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Initial Laboratory Studies

In adults, draw approximately 40 mL of blood to fill the assorted tubes contained in a


CALS lab bag. The CALS lab bag also contains an armband with removable stickers
printed with an identifying number. Place stickers onto the contained lab tubes, urine
container, x-ray slips, and lab slips. The armband is applied to the patient and serves to
positively identify the patient for lab and x-ray services.

The individual hospital decides which tests are available and useful in its setting. Here
are some suggestions:

Pediatric
Adult Medical Adult Trauma
(small tubes)
CBC and Hct CBC and Hct CBC and Hct
WBC WBC WBC
Platelet estimate Platelet estimate Platelet estimate
PT/PTT PT/PTT PT/PTT
Electrolytes Electrolytes Electrolytes
Anion gap Anion gap Anion gap
UA UA UA
Pregnancy test Pregnancy test
(if required) (if required)
Blood glucose Blood glucose Blood glucose
Extra tubes for Extra tubes for
Blood alcohol
optional tests optional tests
Cardiac enzymes Type & cross Calcium and phosphorus
Extra tubes for
Type & cross Toxicologies
opntional tests
Digitalis level Fibrinogen Type & cross
Calcium and phosphorus Drug screen Carbon monoxide
Toxicologies Carbon monoxide

Use a glucose monitor to obtain an immediate blood glucose level. Report the results
immediately.

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