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FORl'fULi\R DE·C'ERE,RE PENT'RlT DUBLU' TE:,SIT - ,SCREE.NTN'G ICiO~IBrNAT IN :S--],·N-::.'D···'R-··>·Q/>1i -. U'L D~-""IIO-'!tl,~T.". _. TI"RI{I S:-:,IO-'··JrV1.·",.", l . ....·}iIi' ,,_' TI·RII,.I ·,,~·sc:<'T··~R·'···UL- - I , (sapt 11-1' 2~·...1~"")"··' I\" '\~l ..Ii ~ 'S~·,'I '""'::. ··.·._... l.,Afl·A·:·:···· l~LI!.~:· ," " .._.'.-.' ..
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T~PIURID·E VACUETTE
Hernoleucoqrarna,
vacuetta
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•' VS.H ,_ vacuetta neaqra (cu anticoagulant citrat de sodiu). •. Te':ste de coaqulare si fibrinogen - vacuetta albastra (cu
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• Probele de g:lic:emie a.jeun sii hiperqlicernie provocata __ .vacuetta
t" t i hibit grl.. ('" anticoaquiant t..mru onor 9' I·' II·t·· nuorura .. .cu .le·OII f'l me
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M,ateria'l: 110 ml din urina de 24h" acidiflata la ph -c 3 cu HC1Icon'C e'ntrat (:25%1,. C"U precizarea
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quinidlna,
blocante,
Am'prenta anala
Recoltarea se efectueaza
bagheta
10'
Modul ,de re,colt:afr'~: Cu portiunea din bagheta lnfasurata cu banda lipicioasa la exterior se
badijoneaza bine zona perianala [fesele desfacandusc foarte bine leu mana) ..Se int -oduce
s:'"-' atinae c , m ana' zen cl-'~ d~ reco-"111,-,, bagheta se lntrod uce II tr e' Ita .,,:_mh~l.J iin'" ' "~,,,,,,,IU '~, ,.!I ,'-''_
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imerseaza prcdusul de avort sau un fragment din acesta intr-o solutle de ser fizlologtc
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heparinat (:1'0 0ml ser flzlologic s' 1-,2 rnl heparina], intr-un recipient steril, cu capac inchis
e, rnetlc, Nu se pastreaza la temperatur' extreme]
Catec"Qrlamine plasrnatlce
512' ': ozeaza adrenallna, noradrenallna tensiunf arteriale infiuenteaza si dopamina. Pacientul este invitat a un repaus de minimum 15, minute, eventual in pozftie orizcntala, i, ainte de recoltare. Modlficlar~lle'
rezultatull
Catec'olamine urlnare
101
eprubeta
indica volumu de ur:j:nl,a/2,4hJ greutatea si inlailtim1el(l pacientulul. Co lecta rea, urinii in decors
Idle'24h se efectlu!elaza astfel: prima urina
dupa 'care' se colerteaza intr-un recipient curat planat i ~i dlmineata zile'i urrnatoare _, inclusiv prima urina ~~5 e'
1
de dirnlneata
Recoltarea salivei sle facie p -in scuipare sau recoltare Petri sau urocultor]
sau
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administrate
Mate'rla.l:: SOllml de urina recoltata in 24h~ DIUPld prima urlna 'eccltata se· adauga
10,mJdie acid
clorhldrtc concentrat ·n reclplentul co ector, Proba trebuie insotita Ide. volurnui die urina din
24h,. CU' 8 zile lnainte si i:n ttmpul colectanl, trebuie oprita medlcatia cu a pha-rnetildopa.
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p,roteja rt d e lum a c u ind lest a' volumu lui d .: nin . II ct -.. 4 ~· ~ bul urma coree at m 2" h R .... zan. ~·et~p'~e.nturn care se coreet eaza urma t.renuie pro'tei r e-at dl e ~ . rurnma pie
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urina colectat in 2,41" Recipientul n care se colecteaza urina trebuie protejat de lumina pe
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Atent'iel Un pacient care solicita uroporfirine (de exemplu] trebuie sa achite tot pachetul P letacare efect .e denurrnta- porfmne unnare dif erentrate. .. ~ . " intrucat anauza cornpreta care se e ie'c) ueaza este d ot -_ .' t
Of
Nu se poate solicita
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Porfirine erttrocltare
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Materi'ali:: 20lml din uri.nal/24h intr-un recipient protejat Ide tumina leu indicatla volumu u i de urina colectat 'in 2,4hl" Rle'lcipi'le'ntul ln care 5ie colecteaza urina trebuie
,I -"I" . tate ~", .", -,;",,_-:-"'- "lm. lp' " -,' '--I Ilae e:- e"" -'. lelrJI ,lec,a ,._ "",,1.,1 M'- a 't··elrllJC) ~ 2~ 3· .0'-'" ·,t·-"·-II. d'.. mlarte ","fe. '. ,- ,-'·1 e-,' 'r'-"e-''''o'' e ,In re'lc,lplle.nl t :5),1, I--" r U pllen rt ru
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Aslstenta ,:~ recoltare recornanda pacientulul un regim alirnerrtar strict, practicat timp de 2e 3,zile, inalnte
1
160 gl,z~l"carne (2 0 0 glzi:). Du,p,a aceasta pregatire, pacientul recolteaza proba (5 -1 0 g rnaterii feca Jelr.' Intr-u n coproreco ltor ~i '0 ad u ce la ta borator.
1 1 1
de' catr'e rnedlcul care, recornands analiza sau d'e catre personalul depa rta rnentulu idle re'ICD lta re all, labo ratoru lui s,a nul im'lteze ingesti a die Iich id lei in interva ~ ~ u de tirnp in care eclecteaza urina. Cclectarea se face intr-un recipient curat, notlnd exact cantitatea totala die uri;nal emisa, Se ornogenizeaza si se aduce la laborator ,0 cantltate de 3 0 - .so rnl din urina coleetata, preciztnd V10I~UI- ul s~ti m pu I in c.a 'e s,-a facut cclectarea .. Metolda , clasica utilizeaza ca intervale de colectare .24 de ore si 12 ore"
Pacientul este lnstrutt
1
departamentului de recoltare ali taboratorulut sa recolteze respectand urrnatoarele .. t .. r'· .'.... "', II /: nstructtunl: " d pa gourea vezicu ur nare pacientut ~ b ..... bea 2'5' 0 rru ap'al,~,' ceai d upa carle" ., .. ~ In
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urina intr-un reclpient. Se mascara cantitatea de urlna, se noteaza volurnul si ,s,e aduce la laborator un recipient IC'U. aproxtmatlv 2'O-5,0m~dj,e urlna,
urrnatoarele
1
0 fie), co Iecteaza
rnodiflca tensiunea arteriala [zgomot, stress, sch irnbarea pozitiet, etc.]. S'e recolteaza 0 eprubeta de sange EDITA 51 se' trrmlte imediat lea laborator ..
dorsal, fara facton care
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i
efectueaza
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aleator
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in cu rs de eva IIu a re, la gravi d e I,e' cu rise d e did: bet gestation al~ (fat macrosorn, antecedents farniliale, test de screening pozitiv ICiU SlOg gluccza).
obligatoriu dirnineata, pie nernincate
Se recolteaza
glucozei, se recornanda
efectuarea
unui glucotest
in
lnformat de faptul ca valoarea giicernlei este putin mal mare I -II It lin "In $1 ngeie ca pi1ra r d e'IC[ r '" ce I"ven- OS" c
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1
pe nemincate, d:U1P,CI un post alirnentar Ide 12 ore si repaus flzk. lnainte de adrninistrarea ,g ucozei, se recomanda efectuarea unui glucotest 'in single capilar. Pacientul trebuie informat d,e faptul ca valoarea glicemiei este putin rnai mare in singele capilar declt in eel' venos.
obligatoriu dirnlneata,
Pacienta este instruita sa consume solutia cu SOg de gl '.. oza ill maximum 3 minute, de c
prefcrinta sub supravegherea personalu ul medical. Pacienta va ra m ine in inclnta clinicil, in repaus flzic, fara sa consume aliments sau licbide s~
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ora de la administrarea
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R 11 ~ 03
Av\elrtisme.nt Uti.l:i,z,a rea reproeueerea cernpleta sau p"~u1Ia~a pn3',zentej dccum[~ntaJtij tsra aeerdul sens aJ SynliJ'b .Iab a seN·ices Qonrsittue 0 ~,"~lrJ.lare drelp,turilor ·de auto'r s,i via fi s and'ionat~.cf.iill1ffu.rm le,g~$hla~ne'i a .i.n~ji·go.are _
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R 111- 0·3
Aweftis m eln!"::Ut~1 iZllf'SS. re,plr·cd ucerea ecnilp leta. S:3U PQrt:iia~aa prezsnte i de eume ntatii fa ra acordu I scris al 5 yn lab lab seNlo,e'S. eonshtue 0 v'~o~ar'e dr'e_ptuiHQ'r' die .autOlf s:m ~a fl sand~o,n.ata conform ~~9i'hJ'Ue'i vi'goar-e . a in
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d ;".;~ ~" tzatec are C oncnn· s'tane a rd' .. t d e recoi ~t a, smgeun venos: d "t~ - respectarea intervalului Ide recoltare (Za.rn- 110a~m_) - perioada de post die '112ore (minim 4, ore) ....peric :'a'd':' . a'''''''' e" le-,1;0":-:' rt fiz d red us" ~ de':,:.l' 2"':· rO"'lr-le"" - .3 0 minute de repaus fizic tnatnte de recoltare
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EG·:··.-"·A,,"',TlrR'·'EA'- P':'A', C'~I'E' ....TIULUIP·R,.', Este foarte important ca pacientului Si,8 i se expliee procedure la care Via f supus sl ea se obtina intreaqa lui cornplianta. Recoltarea probelor se face, in statusul bazal al oaclentului (dimineata dev erne, dupa ce s-a trezit si pe nemancate''a jleun!ll~I/'~'fastin~g'~) - IN'TR'EBATI' IN'TOTDEAUA
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Vacutainer coaqulare 74. EtiehetazBarcod 81, Forrnularul Ide lnsotlre al pacientului Probele Ide sanqe sunt recoltate C'U slstemul vacutainer. lnaintea recoltarii sanqelui.desfaceti acul prin rasuclrea capacului sii'g~'lat,
e·
lnlaturati capacul.in asa fe,' incat sa nu inlaturati partea frontata a acestuia. Asamblati 18,CIUI Ja holder. Toate tuburile pot fi acum urnp ute unul dupa altul ln concordanta lnstructiumle de mal jos.
cu
a..Aplicati un ga,rou pe antebratul pacientulul s,i'lntepati pielea din plica cotulul, ajutandu-va de Ideget. f mare. si indexul malnf drepte
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~ I, t rnai "b4~ '::; t pozitia b lnversat i ooziti rnam IIf or cat mai curancd- P10ISi-lh d upa ce acut~ a penetrat t vena. Ap'1asvati vacutainerul cu degletul mare a~ manii drepte.indexol s·i degetele mij~ocii
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Susf
na nd u-II.
