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/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/name-98187-en.cckm

201708230

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UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Hospital-wide

IP - Cerebral Spinal Fluid Lab Tests [1283]

IP - Cerebral Spinal Fluid Lab Tests [1283] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - Cerebral Spinal Fluid Lab Tests [1283]
Ventricular Fluid Labs
Ventricular Shunt Fluid Tests [151460]
Cell Count, Ventricular Fluid [HCCFCC] ONCE, Starting today For 1 Occurrences, Routine,
Please indicate if specimen source is CSF, lumbar
puncture, or ventricular shunt fluid.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Glucose, Ventricular Fluid [GM2740] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Protein, Ventricular Fluid [GM2745] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Culture, Ventricular Fluid, AER/ANA with Gram
Stain [GM4210]
ONCE, Starting today For 1 Occurrences, Routine,
For UWHC Only: Culture for Propionibacterium for
ventricular and shunt fluid only. For LP specimens
order Culture, CSF with Gram stain.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CSF Labs
Laboratory [16682]
CELL COUNT, CSF [HCCFCC] ONCE, Starting today For 1 Occurrences, Routine,
Please indicate if specimen source is CSF, lumbar
puncture, or ventricular shunt fluid.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CULTURE, CSF, AER WITH GRAM STAIN
[HCSFC]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CULTURE, CSF, AER/ANA WITH GRAM STAIN
[GM4210]
ONCE, Starting today For 1 Occurrences, Routine,
For UWHC Only: Culture for Propionibacterium for
ventricular and shunt fluid only. For LP specimens
order Culture, CSF with Gram stain.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
GLUCOSE, CSF [GM2740] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PROTEIN, CSF [GM2745] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
ANGIOTENSIN CONVERT ENZYME,CSF
[HCCFANGI]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Page 1 of 3
Printed by BENNETT, SARA J [SJB008] at 8/18/2017 9:14:41 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2017CCKM@uwhealth.org

CMV QUALITATIVE BY PCR,SPINAL FLUID
[HCCMVCF]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CRYPTOCOCCAL AG WITH TITRATION IF
POSITIVE [CRAG]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
EBV QUALITATIVE BY PCR, CSF [HCCFEBV] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
ENTEROVIRUS, QUALITATIVE, PCR, CSF
[HCCFEVPCR]
NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
LACTATE, CSF [HCCFLACT] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
LD, TOTAL, CSF [GM2750] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
LEUKEMIA/LYMPHOMA SCREEN, CSF
[HCCFLLREV]
ONCE For 1 Occurrences, Routine, Nucleated cell
count, red blood cell count and differential with
morphology analysis from patients with known or
suspected leukemia or lymphoma only.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
LYME, CSF [HCLYMCSF] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PYRUVIC ACID, CSF [HCPYRCSF] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
STREP PNEUMONIAE AG, CSF [HCCFSPAG] ONCE, Starting today For 1 Occurrences, Routine, A
CSF bacterial culture must be ordered prior to or in
conjunction with this test.
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
VDRL, CSF [CFVDRL] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
WEST NILE AB, IGG, CSF [HCWNVGCF] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
WEST NILE AB, IGM, CSF [HCWNVMCF] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Page 2 of 3
Printed by BENNETT, SARA J [SJB008] at 8/18/2017 9:14:41 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2017CCKM@uwhealth.org

WEST NILE AB, IGG/IGM, CSF [HCWNVCSF] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
HERPES SIMPLEX VIRUS BY PCR
[HCHSVPCR]
ONCE, Starting today For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
OLIGOCLONAL BANDS, BLOOD AND CSF
[116767]
collection.specimen should be drawn within 48 hours of CSF Serum
OLIGOCLONAL BAND PROFILE [HCOLIGO] NEXT AM For 1 Occurrences, Routine
If add on test, what should lab do if unable to add
test to previous specimen?
If Conditional, What Condition?
OLIGOCLONAL BANDS, BLOOD [HCBLOLIG] CONDITIONAL - RN COLLECT, Routine
If add on test, what should lab do if unable to add
test to previous specimen?
If Conditional, What Condition? Collect within 2
hours pre or post procedure
NMO/AQP4-IGG FACS, CSF [CFNMOFAC] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Page 3 of 3
Printed by BENNETT, SARA J [SJB008] at 8/18/2017 9:14:41 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 08/2017CCKM@uwhealth.org