Metabolic Chemistry Panel

• New patient.
• Annual physical.
• Preoperative.

1. Patient should not eat or drink anything except water for 8 to 12 hours prior to blood sample collection.
2. Sample to lab consists of one refrigerated unopened spun barrier tube.
3. Spin sample within 45 minutes of collection; be sure barrier forms a complete separation.

Your doctor or lab may have different instructions that supersede the above.

Name of Lab	Lab Code	Estimated Cost	Processing Time	Comments
Sonora Quest	31033		1 day
Sonora Quest	35811		1 day	Also includes Complete Blood Count. Also need 5 mL lavender top tube.
Sonora Quest	31433		1 day	Also includes HDL-cholesterol

Costs cited are subject to change and may be reduced by insurance or cash discounts and increased by sample collection fees.

Glucose

Urea Nitrogen, Blood (BUN)

Creatinine

Ratio BUN/Creatinine

Uric Acid

Sodium

Potassium

Chloride

Carbon Dioxide

Anion Gap

Value >= 14 mE/L suggests metabolic acidosis.

Osmolality (calculated)

Protein, Total

Albumin

Globulin

Ratio Albumin/Globulin

Cholesterol, Total

Triglycerides

Calcium

Phosphorus

Alkaline Phosphatase

GGT (Gamma Glutamyl Transferase)

This enzyme is induced in response to a toxic load - such as excessive alcohol consumption or certain prescription medication [Myhill2018, pg 92].

ALT

AST

LDH (Lactate Dehydrogenase)

This enzyme necessary to clear lactate produced by anaerobic metabolism. According to [Myhill2018, pg 92], elevated LDH may suggest poor mitochondrial function.

Bilirubin, Total

High normal or high levels of bilirubin suggests Gilbert's Syndrome. Even a high-normal bilirubin level points to slow detox. [Myhill2018, pg 92].