R 11 - 0,3
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Sanqele este arras de vacumul dln vacutainer si curqe in tub CIU viteza proprie. dlr j,.' t . t liberati gla.rou.1 1:.""Jnuru:~ btl' UII paciernuun ~ . ~ d"la'. ,ce sanqete ~ a aparut t rn vacutamer aratu ~ irnec t E~·b ajutandu-va cu mana stanq a sustinand in continuare holderul
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R 11 - 03
Avertis,me:nt UtU:~zareBl~ trlt=tplrcdulcerle'il eompletr.a SSy palrti:a~a a, pre'Z!ente~ d1o,CjUlmenta~iii'f~ra a,oeln~ul ~V~f~S. S~~n:~a,b ,al lab servlees censntue 0 vlilciar-e a dre,ptu:rno.'r die ,autor s'i 'ita, fi sand,l.on,(9'ta conform ~leQnsiat~ejin v~gola:rel.
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f. Daca sle recolteaza rnai rnult de urn vacutainer.inserati pasii descrisi m la~""l; S:'U'S' "('':8' :'-e'.1 ')
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Ayertisment U'Ultzar[e[a~ re.'p.:r'r'JdllOetrl~',e COlm:p,~et;,sau p~8Ilrtila'la a, prezentei d~'Cl.J;ml~ntatit: fara accrrdu~ scos a~ S',1"nlab ~,ab services eonsllue 0 ,do are a drep,llurjlar de iluuor si va m sancticnata cenjorm ~egr5,I,a:tie'i in 'ulg:aar:e .
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R 11 - 03
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FA,RJNIG~AN
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Pac ie ntul p·il·e·',.·,ga . ...... ,',';IJ .... ~~I~b'I'~ ent u reco t'a~' r' int r-u n p"'0' .. st de m lnimum 4 ore Q:; f~r'a"" ..... ln prea p " .' ~.'_·>Il.·"J t'~I·tl Ip '-"'f' e·., t 'u·aJ[. toaletei . buea le se,:",a~§,eaza pile ·s··ca:-·· U[~I",d"e recolta,IlL re c·-'u capul f'll ····t··· tt ple_I" s-:P"s' ... ~![I ..:" , ):, ., '.~,:.'.-,. In:" ,-') .-~I." .., '.' ue c:~ e ·.c '."·-e,-·'a· Ill:·.t_._.I~I:[¥~ t,~ .. -.',U ,'., .. L '-"I,e'CI,al In fata unei surse Ide ilurninat. Asistenta medicala desflleteaza dopul tarnponului steril ~ pentru recoltarea exsudatului, ruplnd etieheta care atesta sterilitatea aeestuia, Invita .. t .... ".... d = b .~ ........ t· teri pacientu [I sal;diescrh -d.... • toa .ar[g g:'ura" respmno a dl Inc, apasa"'" b naza I-rnnn ,CUI un apasator sten r'" '..... e unl'l,ca, d fo~osliin~a §i are a stfe I aeces la peretele posterior a~ farinqelui, la amigdale ~i pilieri, pe care le §Itergl,e prin mi§cari de retire, lnsistlnd asupra zonelor eritematoase, purulente, cu false membrane. Reitr[agle .a,p[oli: [C;'U grija tarnponul, pentru a nu-l contamlna cu flora rnicrobiana din cavitatea bucata ~,iill introduce in t -I b.. ,
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Pac 1[I·e· este instruit ·n·,·,tIU~ de catre medicut care ". recomanda ananza·· sau dle·····catre .. persona ul departarnentului die recoltare al Iabcratoruluj sa limiteze in[gestia de lichide :-·, '.., . inte a,~ d- 2"'4" '- ... OOld '.'-.' . ".." ..:·_·1·-:. I' .-. C-:"8" Iln.r-un P eln:.t·.rIU un, I I_ .. "rv:'- ~ 'Ie .- ." .. '..·e· o'"r'e- tlrn Pi In.-·, r'e::'colect -Ic·;elaza~ t·-·· .J.'~' unn,a j.-·t·· . nelCllpllelnnt cur[a~ t , ... ·,t,A. d exact ... mtltate ~··1···2'-··- -.'. ,. m ," 1"1'2 ... notrno e,XB';· can [II':.iea tot a"II'''''''d'" unna errnsa In pnrneie ./ ore §,I:, ....., urma .... oareie 1. ore. S"" 1011 a oe .•. '.·,e ad UC~ 'e" apol va s':.··:1 la 1a'b ora.__1 to"r pe ntrI., 'U '.,........ 'I~I'n:'are Re CO" ··11 are.. . p.-" a' f reo ·':,1·,-jtr=·-n·S" "a' ~'...... 1·'In'' "N' al ul [ ( .... ·[~t·: ·'.1 I.I(a ..o rte s , •. '. exam i-Ii.' la un 1 te" - msa, preciza tI Ia ~ b t ~ t orai~d eo' ' 2" ore, f' t care t.re botne ~ t .... rap ta eorator.
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a, PENTRU COPROCUL T'URA: Pacientul eete instruit SJ[EI, d[e'~ece lntr-un container die unica utilizare din material plastic $,~isa, preleve din rnasa feealoida cu ~in!guri:l:a coprorecolto ului, minimum 3-5 c'm3, viztnd portiunile 1m··C'.. 'C"'e'-, h .~ '." s!lau s"a'lng"v'inole nt'.-:. IC~. . ,. ,aC":"~li tea ex~s, ,a!, a,p:o-·· sia"'.; ..u··'oa""'8 "" lichide...: .,'. : . ~.. I I... _ '- ~ ~J :. ! __.... len I e ~ cind .., .8S· lela ·-··,:-·:~·,.'_rt,..,,·:: '_I.J ....' inchid,a etans recipien u! C,IU capac §,~ sa-l transporte la laborator tntr-un interval de maximum 2 ore de I,a,prelevare, Daca acest lueru nu este poslbi ~paeientul re,fri;~gerea,za proba maximum 24 de ore sau, mai bine, foloseste pentru prelevare un coprorecoltor ce contine rnedlu de trans iort Cary-Blair, care as,ig'ura conservarea la temperatura rnediului arnbiant plna la 7' zlle.
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Pacientul p'-:rel~e'v!a din rnasa fecaloida ,P""orti,lunHe ca Ie contin p",a:raz·ti:j vizibil'i cu ochlul liber §i transporta proba prelevata lntr-un borcan curat la, laborator,
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Uti'~izalrela" reprlo{.i:Ir.Jlcere[ai, com,pi~e1asau parnala [a, prez.le'rn:t,e~d,oeumle:nt[ahi far-B. a,Qcrdul :SIF:'riS, SY1l1~ab~ab al SSnl'lioe5 'OfUl!ritjtue 0 vhJ~an! a dr[ept,urjk~,r de autersi va ~i'sanetlenata conf~rrn ~Ie.'gis~atfe:~ viggs:re . in
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b~31' pile nt rUI depistarea oualor de Enterobius vermcutens: 5 e toloseste metoda Ide recoltare Hall sau a arnprentei anale: pacientul este instruit sa confectioneze 0 lamela de celofan cu dtmensiunile die 2J2e,m,: C'U carle sa inve,fj,e,9sca un capat a1 unei baqhete d'e' sticla cu dlarnetrut de aproxirnativ O,5c,m'~le'g'indl cu 0 ata folia die celofan tn iuru' baqhetei. C,Ui acest capat al ba'ghe e,I se "tergl pliur: e anale, apoi proba sle introduce tntr-c eprubeta curata Srle aduce Ira tabcrator pentru exarninare. Daca metoda nu e user de apficat, pacientul poate f instrult sa recolteze din scaunul de idiminle'ata, din portiunea inltiala (partes care' sterqe pliurile anale).
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Pa 1e'"In"u E ie'" te i.n~·"s-::t'· it C'~:'U 2' z·.11. '. nra ln'_ e',' d" rec .. olta :':'a·> rn a t· e'"rii t s r:u i11e ,', __ fe Ir'"~']e' s a~' n u C' .' .ons U'rn ' _ ~.~ " .. ~ carne ~i velgeta~e pentru a evita un rezultat tats pozitlv, Recolteaza proba (5-10Ig materii fecale) tntr-un ooprorecoltor ,:i 0 aduce la lsborator.
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Ave'rtis!mlenrt: Ut~Iizarea, reprod uce rea corn p[lfe~ta U pia rtlala a p rezen b!~documentat~l fara .acnrd!u I scns a I S fn ~,a'b sa lab services censntue ,QI v~o~alr[e d:re'ptur"]Cllrde autor si V7;!j fl sa.ndlonata eonterrn ~e\g:j15:~abe[on \1'ilgo!'area
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di 31 ml sotutie : Manoraplid L[a ~ t rarea $1. ~" n iesrrea c ~nS2IfI0 n" ". de ~m . mainte '. e i b aracarea SI- dlupa antise otica dezbracarea uniforrnelor s,i/sau : piletoata Poly'~ Alcohc: ha~aJt,e;l.or die protectie, cost. Time, : S up rafata Hance de f' ~It'r"'u" In a: int e'-' e:~ d up··,a rnainilor, Antisepticurn "-'n" 's~[lor":'ie' I¥.·re , ~~t[en,ica h' ':,.I[a,l_,ere,ama " U,-'II!i-' " . If "f""oa··' 5C"0'" ate _,' ,~~. dl calor 6pasf~, 1f1 gr:IJlre rnec lea Ia, '" 19l,enl:,ca~ consu t~allmentatie etc aco 'data pana la pacientului si mtre proced ,-ri I: a, patrunderea 'I' lit cornpleta ,a aceiasi pacient, reconarea t -I'" pro d use 1or pl.ailollolg~ce SI" a so Iuf elf " sanqelui pentru in:'vesti[g,ati:iile die la.•sorator, i:njectiI,~ aspirarea se'C' .re·'tl-I ~:I'-'., tra,h-' ea t, ' 'I [a.' bord.' ilor. .''. _" le .'._ '_.,'-' . . . venos, rnanevrari la n[ve~u,1 : cateterelor, schirnbarea , pansamie,· rtului, adrninistrarea i de solutii, curatenie etc:" . Dupa .scoaterea mastil suflarea nasului. . ~t ~ I Se inc :,hil·d···.· e.·· . La mceperea Sli."le m~nlarle,a Apa si ~" : prlorgra,mu~ul. sapun i robinetul cu i servetelul lichid. In cazul contaminarii evidente f1 ~ cu .sang e'" I'J,II'C-:'h- td' e'-" 'rga"n1c'-I e f i I O'IIOlSllt~ Pe toata : SIU pratat a secretii, excretil malnilor, lnalnte s·:idupa folosirea toaletei Inainte de rnasa. "tehnica , celor 16 pasl" : S[e usuca cu servetel de unica ] fo loslnta.
