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/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/name-98258-en.cckm

201606170

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UWHC,UWMF,

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

IP - Fluid Lab Tests [5349]

IP - Fluid Lab Tests [5349] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - FLUID LAB TESTS [5349]
Body Fluid Labs
Common Body Fluid Labs [24556]
CELL COUNT AND DIFFERENTIAL, BODY FLUID
[CCNT]
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?
GLUCOSE, BODY FLUID [GM2790] 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?
PROTEIN, BODY FLUID [GM2810] 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?
HEMATOCRIT, BODY FLUID [GM1840] 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, BODY FLUID WITH GRAM STAIN [HCBFC] ONCE, Starting today For 1 Occurrences, Routine, For
peritoneal, pericardial, pleural, synovial and dialysate fluids
order Culture, Body Fluid, Aer/Ana with Gram stain and use
blood culture bottles.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, BODY FLUID, AER/ANA WITH GRAM
STAIN [HCWABF]
ONCE, Starting today For 1 Occurrences, Routine, UWHC
Only: Use blood culture bottles for peritoneal, pericardial,
pleural, synovial and dialysate fluids.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, LEGIONELLA [HCLEGCU] 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?
ALBUMIN, BODY FLUID [GM2830] 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?
AMYLASE, BODY FLUID [GM2795] 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?
BILIRUBIN, TOTAL, BODY FLUID [GM2815] 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?
CREATININE, BODY FLUID [GM2797] ONCE, Starting today For 1 Occurrences, Routine
Indicate specimen source if other:
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Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 9/10/2014 4:05:22 PM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority


If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
LD, TOTAL, BODY FLUID [GM2800] 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?
CYTOLOGY, BODY FLUID [HCPATHM] ONCE, Starting today For 1 Occurrences, Routine, For any
questions please refer to U-Connect Test Directory or contact
UWHC Cytology at (608)263-3205.
Specimen Source Description:
Please indicate laterality if appropriate:
Method of Collection - Urine specimens only:
Other cytology tests not related to malignancy:
Clinical History:
Other Body Fluid Labs [24557]
BLASTOMYCES AG, BODY FLUID [HCBLSTAG] 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?
CARCINOEMBRYONIC ANTIGEN, BODY FLUID
[HCBCEA]
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?
CHOLESTEROL, BODY FLUID [GM2835] 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?
CHYLOMICRONS, BODY FLUID [HCBCHYL] 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?
CMV QUALITATIVE BY PCR, BODY FLUID
[HCCMVBF]
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?
EBV QUALITATIVE BY PCR, BODY FLUID [HCBEBV] 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?
EOSINOPHIL SMEAR, BODY FLUID [HCBSMEO] 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?
HISTOPLASMA AG, BODY FLUID [HCHISTAG] 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?
Specimen Type: Body Fluid
LYSOZYME, BODY FLUID [XLYSO] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
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Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 9/10/2014 4:05:22 PM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority


previous specimen?
If Conditional, What Condition?
Specimen Type: Body Fluid
SPECIFIC GRAVITY, BODY FLUID [HCBSG] 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?
TRIGLYCERIDE, BODY FLUID [GM2840] 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?
UREA NITROGEN, BODY FLUID [GM2827] 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?
URIC ACID, BODY FLUID [GM2820] 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?
Peritoneal Fluid Labs
Common Peritoneal Fluid Labs [24551]
CELL COUNT AND DIFFERENTIAL, PERITONEAL
FLUID [HCPECC]
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?
GLUCOSE, PERITONEAL FLUID [HCPEGLUC] 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?
PROTEIN, PERITONEAL FLUID [HCPEP] 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?
AMYLASE, PERITONEAL FLUID [HCPEAMYL] 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?
CULTURE, BODY FLUID WITH GRAM STAIN [HCBFC] ONCE, Starting today For 1 Occurrences, Routine, For
peritoneal, pericardial, pleural, synovial and dialysate fluids
order Culture, Body Fluid, Aer/Ana with Gram stain and use
blood culture bottles.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, BODY FLUID, AER/ANA WITH GRAM
STAIN [HCWABF]
ONCE, Starting today For 1 Occurrences, Routine, UWHC
Only: Use blood culture bottles for peritoneal, pericardial,
pleural, synovial and dialysate fluids.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
Page 3 of 6
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 9/10/2014 4:05:22 PM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority


