By Zoanne Burgess Schnell, PhD, RN, Anne M.Van Leeuwen, MA, BS, MT(ASCP), Todd R. Kranpitz, MS, BS, NMT, ARRT
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Extra info for Laboratory and Diagnostic Test Handbook
Intratest: ➤ Direct the patient to breathe normally and to avoid unnecessary movement. ➤ Observe standard precautions and follow the general guidelines in Appendix A. Perform a venipuncture, and collect the specimen in a 5-mL red- or tiger-top tube. ➤ Label the specimen, and promptly transport it to the laboratory. Post-test: ➤ Observe venipuncture site for bleeding or hematoma formation. Apply pressure bandage. ➤ Increased ALP levels may be associated with liver disease. Dietary recommendations may be indicated and vary depending on the severity of the condition.
There are no food, fluid, or medication restrictions unless by medical direction. ➤ Review the procedure with the patient. ➤ Inform the patient that specimen collection takes approximately 5 to 10 minutes. Intratest: ➤ Direct the patient to breathe normally and to avoid unnecessary movement. ➤ Observe standard precautions and follow the general guidelines in Appendix A. Perform a venipuncture, and collect the specimen in a 5-mL red- or tiger-top tube. ➤ Label the specimen, and promptly transport it to the laboratory.
Obtain a history of the patient’s hepatobiliary and musculoskeletal system and results of previously performed tests and procedures. For related tests, refer to the hepatobil- Post-test: ➤ Observe venipuncture site for bleeding or hematoma formation. Apply pressure bandage. ➤ Evaluate test results in relation to the patient’s symptoms and other test results. Related laboratory tests include alkaline phosphatase, antimitochondrial antibody, aspartate aminotransferase, creatine kinase and isoenzymes, Jo-1 antibody, lactate dehydrogenase and isoenzymes, liver biopsy, muscle biopsy, and myoglobin.