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: curatarea si lndepartarea : prod uselor bioloq ice : I .,... oe i colectarea : I" enjener d corp 5,1' pat .. deseurilor.curatenia : zilnica sl dezinfectia cicliea i · termlnala._ etc, .. I, .. II _ : Abord vascular, recoltare : anurnitor produse pato~og~ce" ~. II Vi: ueerea v.j~L,·W.·.· rul U"I introd cate te i '._ inar.f tul pacien unnar, egumlen.u oaci t UI',UI"I · 'II~ d f it t cu SO IIU'til ce connnurtate ; n·"'QI . riIJ'I~ri a~ o( ·r·ld":·1 a·:·t· pl a·.··:·g' :11'; (d I c· . nu sunt ofectuate prin intermedlul lnstrumentarui
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e"·", I:u; ~n--·"t: u b reo ..', n' · intrcducerea/scoaterea cateterelor, recoltarea unlor : 0 - , .. 8'(1 · ''-',. i produse patoloqice, la :CI...'h"..ISle ,.' I· m t rare · _-"'a","- ~:a··· ,. ,O··:·Br. nlle·--·e·-·· lin': ii P _ ." "'~e'"seta er ····ro : pacientilor izo!latii,.sala Ide : e tecisle opera.t" t ~eetc. '<llse re R~ d expunere Ia sange, 1lichide orqanice, secretii, excreti ~ ..
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. Prccesul die " i In s,e'rv~e~u: ~ spalare trebuie sa : alba actiune : Se schimba lmedtat dupa contarninare, se dezinfeetanta fizica ; dezinfecteaza maini e~ S~ chimica~ detergenti profesiona ~i. Transplant : unlforrne sterile .. Aceleasi recomandan pentn lenjer'ie" carnpurl etc. ,SI[e dezlnfecteaza DIu a indepartarea rnainile la intrarea in halatului evita salon, contam inarea ,S[e irnbraca halatul :S,U p rafete 10 r ,. . ale rug In osa, p roteeto r. transferu ~ > La iesirea din salon se bacteriilor la aili Acin etobacter, pacienti ., V!RE'idiaree etc). scoate h,a.latul sl sle dezlnfecteaza rnainile. La intrarea in Deztntectla ig:ienic.a a Nu :se'intra in b~O,IIC~u-~opera .' t':IO':"I~ rnainllor la intrarea sl ~ .... I;. '. .. ~ • blccul operator in halate/ lesirea din blocul operator ., uniforme die spital. Costurnele de filtru si . Nu se paraseste papucn se i blocut operator in . . i C,OS, t urne s papuci Irnbracarincalta la intrare s~i e dezbraca s idle filtru /descalta la iesirea din blocu I operator. In tlmpul proqrarnului,
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Ech iparnentu I, b reu tiliI'Z,a,or"'II ee h
feloseste dupa ce a fo st ste rilizat. Echipamentul de unica fotosmta nu se refoloseete. Reclplentele se transporta pe carucioare S peciale . . . .'. .. ~I ".. . '.
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lUi Iiz'Lare,ij ~epnJ~u c:e:r,e,8Jcorm pl~~1a sa u pa:rt~,a a plr,e'ze nt~'fI dceums nbil.'fii fi8 r~ aaord:u ~sens a I S;yn ~ab~ b la a $Ier~~i,ee'~ e,~ns,'Utue 0 vi,o,~,a a d m:phJIilor de auter s,i ~a fi sanction ala aOQf1ifo rm ~~g~:s;,~t~e'~ ~!~'IQ~o,a-r'e re a [rn "
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R '11 - 03
Ave;rtism!enl:
viIl':tQ'iJ,fiel :~
_
Utnltzarela,. ~e:p.[n:iM:juce~e'a comp~ets sau pf;a[lrUa~,a a p,r,eZSIilM·i ·doeum,ernta:t~r: fara ,;fu:a:n:!:uJ; seris S}ynl,ab Jab services eonslitue o ~~i-Ol~;:lie a dmpl~'Urijh:rrde autor s,li va fi' &anci:i,onal'a CQnfalm1 ~eig'i:$~atlei ~n
,~IJ.I
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A¥e~r1jslment:' UUII[zare.\a,~ r[e~:rroduoe!m\a [~lmp,le~,a S,iau partiala a ~p.'rezelr1l~e;i dOltumlertta:Ur tar~ ajcQin'du~ serls al Sj,n~lab ~abse rw ices, cDnstitue' 0 1iilifCiJ~lare dreptunlar de auter sm va fi Gncf~[or.natacon~ljiml ~eg~s~'atilli~ ;8, I:n
V'igrOiiUe.
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1. Pacientul preg,atit ln prealabil pentru recolta printr-un post Idle minimum ·4 ore, §.~ fa,ra efectuarea toaletei bucale,
Sre
spate y tin fata unel surse Ide llumlnat, ~J " 2. Asistenta exsudatulul, rnedicala desfileteaza dopul
tarnponului
steril
penr1:ru recoltarea
s,a
unica toloslnta .§,i are asttel acces la peretele posterior al farinqelui, fa alm'igd:ate ~i pi'~ieri~ care lie ~tergle prin rniscari de' retire, insistlnd asupra zonelor eriternatoase, pre
purulente, cu false membrane, 3" Re'trag[e apoi cu 'grfja tamponul, pentru a nu-l contamina cavltatea bucala ~,~ in'trcducle in tub. i~ 4. Tubul
S,S C1U
eticheteaza corespunzator,
nume, ti'p 'Pl '-Ieleiv.at, Jocu:1
C'U
p. _,'_'.
-' 1,·-11 -~,Ii. " " '- d,.:· O····PI II tubului 2-·~.Asiste nta rnied lea ~a-de'-: sfiletea··z::·'a·~:-·u~,., ',I·.
.- .'II-!II.,.·
I
-.
Wi
j-'
t"'Q I, ~
8_
.-
§,f
SI,a,IU~
la
pacientii c,u secretie redusa, in arnbele n~ariale pacientulul pie [0 distanta de 1-2Ic:m'
(presarea usoara stirnuleaza secretia nazata).
31~ ~ter:gie prin mi§!lcari de retire rnucoasa nazala, retrage apoi tarnponul §,i-.r reintroduce
in tub, 4. Tubul
SIB
etichetea,z,a, corespunzator.
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10"3-:
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A,Ye'rfsm·ent Ut~nz,ar~a'f 'ep:roducere~, compl~letasau pfart~a,~a ptrlezentIi'i dlorCum~entamfara aconJ!J~seris a,~ r a S,~n~ab services COl'llstitue 0: v,!olare a dreWJt.u]'"i~o,r e auter sm '~a fi 5c8Jnc,thJnm.€j [confQ~ le!g'~5~;rti[ei ~ab d tn
v.ig,clL!affie _
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RECOLTAREA URINII
PENT'R,U UROCUL,TURA: 1., Se recomanda prelevarea
prirnei urlrn matinale
1
m~,ct.L, anterloara. 1n volurn aproxirnativ de 2 0 rnl, Tn recipient steril, tnvelit in foHe nea protectoare
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2., piacientul este instruit sa'-'9,i facB toaleta zonei gen~to-uri,n,are ~i perineale
sapun, apol
,C'U
apl,a
§,i
sa usuce
ClU:
un prosop
fata spre
spate.
3., Sire desflleteze eapacul urocultorulul §Ii se' urineaze In toaleta circa 1OOml~1se pune recipientul in dreptul jetulul urinar prinzlnd Tinzbor jetul mij~oc·'uin urocultor, far!a a tntrerupe jetul 9i fara a atingle glura recipientului de pl~el:esau de ~,e'lnjerie,. 4"., Pacientul lnfileteeza etans capacut urocultorului
§!i
transports
proba la laborator
pentru a f exarninata Tn maximum 2 ore. 5- Daca intervallull nu poate f respectat, proba se mentine la fri'gider.!, la 4'o.C" irnediat diuip,a prelevare.
Nota: pentru recoltarea urinii die I',anIOUl .... nascut 9'i' sugar, gleln;ita~ire externe ~,~ perineut
§i'
SIBI
u. rocunor .
N -c::"'" 1,,',' ',., '. ,'.' ::.', '-"'";,:1' ." '. _ ,·,'lli" ',J_' .. ,. PIE'.'," 'T'R'IU'., EXA.'·"·M'EN'" S''UM' A' 'R" 'DE UR·"!'N; A~,yll", S··':'E·'DIM'E1N'T UR~NA"R""
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sa
,1.,11
lo ·t·"B' pr I. ,- d': -,", ::,'" f'o"-' ··C'!'I-ln· ' -' prima urin a·~m'.-,a ·t: ';'n"a'l~a~upa .... 10':' o'a~,et·a·~ ea :,Ia'bill~a" z onel g-'e· nito-urina 'r'e:'
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ora
'de' la prelevare.
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1,. Pacientul este mstrult de catre rnedicul care, recornanda analiza sau die catre
personalul
departamentului
sia
Ji!mit~eze j'ngles,ti,a de
toata urlna lntr-un
lichide . Itentru, un interval de 24 Ide ore, timp in carle colecteaza recipient curat.
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ncteaza
exact cantitatee
12 IOlrle §,~ in
4., Recoltarea p,o"at1e f restrinsa la un interval total die 12 ore, fapt care trebuie, insa, preclzat ~ataborator.
PIE-
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11. Pacientul este instruit SIB defece tntr-un ecntamer de unica utitizare dJ'.nmaterial
plastic §.,i s:a, preleve dln masa fecafioida
lCU:
ITnlQ'lulri,a coprorecoltorului,
minimum
31~5Ic;m,3(:2-,3 I,ing'uritle)~
2. Se urrnaresc p or1;luni;le mucoase,
l
4,. D1aica acest iucru nu este posjbil, paeientul refriger1eaza proba maximum' 2,4 de
ore sau, rnai bine foloseste pentru de transport: Cary-Blair arnblant plns
1:8
la temperatura
mediului
7' zlle.
.1.
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a,~ Pentru depistarsa o,ull',or de, paraziti' 'i,i a clhi,tiiior de Gis'Trdia' fntels,tinl[Bllis',:
1~ Pacientu' pre[[e1v,a leu fi'ngulr~laclap rorecoltoru
IU'j
,i
tn le'Qlatura:
cu faptul
un exarnen coproparazitcloqic
izolat
111 _
(5 ... zile intre ,e~e)~u in' 3i zile con s'e cuti v e,. 7 n 0,3 Av,erti,s,ment Uibl:ilzarea, re'p1rodueerea oo(m ~~letasa II pteJ,nlh;~i,a[I p rel'e nte i dO'C;Ulmlenta m fa raJ ae[~rfd i sc rls a ~ IJ
,Soy nlab la b H'rliilces, 'f:~,nsl~d ue
"'Ij\m,t"i'·~l,rle· 'Pill!!= W!§.l . ".
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1 ~ Paciemul preleva dln rnasa fecallo,id:,a portiurule care contin parazitil vi'zibHi C'U ochiul 'ib,er ~,itransporta proba prelevata lntr-un borcan curat la laborator. c,. Pentru dlep'istarea, [DuiI1o:r de Enferob;lus sa~'
t.