If Conditional, What Condition?
CYTOLOGY, PERITONEAL FLUID [HCPATHM] ONCE, Starting today For 1 Occurrences, Routine, For any
questions please refer to U-Connect Test Directory or contact
UWHC Cytology at (608)263-3205.
Specimen Source Description:
Please indicate laterality if appropriate:
Method of Collection - Urine specimens only:
Other cytology tests not related to malignancy:
Clinical History:
ALBUMIN, PERITONEAL FLUID [HCPEALB] 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?
Other Peritoneal Fluid Labs [24552]
BILIRUBIN, TOTAL, PERITONEAL FLUID [HCPETBIL] 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?
CHOLESTEROL, PERITONEAL FLUID [HCPECHOL] 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?
CREATININE, PERITONEAL FLUID [HCPECRET] 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?
LD, TOTAL, PERITONEAL FLUID [HCPELD] 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?
TRIGLYCERIDE, PERITONEAL FLUID [HCPETRIG] 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?
UREA, PERITONEAL FLUID [HCPEUREA] 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?
Pleural Fluid Labs
Common Pleural Fluid Labs [24561]
CELL COUNT AND DIFFERENTIAL, PLEURAL FLUID
[HCPLCC]
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?
GLUCOSE, PLEURAL FLUID [HCPLGLUC] 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, PLEURAL FLUID [HCPLEUP] 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 4 of 6
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 9/10/2014 4:05:22 PM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority


CULTURE, BODY FLUID WITH GRAM STAIN [HCBFC] ONCE, Starting today For 1 Occurrences, Routine, For
peritoneal, pericardial, pleural, synovial and dialysate fluids
order Culture, Body Fluid, Aer/Ana with Gram stain and use
blood culture bottles.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, BODY FLUID, AER/ANA WITH GRAM
STAIN [HCWABF]
ONCE, Starting today For 1 Occurrences, Routine, UWHC
Only: Use blood culture bottles for peritoneal, pericardial,
pleural, synovial and dialysate fluids.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CYTOLOGY, PLEURAL FLUID [HCPATHM] ONCE, Starting today For 1 Occurrences, Routine, For any
questions please refer to U-Connect Test Directory or contact
UWHC Cytology at (608)263-3205.
Specimen Source Description:
Please indicate laterality if appropriate:
Method of Collection - Urine specimens only:
Other cytology tests not related to malignancy:
Clinical History:
LD, TOTAL, PLEURAL FLUID [HCPLLD] 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?
PH, PLEURAL FLUID [HCPLPH] 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?
Post-Op/Phase II
Other Pleural Fluid Labs [24562]
AMYLASE, PLEURAL FLUID [HCPLAMYL] 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?
BILIRUBIN, TOTAL, PLEURAL FLUID [HCPLTBIL] 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?
CHOLESTEROL, PLEURAL FLUID [HCPLCHOL] 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?
CREATININE, PLEURAL FLUID [HCPLCRET] 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?
TRIGLYCERIDE, PLEURAL FLUID [HCPLTRIG] 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?
UREA, PLEURAL FLUID [HCPLUREA] 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?
Blood Tests [129508]
Page 5 of 6
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 9/10/2014 4:05:22 PM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority


LD, TOTAL [LDH] ADD ON For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen? Add to next scheduled draw for this pt
today
If Conditional, What Condition?
Post-Op/Phase II
PROTEIN, TOTAL [TP] ADD ON For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen? Add to next scheduled draw for this pt
today
If Conditional, What Condition?
Post-Op/Phase II
Page 6 of 6
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 9/10/2014 4:05:22 PM
Copyright © 2014 University of Wisconsin Hospital and Clinics Authority