
ABG
Glucose
Coagulation
Table 4.
The ABCDE of unconsiousness
A common panel in the unconscious patient inclu-
des P-glucose, ABG, lactate, coagulation, electrolytes
including ionCa, albumin and BUN, troponins and
testing for potential infection.
Trauma
A patient with trauma is essentially a patient who
might be bleeding, in potential need of transfusion
and in potential need of operation. Laboratory testing
in trauma thus is focused on the source of bleeding
(urinary dipstick), the state of coagulation (aPTT,
INR, TPK, Hb, liver-enzymes, albumin, D-Dimer,
fibrinogen, ionized calcium), on the existence of any
risk of transfusion-reaction (blood group, Coombs),
potential pregnancy (HCG) and concomitant disease
(BNP, troponin, Na, K, Creatinine, Urea, CRP/PCT)
or intoxication (ABG, local intoxication panel).