'v:e:rmicularis:
1.Se fo,~osle"§tiemetoda die, recoltare H[aU'sau a arnprentei anale: pacientul este instruit
'
C"-: ._1.
mez ...'. o Ila-:·m·-·'e."tla~· celofa Ijl,,,r ·'[n'·C-..IU d irn iensiun e: de .' .",'
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un capat at unei baqhete de sticla cu diarnetrul de aproximativ froHa de ele efan An jurul baqhetei. 2.Cu acest capat eprubeta
a,~a
at ba'g:hetei sle §Iterg pliurile anale, apol proba s,e introduce in t r... 1 0
curata
3~,D'[aica, metoda nu ,e usor Ide aplicat, pacientul poate fi lnstruit sa recolteze din seaunul de dimineata, din portiunea init·a,l,a (partea care sterge pfJiuri:~e[anale), PENTR,IU TESTU1. ADLER:
I.
4~ DIU:pIS a.ceasta pr'elgath~e~ pacientul recolteaza proba (5 -10 9 materii fecale), tntr-un
1
R 11 - 03
Recomandiri pentru recoltarea, transport •..~i pastrarea prelevatelor clinice 1 pentru examlnari bacteriologice -Ghid practic pe.tru parteneri" Synlab
A,ve'rt~sm'ent Uti~tzarele! reprnlduc1!lf ea QOmp~leta gq8JU p18Jll1ia'la a prezentei d~Heb!mel1tabi fa:r,a ,t1,tiorduJ serls S)tnblb lab serviees e'clf;lIQ~tue0 \\~iIClalrle dreipturUcr de aumtlr s'~va f Sralllct~o!rUJtaconferm leg~'s~latie:~ a in vigorare .
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1., Sa corespunda
procesuiui
unde aste sltuata in'fecti'a., , 2'. Sa f'je recoltat tnalnta de Inceperea terapiei cu antlbiotlee es'tre pio,si'bil sa se recolt.e,zle atune! cind n'ivel'ul redus. 3,,, Receltarea recoltare
sa se lefect
recipiente st:eril'e,
un buletin de trimitera.
Avertisment
Util1:zare.a ~fOd5wee~al oomplle1a sau partia~;a, prreZ1entei d.lceum~entatU 'mrlt! ,slco:rdild ser,IS a~ a 5~, Jab".;'~'. m\~ ! ,.~. . - e. _-.!"ra,~e ,s. ~'.'.!lritI1r!l1 rde' autor si va fi S-lu~laionata OOnfDml .~eQjs,lat~ei mn
p!!!!! .
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tn nar.a ta adult,
~em' la copil.
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apasatorut.
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Se trirnlte ca atare daca a,juln'ge la laborator tn 2hl'- se introdUice tarnponul ln rnediul die
transport d,alca se lucreaza rnai tarzi,u;~
b) Transport
C,,) Pastrars
s2
~
-e
.2·····,·4···"",'.
.-.I~I'
S~erecolteaza aspiratul sau lavajul tntr-un flacon sterf >, I'm~~ S~epune peria intr-un flacon steril
C,[U,
eer fizj'o,logi:c.
b) Transport
R 111' - 03
Av'ertis,m,e'l!1t Uttj Hlz,arera" reiPfnod ueerea ee mp~ema $oS.IU pa:rUa (,a ;8 p ~,zent,e'~dloJcum:entmi' f,ara lai'co:rd IJ ~ serls a~ S)~ la b Ia.b $JeNu1css, eo.n:s~'t UJ90 violhare a d reptu ri ~Ic,rde auto'ri s,~\~;B,ft sa nc~i[Jin 100 nfCirm ,~eg at~ is,~,a,t,ie~ in vig,otsre· .
3~,2:.,[2. Spluta_ez:pile'ctora'ta a) Re[c.lollta[re _.p,recautii Se recolteaza sub dlrecta supraveqhere ,a asisterrtei sau a medlcului .. Bolnavul T§li c:I'ate,te gura [energ~c.cu a[pl[aL
Bo~nayul este sfatuit sa tuseasca adanc sir sa expectoreze intr-un flacoln steri.f .
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sang'e sau
. Ie 1101 t :IV""": 'd I e s' ·t···· ferm ·s· S·' e" I"e" e 0'-' 'It:ft"7'a~''-- ln m. 8--'; m u"te
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Recoftarea nu trebuie
gila,
Pastrare
sau
de transport.
Se 5 pala zona
i
iCU
Se 'iterge zona
CU
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Se recolteaza din,jetul mij~,ociu>1 m 'in flacon sterf cu :guira, ~,arg,a sau ln kit-uri de transport
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maxim
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2 ore la temperatura
camerei.
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recolteaza
,- ,mh/·iC~.
dup!a
,"I[~I "
vizualizarea
\_-"II.-, ,II .'. ,IIIJ
cervixului
IC,;U:
speculum
fara lubrefiant ..
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,A;vemls'm'e.nt U"tili[Z3~\aOIIre~-ro\d'IUce f'e,a C~~iml~liJsr~a ~a rtta la a p, reze ntl~~ e}cH~-tJlm:e[ntartli lara, ace r'd'lU;~scr,jl$i Slit .sau S~n i,a,b ~;abl 5~cf~'ic:e5, "f1I~titu!S! V'I'~illalrlea dr~p.t IU c '0' rij'~r de autor sl ~a fri $,8 n d:ij'Qinra~,ea:m\O!m1 ~e~ til~eliln ~:s~ i ~ulg'oa ~ r'e
""'-.
Se
utlizeaza
,a~t. tampion
steril
pentru
a, recolta
din
canalul endocervical,
carnerei ..
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p'-'r'le' cautll
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un tampon ~
I
Se recolteaza cu un a,~ttampoan sterilde la ni'vel,u~ rnucoasei vag'in'al!e~ Se utilizeaza sisterne de' transport, b) Transpcrt
C.
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Pastrare
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Se aspira
SSIU
< 2~1 ore[ la··-'.•irnperatu ..'-:. ra.'.' . carnerei "':"_' ' '.' . - te I .. ". '.. ' ...• '...., '.
__,c;I! [ ~":'
..... [ •
s 2,4· ore
la temperatura
ciarnersi ,.
sa sJeas.ig'ure
:nUllle" tip
4. Ne'corespun:z.a.ta,are solic,it,alrii ..
- In .aceeasi . 5. DUb·.lle!...... ,...."..- Y[.,Z'I- -cu '." •".
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--
--
SER~e_J.2rubeti~vtdata 8,~,,1cu gel (capac rosu+galben) Mostf,~ urtna cu ~n~,cilare~volurnului IVlostrfjJ urlna 24h ... volu m 124h ,!MO~ltrau rina24h + Volu m /24h
1ml ser
, i
I tlmp
15 Acid oxa U,C i11 U rl na +; 09'.Toxicolo~,ie, 03.l3.ioch i rnle 03. Biochl mte 06.lmut1ol:o".··.,ie ~
lOmllJrllla/2.4h+voh.J.mI.2Ah
10m l u rrna/24h+vo:1 urn/2.4h + VEZ~ -- PIROTOCa- L
.:..;.rri,;.;"l.,;..s@.;..;.: r
~~~.~. ~_ ._. ~~~-----i
..
---
21
A"ci2~
&r~
~~ Ubrii
ri
{FF~S')L"~
~1~d~~'P:;;;,;:.;
03 .Bloch trnle
03 .EHochimi~
Mo·~tr~ u rin~
~~~
I
'" ~'.:': . I G ··:c· ':- '-: ".'" 2.) Ad ~novtrus .Hi'~- A :(AVG'- E).L.
S,ER=@prub~t@ vldata
1ml ser
Iml ser
..
-..
28' ADN Viral CMV~cantrt~t~v{C.MVU)~ '9' An N' V"'lr~a H S' V ,.... nt11·t::it·I\~/HB,,:r\' * -:. ;(" " "L#' ': •I 'U ~ '. 'I~) .
'I' '_' ~~,~ , I II , ~
06.1mu no logle
K3 EDTA
(C~~iU:
!mov)
30 Adrena11na(ADRE)*
,06.!munolo,gie
~ ,~. SER--€ IJ ru beta vidata 8ml ell gel {cBDac rosu+ea lben 1 1 milCH 10 ml urina
.. -
1ml ser
m un ole !iJ'i ~.
. ,. U'il5Ji'~~
24h
SER-eprubeta vidata.Sml
Coprorecolto,r
..
~
-
1ml ser
':iiI _ ,I~:..: ~II ,II ,~' 0-.J •S- iochl m'te 03 .Bioch lrnle O() To':.._u:~.VUiI _ :J. , '"". colozte .....
't '
cu
06.1 m u no logle
:serIca(PAM)*
,Q3.,Bioc;him~e
03.B toch tmle .03.8 loch lmle
I
41 Am llazs se r
41 Amilazeii, urinara
ti
:iER,~e beta Vl1~~ta 's,ml cu gel (ca nac rOSU+,r!~ lbe n] ~ru Mostra uri na 24,h + Volu m I 24h
, 3 eprubete t.ichld 1<3,EDTA (capac rnov)
1ml ssr
lOml uri na/ )!4,h+~olurnl 24h
50mlurina
amniotic -.:seringa
stsrtla
52 AmiQtrpna s.pin~.la{5MA)*
03.Blochimie
54 'Am·'~ "r~ nta ~ n ~I~ .~ _ ~ ID_" ~';-: .~ ,"
,::II !It'! !ill
Ragneta celofan
.
..
vezl protlQ.col
Irnl
55 A.NCA(cANCA+pAN(A)* --
56 And rosten ed~9i1~ seric{,ANlDRO') . 51 Angiote nsiru:onvertilt::a,(ACE} ~ \0. i'TilA~'rq 5-U A" tl"I R', c e.ot.o r TC'H--'~I"",",v \,'¥ ,n, "e tJI' ,_)~.. 5.9 Antlco,agul,~nt LUrJ'ic-LA{LU)~ -c" ,' .. ,
OtL~rnunol:ogi~"" -
---
srnl cu gel {capac rO$u+.'~.;lbenl "".SER,-i p. ru beta vi data ,lm'l cu I .. Jca nac rOSU+II~ lbe n) el SEFt-eplru bet~ vldata!l 8ml,cu tI:";:;",e=,,,,'I_ a.:........~ (!,-C_;,.....J~P.._,i c_r_c_.s~u+ ....... g~~~8~:lb='e~n...;;1' __
SER.-eprubet~ vldata
.
ser
~~~ "..."....
1 m l se r
-li=1=m="',I.....;,,~,....;,.,e_r ~
--
02.H e rnostaaa
, 1 enrubets vidata
,N,~
ClTR,A~TJc}~lla~lbastru] a
" ~,
60 Anticorpl B2 sllconrotema
i,gG{B2GLGJ*
06.lmuno!ogie 06.lmuno~ogi,e
06.lmunololi~"" G,~Al1t~corpi ADN monocaten~lri-S.$(,SDNSE}* SER-ellru beta vidata 8ml cu gel (c~pac rosu+R;t~lben)
'2ml set
--
- --
.-
- --- -
- --
INNA)~
p~"lmunolrQlgiii~..
0.6,1 mu nolomie
lei
-
(C~J]I~C rosu+galbenl
--
2ml ser
.66 ;A"nti,c(jr~'i I\nti C:~r(nolipi na ~,G:G {ACLAG}* 68 .Antico rpi Anti C~nJ iol~p~na-screen inJl(AClAl~
I .. . ...
:lml ser
1ml ser
h:aiP~t
~().~,l]+I~I_bern}
.OI~i.I.m Urlqip!.ie.
01.H,€!m~to logle ,01.Hemiato;loghe
--
"-
--
Lrn I ser
--
--
ce nt rlfu '~"~a t SER,-@ ru beta vldata B,m~cu ,!j,el [ca pac rosu+galbe n) ~ p
C~
ntrlfu R~ta
se trlmit1 nm
"". ' . . .-.'
r;l··
i"'"11 AI
_.- -
--
Iml ser
b~n_L
- - - .-
- - ...
"'_
U 'IrJ liII;L.:g
.
ata
i\\J.
.(lJ'jjj, ~'G
I (c ~ II'I~ n
.' "",~
o;;:Jj
+aa I PJ!I~; n J h. ~
'.~~
Q
I,
~==~==I'
0.6,.1 m,L1 nologie 06.1mu nologle 05.1rnu nologi.e ,06.imurioloR,ie -. ,06J mu noI9'IJ~. OG.Imu nologre
-- ---
_.
-- - ---
8,8 Antlcorci Anti m_\(Q$"in(MVa'A)t ,89 AntMc,orpi a ntl ~rot@1ri€ h is.ton~{H ISTO) * !30 Antlcorp~ Anti rsce ntor de acetilcoll n~lACH.A}* 91 A,ntl'cof~J ~ nti retlcu Ii n~1RET)t 92 :Anti,ofrJl AnU rlbot1ucl@:oprot0in'~{RNP)~
---
.-
1ml ser
-- - -
--
- _.
I'
'.J!, E· ~.~~ 'I/;'fd' r u ~et ,~\ V"I ~J,~. g ~ Ii''!!i Ii"~~ .·_IUII!;;; .. "j _ ~ ata
iiJ' g
(7.©
rIn U -aal b n)
if: V.a! '.' . ~iY oi:io ....~
r
94
!.;.-'~'II
P iG'J
IgM (SCiE'MI)
CH5Jm U nologle
"""
"
lrnl ser
2ml ser
"
102,Anth=,oq~i Antj VHE IgG(AHEGE)*_ . 10~ AnUcorc t Anti VH E IgG~Wester.nb lo_tJAHEGW)* 06.lmuno1_og_le 105 Antlcorpl Anti VHE te.M~West,ernblot(AHEMW)* 106 Antieon;l1 Anti virus rabtc (TO'LN)* 101 Anti,corp'i Antlfactcr intrins@c(IFAl* SER,~e~rubeta vldata 8ml cu ge1 (capac ~osLl+~u)lbe·n)
2m~ ser
2ml5.,er
R~·cQ.lt,orCh la mvdla
Prj m u ~jet
~I
--
___ 9_6.lrnunol,olie
Prl mu 1jet
.
U rln a
de d tmtneata .
--
u rin a de d tmmeata
l~~Antll@n
1ml ser
tml
,SER-e'p ru beta vtdata 8rn I eLAgel (.caD'~c rosu +g,afl ben)
5€F
rr
06.1 m u nolo,mi-e
.D[S.Im u noloB,ie
5 m I janie
EDTA
.'
130 A~ollDoprotE:!ina
Al(APOLA1) ~
03. Bicchi m le
..
Lrnl ser
.' .
lrnl ser
-.. .. I
03.B,~o,chimie
...
.3 _.eprubete
.
131 ASLO(catitattv)
[-
_. __ ..
05,Se~olog~e
~-
Srnl
CU, ~e
1ml ser
142 Babesia flCH,(:BAMI,}* 144 i B,oiI to nella hens. At 1~M (BAH M I) *' r
-
- --
.. -
--
03JMochimi,e
03 .Bioch lmls
. ~O~I urin~/24h+vollJmI24h
--
-- - -
lO.Genetlca
06.lmunologle
a3.,B~och 1m le :0) .Biochlrn ie
03. Bioch! -m le ---
SER.~~prub@t.a yidata,
1ml ser
1ml ser
--
160 Bordetella pertussis Ac 'l,g,M(80R,ME)* , 16.1 Bordet~~ ~a D'~rtu ss!s A,ON PCR(BPE PCR}* 1613 Borrellls At IRG(LYiMGE)*, _ .. _,_., . 1614~Borrellia Ac leM din LCR{lVMMA1}*
SE R-~~r~ ~e,t.~.vid,eta 8ml ell A:re! I (c,~p,~M:rosu """g,aI ben), lO,Genetica ... "" ,3 eprubete 1<3, EDTA (CJH)cU: mov) 06.I'munoln,gi€ s..ER~~J.:nubeta vldata 8ml cu ael (capac rcsu+aalben) -. 06.lmunolog1e ,SER-e_J.1rubeta vldata 8 ml cu ~,el,'C(li03C rnsu+aa 1~1~_n) . 06.1 m u no ~o,gle SER~epru beta vldata 8 ml (U 2,el rca nac r(H~U+IZ:~,lbe _ n)__
r -_
--...
1ml ser
lm 06'·' uno;I~Ii"\''''I~
__ _', Ii '_
U!LI~
06.1 m u noloale
os
:
Lml LeA
1ml ser
_ IJ;.J.
lrn n
". •
YI I I. -
RIO' 'l;f'I;a'l~
~l~"~
.Irnl LOR.
' .._ SER~@pfubetavidita 8'm~ cu gel {[a_Dacrosu+,gr~lben} ..
--
i'
':-j
~ I'
06.I:munohj&h~,
l lrnl ser
Ac rfJ;M~blot{LVMMW)*
168 Borrellia
--
-:3
___ Cl~est~r~s'e 113 inhibitor ac.tivity(Cl~IF)* 114 Cl-ert@ rase in hi b itor prote til (C1E IP) *.
175 C-'-'3'
.'J'
i
..
"
--:.
':
',_,"
17-t: ~
,)
·C·-·--.iI1 .: ...
-
.,.
177CA, 125{loV~H~[~~ale~i~i0n~)__
178 CA 15,.3(gJand~ rnarnara] 110 CA 242(CA_24;!)* 181 CA 50(CA501* 182 'CA 71~4((:A124};t -- - i .. . isa ,Calcitonl na_{ C_AlC~}* 18.5 'CalClU serlc total 'c 18"~·""ilII .,__ U rln ~r total * ..g . ',_":Io!lr,"i u .. ~,
I IU
06, lmu nq!logie 06.lmu nclogle 06-, I mu no IOMie 06.1 m uno IO.R1@ 06.1 mu no Io,glIE' 06.1mu no logle 06.I:mu no logie 06.1 mu no logle 06.lmunoloR)e 06.I,mu no logle
SER-eprubeta vidata _8,m~ gel (capac rosu-salben) cu .~ 2 e~ru_tlete vidate Na ClTR.AT (caoac alb.aJtrul
-
__ __ _ _
SER..epruheta vldata Inllcu gi~1 tcapac rosu+galben] -,SER... prubeta vidata 8ml cu m1el (caPic r(HilJ+ga~ben) e
--
. ..
lml ser
lml ser
lml ser
lml ser
mostra urina 2-4h + Volum urlna/24h :S,ER~~prubeta vldata 8ml cu gel [capac rosu-galben)
I _
.__
!(;~
10 ml ur~n,aI14h+volum
06. lrnu t101ogJe c~ANCA Antlcorpl anti clto p lasrna ne utrof lelor 18~9_ Canacitatea totata de le;_~,are a fteru lu i~CTLF~' 190 ca rba rna zepindl( CARBA}* 191 ca rboan h idraza 1 AC(CARB lA) * 192 Corboan h ldraza 2 .Ac(CAR_B2A) *
18,8 PR~(ANCAC)~ ~
-
trnl ser
1ml ser
06.I,mu no lo,gh~
03. Biochi m le
--
~SE~-e~rubetDvld;ta8ml[~_lel (capac rOiu~~al~b~e~n)~· ~~~1~-~~: I~s~e~r~~~~~~ [S.ER ...epru beta vid,~ta 81111 (U gl~I (c~ PlH: rosu +g~ I ben] 2ml ser
--_-~~~
___941Cariotlp din cordon ombtllcsl" 1 195 :Car'ioti-~~ culturt Iimfocitare{CHROl)* din l_~~_'Ciriotip din llchid amniiotic{CHROF}*
19 'Cariotip din produs de avert (CHROA)t
1 ]
10.Genetica
10.Genetica 10.Genetica lO.G@netica 03.Sio.ch lmle 06.[1 rnunologle S E R.~eIUH"U b et.(lj vi d a ta 8m I cu ge I ([,lHJ-,ac rosu +ga Ibe n )
MOitr~ uri na 2,4h + Vo~u rn , 24h
.
1_0m~sange HEPARINA lO=15.m·1 lie htd il rnn lotlc reel plent cu prcdus de avert ,~ VEll PROTOCOL
- ---
:1 aprubete
1ml ser 10ml urin,a/24h+volum/ 24h - VEZI : P'R:QTOCOl :2ml EDTA plasma congelata - VEZI ~RrOTO(Ol
"
201 CCPnpe_(Jtid u Ii ctcllc cltru 11 r1atj rep )_~. 203 Celu le lu nlce-latex _. __ 204 Ceru1opl,9,srn! na(COER}'* 205' CH 50(CH50}+
.. 06.lmuno!ogie 1ml ser 1ml ser
_.
lml ser
SER-e&lrubeta.vidata 8ml cu gel {CIPiU: ro~u+gidb€nl 06.1mu nologle . '.... _SER~e p ru beta ~'idmta 8ml clJgel fC~12iJc rosu+ga lben)
.
. _. . .
i 06.lmunolo~,h~'
,SER-e~rubeta
J --
:06.1 mu nologle
Chlarnvdla trachornatis ADN-PCR din serretil
213 u retra la, cor;ju tJ(t~vft1a HCHTP(R_}~
(v,~gir,ah]~
:OS,EJacteriologie
, 10.Gel1et~ca
! --
'@
1ml s~r
~ER,-e'prub~ta vidata 9:rnl cu I;l,el (capac r~~lJ+l,alb~n}
219 elsa ra nee _,R,alta de f ltra re g~om~ru la raj 220 Clearance creatlnlna" 221 (10 r St~ ric 222 Clo~ urin,ar{CLU}~
223
03. B~ochinlie
-
paclent+
03.Biochimfle __ .
03.Biochimi@
06.1mu no IOflie
,06.lmunohJgile
amniotic
lOml urlna
:06,lmunologie
Ar. IgM
SER,-@prubeta vldata
228 Cobalt(CO}~.
22
,'.
': · coeftclent 9
JI
albumlna LCR/SER*
.. [(3, EDTA-2 epru bete violate (ciJ;!aC movl ._ Ep,rLJb€t~ sterile cu LCR, + SER~eprube'tlil vidata ;,rnl cu ge'~
_ff:,~!~)~tCrosu +_&i I benl
'-.-.
,al tr~ns,ferinei(TRA,NSS1+ ..
0:3J~Uochlrnle os. 1mu nolOG,ie
!~
lml ser
1ml ser
,
I
2ml ser
.234 CrOmpleme:n~(,2((21(,*
23S Con~firmilre W'~'s.tern B'lot-H1V'(HIVW)*
I06.Jnlunol0,gfie I 06.lmunohli.~e
2 ml ser
_.
!I!"l! .
..
"~.,,!,,,,!
- --~
m" .~ r·: -II '[~ 1 3~)~: terll f·~I·C-·:ii~ "!iI m'at ~ rii fee - '1~ - . ll . ~;.;.,a ,0, ,;i£~.):~ '.',~
'---,
:I ./
,,~
-1i::5i
~
~.,[J
- - - -- -----
__
. -_.
-----
~VEZI
pnR,j:1 ~ I N F
. MO$.tra
LI rl na
24h + Va Iu m 124h
06.,lmuno~ogie
241 Coxiella burnett At tot~li(COXK)* 06,.1mu nologle
~.1_
.-
. --"_
if-
Volum 124h
--- --
1ml ser
...
.
.-
--
...
- _.
...
1"11_0;;} ~ I~
JIi.>,\'II ~~I"I ~
_l_ =:r.=
,1jA
/.' f
'"14" IL·~.
I
---
03.Biochlmie
-- - - . -
SER=~f,)rub,~ta
SER-,e"rubet~
OG.lmunolo,~ie
vidata
8m!.
--
--
--
----
- --
----
---
--
--
mseulara juv,eflll,~* 2_5 D~b~rml na re factor Fth{D) '} 2.59' Dffitenml na re L,i~i!J{U) '" 2JHJ:Dihid rotestosteron" 215 DH EA D,eh~dro-epla ndroste ron (DH EA')'t; 1
1
256 De~enrer@~(enta
10.G~netlc~
slnge EDTA
01. H~,m,atololi~K~
03, Blochl m ie
,~[)TA,~'@J.lru vldats J~apac mov) beta SE_R-,e_tJFu vldata iBm1 cu _g~1 nac rosu+aa lben) beta Jca SER~!epru beta vldata ,Snll cu gel lea pac rQS U+,~,~ lbe n) SER-,epru b,~tit vtdata 8m I cu fi,'al(c-a J}BC rosu+ga lbe n)
--
singe EDTA
()G,I m unologla
06..1mu nologle
Irnl ser
J:65 Dlstrofie mioton ica- teste mo lecu la re + ,2~7 Di,~trofi'~ miotonic.a tlp I ~ @:ta_~3 2. *
'
110.Gen+?!tica 10.Gene~lt~.
---
--
10ml
- -- ---
$,~I1I1~
EDTA
10ml urtna
~O;csu g,~I~)i~n) +
214 Du blu test ell ca leu I de F1SC g~n etie . OIS.! u nologie m S-E'R-epru be'tJ~\tid ~ta ~------~------~--------~~----------------~~------~------~~~~ 8ml cu gel {(,~pac
"
~"
II;G(ECHH)*
06.1munologie
1 ml ser
.0-4. Electroforez~
l m I sange EDTA
E lectrofnreza protei F1€ lor u r~ n3! cu na . 283 lmulloflx~r~(IMFIXU)+ .. 285 Entamoeba histolytica A8. din materil
281 Ent,erovirus Ac IgM{ENTMEJ~
188,.Er1tropoletina{EPO)*
04. Ele'ctrrQforez,~
fecale(AMOHrk
06.lmunologie
I
5g materii fecsle
'SERgeprubetal-_.-vldata 8ml cu .gel (c.~D,at( rosu+aalbenl
.. .. ... -" ~""""~
SER~@prubQt8 vid~t;J 8ml cu get (capac rosu+galben] SERgepru~et~ vi('h~!taami ru .g§l(~'C~iJ)~~ r..,;;;:o~:$.~u=...d+g~::ia~lb~l,e=n=.L_)_~_~'_'~ (I~n:~:.~ __ -+-1~m_71~$_e._r SER~,~f)rubeta vidalt~ 8m.1 cu i@·1tea pac r'CJBiU +g:aIbl.!n) I Irnl ,~I@ r
~ __
===~
10110( FA,2ZH l~
lQ,,'G enettca
3 epru
05 .Sero ~ogf!e
--
llml ser
: 06.lmunologie
2ml
1ml ser
plasma
N~ C1TRAT
--
---
-- -
-- -
_'
__
hlnrrue .
' 1•. ' .. '
SER=eprubet~ vldats 5 m I cu ge-! (c~ pac rosu+gal b~'I1) "., ~r~utat~ sl lnaltime , 10 ml lich~d am n lotic .5 rnl S~TlG,e EDTA
10 ml llchld arnniotlc
10.Gel1etlc~
. .. . .
10" G@ n ,~t'i a c
-- _. ---
10.Gen~,tic~
~l6
,$ER~~prul')et~,\lid ats ~m I (u g;e1lea eac UHHJ +,g,~'1ben} rnostra urlns snontana SE!R~,e D fl1 b~ta ~id~ta 8ml elm giel ~,...;::;a.,;:::;...~ ...,;_ro.::.......··.·· .~a.::..::::ib:.....=,e:....:....::n:.L..}'; __ §:::....:::'u.:...._+~"g!::::.:..' SER,-~prub~tavldata sml cu gel {c~i~~gc-,ro$,u+:Rialb~n}
--
1 ml ser
,
~~~~'
'~_~' ~__~_ _
=~~
Iml ser
~'24 ,F osfn r
;
,
D3..Biochlmte
03,!,B~ochi m le
,10.G e netlca
10'mi urina/2.4h+ volum/2,4h , :3 eprubate 1<3EDTA (capac mov) , , 5ml plas rna centrjfugata
10.G ~ nettca
----- ---
SER""e~fubet~
1rnl ser
1 ml S:€F
332~ F'- 'I-"'tn.-,";.. n o '-'rlU: ,~~~ I 1ml ser
~nj' -, , .""liF'R,......" UiE:J}~'* ,.,.ermd\ .....
,J!i
E, :
.""
q -enr ~,It-!'"
r:
(~ .. ~
~,.
'!.., ...
~~,
'11!~
-:8;~
-~.,
~-~ .
--
~~~ -
~~
-
--
~.~
03. e,l(u:himie'
340 Ge,~a MElAS~ -, ~ '~',
-~,
,'--
- --
.-
10.Gen sties
342 Glladlna Aq; IgA in materil f~c~'!e'G LAST) * 3,43 Glladlna A,~ IgAJGLlAE}*
--
---
--
-- - - - - ---
06.,1
u Ilolosbe~.....---+...:;:.Co,=.,,···,~p',',
~----=ll-i
__
-I
r: "U
- ----
--
----
, ~ER ..@i) ru beta vldata sml GlJ g@1{C,~iUJ~C ros,u+gi lben) -- ,- - - P :-~. - d - r - :-~ - - ;" ,s,er"mga soecra' :1.1 a c e reco It·a:r e1 II
iF
m I se r
cere recipient
.
---
~J~'
'
03. Biochinl~e,
...
Mostra urlna 24h + Volum 124h SIER-€'PJ'un.eta vi·data, Bml cu ,g.e~ (cilp1ac rosu+aalbenl
353 H~J2tol.1obina(HAj)TO)~
03.Biochlrnie
2 ml ser
..
"
'06.1muno~og.le
I
359 HBeAc
360 HBe Ag 3,61 H 13J~ A.(
SER-eprubeta vidata 8ml CIJ ;Q~.I~uno~ogi~ ""_SER-eprubetl vidata 8~1 cu :06.1rnunologJe SER-eprube[ta vldata Brnt cu ·06..1mulioliogie SE.R-epru~u~t~idatQ Smf: cu v
.
"
1 ml ser
~~I (~~~c rosu+~lbenl~~~.~l_~_Y_1 $_=e_~r~~~~~~~~~~~ glel (caoac roslJ+galb,en) 1 ml ser g'el ((~pac rO$u+~alb.enl 1ml ser
)l
ml ser
~,6i: H DV Ac(AH
"
[)J ~
2ml ser
06.1 m u nol[og'te
2 ml ser
1 ml ser
IOl.Hematoioj1.ie
"
:$~nge· EDTA
...
; 10.,(; e netka
OB.Bacteria lcgle
..
378 Hemoragll oculte (test de deptsta rs a sa ngera ri i (leu lte} 3!8.o H~stopla~m~ ,Ac tot,~li{H~SE)*
06,.lmlunologie
1 ml ser
06.lrnunolo,gi[€
-_
Zml sar
1--- __
419 Ig,Es~ecjfic kiwi(CFI4,)* 4.......... 91" 7~· ,=lBUp,e,c ific Ia pt€ de va ~.!( 2!!.CF )*
421 I~E$pe!ci'fit
~ate'x(CK.B2)*
. _,,422' [,g,Especific
udocarna I,Xilocaina(CA13)*
0(5.Irnu nologle 'SE~-e:,;trubeta v1data ,snll cu i,el {ca IJ~C rosu+aa lbe n) -t-0_'6m~'" ..... ~u~n~oO~i 12'_--1'.....;;;.5..::..'1: I ~I ~,~[1 p..:....;ru:.:...;o;:;_;,,': ie:....:;t..::..:B d;;.::a:..:..t,~~,' =-S'~m;.,;._.~ ~c lJ~._ -5LI': ',Ie~j~(~ca~- c~.r..;;;.o.;;..~;! a~10.... U;;';"+-lii·'ill!1;,' _e;;_n;J,.)~==. -9:OEi.lmunolo.gle S,ER=€lOrUoe't,t1 v~d,~t~8ml cu ,~,ellcapac rcuu+fia1b,en1 05Jmunologi@.SER-epr~beta vid~ta_8m~ (U e@1 (c,aD!~H: ros.u+galb@n) ". 06.lmunol,og~,e SER~eprLJbeta vldata Brrll ~4_iel, (capac ro~,u+g(idben)
;....:..R~....::e:.J::.' _;;_v..;._;;'i X.:;;..;;:']"i;..;;_'
2m ~ser
~?~~".,;.;:,,},=-5l@~;'
~~~
:21111 ser
06.lmu nologie
. ..
(U
2m~ ser
,SER-epruo'@ta vict~t~i8ml (U gel (c,~g_'fUl~Jo:su+,ealbeli} , SER=If.!J!JUeta vid~ta 8m I cu g[el (c~ p~'~. ~osu +gia lben) b
--
2tnl ser
2ml ser
06.I,munoloR,ie
...
2ml ser
- , -.
,0[6,.1 u no IID,gie m
'2mll ser
445_ IGF_~l(IGF:l)+ 446_IGFBP(IGFB}* 44,7 I~"Gspec~flc Dermatophagolces .~48 I~'G specific D~rm~vophagoid~s 449 1 noe lectroforeza ~ fTIU 450_I,munO"R:looulina A
-. -
_,_.06,JmunGtogle
vidata Gml cu gel (capac rosu+J;alb@n) 2: ml ser congelat 06.I~unoIDlieSER-eprub@tav~data8~~cu.lel 'capacrDsu+~alben}~" ~~~~2_' m~-~_I_$e_'r_-c_o_n~i,_~~_"~_t
SE~-eprubeta
~~~
pterQnvss.~l1us.(D1G)~ 'farinil~(D2'G}*
,.
2m~ser gel (cause rosu-galben) ,e . ~tJ u 111..,~t~ I \1 .IUltJ~"'" ro su +_,I"J_~ Iben j\ (ca n~" "~'~" .D_~".~ ..) ER'"-Oi"\r" .~ u~ .~ vld ~ ~'~ U at §~'m' I cu ami
(U
@ 6·' ,cr,;O 81[~ ---
--
--
2mlser
_4~_1lrnunoalobutlna
" 453
tmunostobuhna E
'1 ml ser
06.1 mu nologte
.1··
"
38.5
,.
HlA OR4JHLADR4),*
06.1 m u no-~oii e
singe CP01Al .~e WJ ru beta vid~t~ 6ml (Ci:I ~~C K3EDTA __ ru beta vid~ta (r;,a P'~'~ r-nQv) e~ singe CP [)Al ~ e pru beta vldsta timl lea nac K3EDTA ~iJ)r!Jbeta vidata (caD~C mov) ,_ sl nge CP DA1 - epru beta vidata '6 rnl (ca pac K3EDTA eprubeta vidata f[~:~~c,n1ov1 ,
g~Iben) +- singe
--
---
ga lben) +- sl nge
___ g,alben) +. s.1 nge
06,.lrnunololj~ 06.lmunolo'li~
"
,-
l_g_E_5_~@ci~fic Acid va!~roh::(FC";;",.;'1~6,,,..;;;;~J,.,,]*_: _~_~~~== t--~_3~'9~?~lgE ~~,ec~fic ~llbLJS de ou(Cfj_}+ " 1~6 IgE sp@cifi.c alergeni ~liment3ri':FX5)*
394
~--t-IS_E_n'~~~....J,.:'J)_'ru~, b~'e~:t";,,,~=v~'id...;.,a....,..;t,a;.... ..... .....an....... ~_f-2_m_:I_s_er B,;;..;:=,m_'· '..;.,..1 c.,;".;,-u;;..l!g~ie~I~(c ...........ro..... u..... -I b ...... .... a c .....': s........ '~a~,1!J +.we-.,Zi 06..1mu nolo,g,l€ !SER,-@i];ruoetavidata8mlcu gel (Cijp.~c _ro.s~+~lalben) 1ml ser 06.1 munologie SER~eprube'l.a vldata sml cu !el 'ca~ac rosu+eelben) ,2m.1 ser
I):__. _'
--
--
~ ,_,_,~,~ __
1--
06Jn-,unologie
'S,ER~epruheta
:Irnl ser
FC33,8l~,
SER~f!pnJ beta vldata 8ml cu g'@l (ca pa c rosu +,g~ Iben) SER-€I')ru beta vldata Irn,l cu ge'~ (c,Z) (Jc tOSiU +-ga Iben) P
:06.lmulilolog,i~
--
_..
06.1munolo,l,ie
2m I Left
1ml ser
.-
lCR(}_.:..1G.;;;;.~jM;;..;;.···'.;:..;;L;l",.).*~· ~~~
'". ~62 tndex PSA, 463 .lnhtblna A{INHA.)+; 464 Inh i blna :fl(lNH B}~
465 IN R(1nternatlo
._ _.. . ...
---+~O~6.~lm_· _u_.;.n.;;;..ol..;;;.o~:,"~".'".,..,....;:~e_----4,-=lC-='·.R:....:...:·,_--=~,e;:._:_~r....;.;.-if1.d1;-,I~,'ia~' i;..;;.te,;::..;r...;..;il..;..a_~_~ ~.~ __ ~ __ 06"imunolog1e SER~e'pjrubeta vldata Brnl cu e!@~ _~CilJaC rosu+galhen]
---+-=2_:_rn~'I--=l~C~·R~: ~
~~
__
----I
1 rnl ser
...
SER-eprubeta vldata 8ml cu g~l (C'~R~~ rosu+galhen] Mostr,~ u rina 24h.~ Volurn J 24h 10.Gen@t~c~ 06,.imurl0Iog1e 03, B~ochi rn le
1 ml ser
10 m I u ri 1l,~/1.4h+ vo 1 u ml~4h 1ml ser 5 ml sange EPTA .. _
03 Bloch 1m i~
41'5 LIJ L Colesterol
1miser
1
.03,.B,f,ochirnie 06.lrnuno10,ft1,ie
ml ser
2ml.5er
06.1 mu n ologie
481 :L1p~z,a,(LlPA]* _._._ 482. L'il1ide totale ..4,8,~,.l~~terla to[al,i(LlSK)+' A~.. .. 48,4 LKM . l-AnticorQ_i. ,8 ntimlcrozo m la li(LKM} +: ..
*'
__
....
SER=~p~ubeta- vidata 8ml .$ER-~p ru beta vldata 8'm' 'SERJ-e·g_rubeta vldata Srnl I S:EFt-~rubet;;a v~,d,at~5ml SER-eprubetm vidat.m3ml SE~a(~R_rLJbet~ vldata 8ml
.
cugel_{ci_'pac
2ml's,@r
~
~""""""_--I ~"""""""~-----l
(~C.;....J~PL;"';~"~;;"";;: c;""";r___:.-o...:-$_;_U+-.I,g..il:_,,,a_!b_,c'E!_~J1--L)~==-I..;...1..:-:m....;.l...;;...s...;;;....er~··
.eprubetg
1 ml ser
Mo~tr~ urina 24,h + Vcdum 12,4h M astra uri na sponte na 10ml uri na,l24 h+ voluml24h 2 miser 50 ml u rlna 2 ml sange EDTA Mostra din urina spontana
10"·' m'1 urlna snontana - ·'t,.'_
!!.! .
L -
Ol,Bio(h~mi.€
:06.1 m u nologle
,06.1 mu nologle
os.imuncloaie
1.2.Metale
494 .Metane-frine
lJ.rinare(METAU}*
,
, ue
I
..
49S Methemog'lopina
urinara+.
,09.Toxicologle·
-
,10 ml urtna
497 MI1cro-albuminurie'* 4v~,8 Microdele,tij brat.lun.g crom~zorilV{.AlFj* .. MV'cabatterium 500 - - '.. tub'~rculo$is.~ADN(PC.'.~R-::·)'* ,~'" -, . __. .__
.Mostra
'
10m,1urinm124h+ volum/24h Snl1 slnge EDTA . fra gment biop ste P'lamln/. sputa/ LB,A
I ~ ," ,~ ,...
a I v e 0 !Ia r~,SJ;I_uta
,,
--
S02, My'cop-Iasrrla Pneurnonlae Ac IgG{MVI~GE)t. ._503 Mvco~13sm~ Pneumonlae At IgM(MVCME1~ .594 M~~lg.lo_birH~ urina'MVOU}* in
$ER~el1rubet~ vldata 8r(1~cu lei, (c.~p,eH: rosu+aalbenl SEFt,e~:H~lJb@til",vidat~ 8.n11 cu gel {gJ2_iU:, ~osu+g!~lbf2n) .. ~o$t.ra din urma s,pontana,
..,
03.EUo.chimie
--
filtru
-'
06,Imunologie
2_ ml plasma
EDTA cong·elata
'I' f
UTl OCLJ~
lt
(D4/'("0-8(l\iOH'''''
:-,'.,:,~:'>:,"r'
'I
I~
0"'-,"1£.",.1 -~
m unclog .. ie
v
b~ ,
singe CPDAl eprubets vldats 6ml (capac galben) + singe K3E'OT.A erorub@t~ vldata (ca~ic rnov)1<3~DTA
~~_5~1~2¥N_,u~"r~m~~r~'a~to~),~~;r~e~'r~~~ti~(u~1~o~cl~te~,~~~~ ~~~~ __ ~O~·l~"H_.I~_~m_····_at_·o~Jo~llg~<ie_· __ ~K_'3_'E_D~~T~A~· .. ~~e~KQ~ru~b~e~ta~~·_vi~d~at~,a{cag~·~~c=m_'o_v~~)~~ __ ~~~~~~2=m=I~$i_n~I"~ie~~~D~T~A~~~~~~~~ ;' LeR recoltat In seringa+ S,ER=eprub€ta vldata,8m1cu .mel
'
06.1mu nolcgle
(c.apac
.
06J m u no logte
ml ser congslat
5ER-eprubetavidatalmlcu~I'C3P!CrDsu+~ben)~~~~2~im~1~s='~_r~~~~~~~~~~~,
(capac a lba stru]
'2 ml ser p~AN CA~Aanticorpi sntl cite plasma ne utrofllelor
511 MPO{A,NCA.p:1* 51.B .Park~ nson LAK2 ~[r~@'11 in_g* 519' Parklnson LA,KJ jl@Cventh::'rej; 520 ParvQ\!i rLU 919 - AD N P'CRJP 1'9peR)
I ~ ---'
,
",
'
lQ,;Genetica
_
til
. K3 EDTA.~3 eprubet€ vldate (capac mov} Sm' s.ing~ EDTA .1(3 EDTA,~·3!9Itu'ub@te vidate m_'·.·_'O~VL.....-L,~_~~~~_,~5...";m=I~~_in...;Wi,g:........le~~=·D,,,",""T~A._. -~~~"""""""'--~----l K3 EDTA=], ep.rulJ.~te vldate (capac mov) 5ml s.inl~ EDTA
,
(~..;;;c..;..a,l!.;;...pit;;....,..,~'c:;",_,
1 11'11 ser
i
!
10 ml urlna
r-
~.-
de Iu m in ~
03 .Bloch irnle
03.Blochimie
20 ml u.rin~/14h .... rOlum/14h - VEZ~ v 20 ml u rinai/24h + volu m/24h ~VEZI . PROTOCOL 1m I ser
de lu rnl na
03. 8,~ochimi€
03. B~olchirnie
06.1mu no~ogi@
Q':)!:iII' .;].eioc hi , urrue
I
I
Mostra urlna
SE
20 n11 u ri na/24n + volu m/241, - VEZI p:~~~c:;._· ~~u....:..J+gi2:-:.!a~l=-be=-:n...:....l.I} $~~Ie:;...;...r~~ r::.....:;:,-o;_;:;.. t-=2:........:·. m~·...;......1 ~ ........... ~ 20 m1 urlna/24h + vokHn/24h - VEZI
P·ROTOCQL vez] protocol
~~
PR'OTOCOL
Rtl~epru~et~
vidata
,SimI
cu
j,
R~!J~:(~a&
24h
06.[ mu nologle
5IS Prnlactlna
539 Prot~itiJ31 C r€!3ct!viI h lperse nsl bila(CR 54Q P rote in~ C re a ct iva' tast ca I itat i vl. .
.541 P'rotein~ C r€~ctivaJtest ca ntltatlv)
-
!i,E R=e p~u b eta vi da t.~ 8. rn lieu 6~~c-J...Jo.(~ca~p:..::~,,~a:....;::. a~1 b:....:··e:....:....:n:..L) __ ~_:_r-=-o::....:$. u=--.+.....IIi~~t..:.:' .. SER~epr,ubeta ~v·idat,a1 ml cu ~.r~~ tcanac rosu+aalbenl S
........-+-,,;;;;;,l~n;,..;;,..;' l._.;:;;s;...;;.,·i2,;:_r
-----~~~~~-----I
1 ml ser
5,4,2 Protelna
C(PC)
--
_. -
2 ml ser
10m I u ri n·~/24h + vo Iu m/24h
550 Pu u rnalavirus
.
~1tGAc( P U UG E) * -
5~~~ Pu u rna lavlrus .lgG Imini u noblot{P l)L)GW) ~~ SS3 Puurnalavlrus I~M Immunoplot{PUUMW)* . . 554 Ra no rt a ~bumina urlnara/creatl nina u r1na ra *'
.
5 E R; ~e p r U b@t~
d,~ta I,m I (u c;_;;;:p~"it.=....c _~===J.,,;2~.~ ~m...;..·I..;;.,s,e.;;...;; r_' 5ER-ep ru beta vidata Irnl CU Rei (c~rJ·ac rO$u+gIDb_ler)) 2 rnl ser
vi U;:JJ.;1 _:_ro:::....:::,·.5:....:::.u:...._+-~~,~·-=-'a I:....=b-=€:..:....:,n.il!...._).
m....b." (
~~=~~
0.6.1 mu nQlogt@
OJ. Blochl m ie 06.1 mu no logte
I: ...~ .a' O e.imuno ··1otj
";I~ i ..
10ml urina
2Inl ser
Ra po rt a ldostero
n-ren in~(ARU}:+
+ 1ml plasma
EDTA congelata
VEZi PFtOTOCOL
RENINA
:J~6,
c k .. Ren in~(PRA}:+ ~
I~
Ei;
(capac mov]
SER~,eprub,eta vidata sml cu gel (capac rosu+ga ben) ~ vezl protocol! 5-58 Reli!jtent~ I~ Larnivudlna" _.
n· k ,SHl ' .. 'c 15'~ll ~_.'1)* .. J' ~',,: 560' n.1C.,:,r~'ttsl conon A' 11·t"rG'R···C·O···G· .' 56,1 Ric.~attsia cOl1or~Ac IgM{RCOM I) *'
,,06Jmunologie
,06.1mu nolosle
..06.1 mu nol ogle --
__ .
06.lmunolo,gie
564. RU~Jelli ff]l,G-lndlce
_
I_, J Sml llchld arnniottc _ 5 ml sange EDTA 2 ml ser :1 ml ser
_ . . I!",. _ _
~e avidlt~t.e(RAVGE,').t- _ .
06. r mu no~cgle
06.!mu nelogle
06.IFllU nologle 06.~mu noloate :3 eprubete vldate K3 EDTA ('C~~rac
II
565 Ru~~n~ virus ~'R in Ilchid ~mniotic(ROTPCR)* 566 R.u bella VI ru s PC~,in sa ng:~e{ROTPCR)+ 561. R.lJleol,iI ,A,c.~'G(MASGE)* I
569 .Sal rna nella Ac'*'
2 ml ser eprubeta LCR I· SER""'e P:FU beta vidata 8ml rosu+,g,a Ihen} Mostr~ urlna snontana de, nimlneata
...
(U
gel (capac
10 ml urina
(c.anUtatlv}
--+.-=-,O,.:::...5.:..::"S_;,e.........,:ro;....:.,lo.;:.:..;:·,~_g~,i.;;:;.e __ ~S=E.:..;;.R~-r~~~p:.;;...ru~b:::;::..;.!,e::;;.,;;t:.:;.;.~...::.v..:..::::id:.:..:;:,a:...::.ti=-/-=-5.:..:..m.:..:...I-=-(u=-"'_gg·'c:'..:::..!e'I~(~-(~iD!,:;,...:··,~~_'(:"";;(,,,,;;;;_o.;;;;.~u~c.+~g~"a.;.;..lb..;;...:;'e;;:;._~n.d.'~ __ _'Fl:...:.m~·~ls~::e~r~ :05".SeroJ9g_le SER~,ep.rubet~, vict~t~ Srnl cu eel {capac rosu-aalben) 1 ml ser
---i
(;.I'
.
I!".I'
E·Ir\T-·,A:·.,-:, :-.;,
f I,
..
~-
582
ll n) *'
06.lmunolo,lie
06.1 mu nologle
584 Sindrorn di Ge4or.g~{microdeletii cromozon 22,)* 58); Slndrom Gilbert - g@n.~ UGT1Al * _ Sindrom Wolf ~Hirschhorn (culturl crcrnosomlale . 5816 FISH}* 587 Sindrornul Charcot-Marle-Tooth 5,8,9 Slndromul tip La (gena PMP22}*
10,G~netita
10.G ~I
_.'
e netica
Q
sang,e
EDTA
G' .e. ~" . 10' .·_Jc' n ~t'IC-"'l 10.G e netica , 10.G enetica 1 e~ru bete K3 EDTA (capac mov)
Sri' I sangs
EDTA
Willi~ms-I3,eur~n*
,.
~ ~~
1 ml ser lOml_l)rllla/24.h+
valuml24h
"
<n
K3 EDTA=eprub~ta
vidata
'fc~~1icm:ov_)
---
__ 2 _'m~sanae EDTA
. _._. ~ __ ~.
598
Test
Coombs Di'rect
:SER~~~pnJ~bettl v.id~t~ 8ml cu ~~t~·, a~'D;.:,;a~c..:..n~'~.u~+.J.a·g[;;:;.!iI:;.:;:~b:....:;.I~.;;..:;.nL..)'=~~l=-~· ..:._:m.:..;,_l-=..s.:::.,:er::._ ....~ J · 'SEift~·e~rUJbet~vtdata SrYlI eLI ~·el {capac ro~u+g.albenl 2. ml ser , K3 EDTArie'prubeta vldata tcaaac rnovl _.__ . . : 1 ml sange EDTA SER-~ ~ ru beta vldata 5m~.cu ,!el (Cal pac rO$u+ga lbs n} 5 mi. ssr 1(3 EDTA=~prube.ta vidata (capac rnovl 2im~sanae EDTA
..
---
......J:
5.03 .Testosteron
'. "'; .'~., •• i.....
[l
·.-.1
'.-.'
..
CJJ~Ji:1 __
24h __
03. Bioc hi m le
N,~ CITRAT = e pru beta vidata {ca P~[ ~lba stru)
1 ml plasma citratata
oarttsl
activat.~(APTT)
i -
!2 ml ser
SER-eprub~~iuidat~8mlcUR~I'c~Dac
r05u+~~lb~:e~n~)' ~2~,~m~l~s~e~r~~~~~~~~~~~ __
2 ml ssr :2 ml
ser
06.1 mu n oloJ:i~,
_ 6:Z 1 TO)(0',r1I.,~ . ~ - i1'" _ srna y
~of\ ~~"'"
f'
*
-_
~m~~~s,a~n~I~~"e~E~D~T~A~ ~
2 ml ser
---
de ~vid~t~te(TAVGE)*
06.lmunolo·~,ie
SER,-eprubeta
2. ml ser 2. ml ser
~ .. ~-
•••
••
•••
--- -
: :S,E,R~epr~b~ta vldata 8ml cu ~~I {capac rosu+R:~lb~_n_)_ _ SER~€~FU bets vidata ~,ml cu ,~~I ~C~ - --rCLSLI+,g,ttI be'n) p~c SER~lefJrubets vldats 8m lieu ~el tea D~C rosu +g~ I~en) SER~ep ru beta, vi~:~t_a 8m I__.[u__g:~ 11ta P,[j C rosu +ga lben) SE~-,e~ru beta via ~t.~ 8m,1 cu ~e ~(ca P~( rosu+ga lben)
- -----
J ml ser
j!
--
ml ser
2. ml ser 12 ml se r
.:2
rn I se r
~~-~.--_~._ .~~~~
06.lmu
---
t1olo,gie
-
06.imuncdog:~e
03.Biochim~,~
:S'ER-~'lJrub~ta vld~t; 8ml cu g~~~·~~c~ro....,;.-,,~_:~~+ ...... g,,~~cJ~b~en---,''),--. __ SER ..eprubeta vidata ,8,m!ClJ !,ellca_~ac rosu+salbenl SER~_~prubetl~ vidata g'ml cu ~@I (C~~I~C ro~u+g~lbel1)
-_..
--+-2~m~'···'__~ ~;..._!e~r
;2
m------ __
63i'! Ure,e'urlnara" 1§_3_' 8+-U_f_'O--,,-' p_. _rf_:'~ i1_e_" n_,G_IC_~_ _.__(U_-;R_O~'" S~;T_._' o f_i _d u_n )_*
. _...
i
!_i
i03;.lllocl~lmh~
... .
tria n ~port
J
'.'">
24h
':!JIII"'I,'t.IJr ~'U'-U~y - f§tU III.:
i.:''i\'l0'
~~.
e-
nr·
--
-- -
-- -
-,
--
--
-----
10 rnl u rlna + '\)/14h ,5 Ii, f'~ca le 10m I u rio2l/ 24h+volu m/24h PROT'OCOL POIF<FIA-INE
VEll
09"To~i(,o l,o~Je
06.1 m uno~og~e
ata Qm···'cu lBj.l~~1 'c' €.~ .. il'l!'tQ;n t ," rosi 1+.IDi~'1 Il'"1I) ~.o' u.~ .sER"@Rruh~t.m '!i~.rdata ,8,mI cu lie I (C~ Il~~ rosu +f.Iij'flben)
,oJj·ld· ¥
I~I ~
.-
,ji!E.1lI.
C"I! U
fil' S!G
CiI
I (capac
,'l.,liji]
v-l!l:l'l!.. I V.ll!'.
rosu+aalbenl 'Iru·~
~'!<;
2. ml ser
.. ~14~ Vp:rl~r:,~I·~Z05J;t~r A[P~:,'=PCO;, d lr llch id iEI m n lotte- {'VZVP'CR},i;;,_ 1'!lI - - r'ii_ --,. .!l'!! . '" '1."-'1 -
-- - -
_______
~I-
'OlilrrlunologiG
--. ~. ,06.lmunolo.gl@'
__
~~~=I~~~~
: Ii" ~ P\~
~I~
te t·c~ t!,
_~
,!IgIIY'\~~
m'
(\U \ U1l!!",
645 V(A(hzCiJKMJJ_'·~
6·46 'Viru~ Ep~tein B,arr(EBV)~ADN~
• I •• ••• ••
,SER-e'pru~tt41
I ,.
J(~lE[JTA~3€~rubete
ser ~_~~~'~~~=~
Ib
)'
2m
2 rnl star
Vi rus Herpetic 1+.2 PCR ~n LCR $,1llch ~,d
_. _ _. ___ __.
05.1rI1U n ologle
1
l.C Q/dl
~I;",.I,
''V:C!; '_, ~~
'?
·1 U' ~ ~_
'"21 _I@
_~
"TIl ,~,
--
--
- -- - ----
--
--
'iS6Vflru~Ur~iariAcl!~'M~'(~,~M~'-U~.:M~,_".~M~E~:}*_'' 651
V'it~minla A/VITA.'-*
--.
~-
".
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