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    Lab Test FAQs

    What variables could affect test results?

    • Patient variables including exercise, diet, age, sex, circadian variation, posture, obesity, stress, smoking and medication may affect laboratory test results.
    • An individual’s diet and lifestyle may affect laboratory test results. It is generally recommended that the night before laboratory tests patients avoid high-fat foods, alcohol and strenuous exercise.
    • Patients should ask their doctors if certain medications should be stopped prior to lab testing as certain medications may interfere with the laboratory test results.

    How can I know what the results mean?

    • Laboratory test results are often reported with a reference interval to assist the clinician in interpreting them. These reference intervals reflect the values in the majority of healthy individuals; however, a small number of healthy people (5%) may have results that are higher or lower than those in the reference range. Therefore, laboratory results should interpreted by clinicians who can decide whether or not the results indicate a medical condition.
    • Clinicians consider personal medical history, family history, and results from physical examination when interpreting an individual patient’s laboratory test results.

    Facts about blood Tests

    • Patients may need to fast prior to certain blood tests. For example, patients should not eat or drink anything except water for 10-12 hours prior to glucose and lipid profile tests.
    • The amount of blood drawn at the time of collection for laboratory testing depends on the tests that are ordered. Usually the amount collected is very small (around 10-15 ml.)
    • Some patients become anxious when they have their blood drawn. Patients should tell the health care professional who is drawing the blood if they feel faint or sick. Slow deep breaths prior to the needle stick may help to alleviate anxiety
    • After a blood draw, the phlebotomist makes sure that all signs of bleeding have stopped. A Band-Aid is applied to the arm for a minimum of 15 minutes.
    • Aspirin or other anticoagulant (blood thinners) drugs can prolong bleeding. In such cases, patients may need continued applied pressure until the bleeding has stopped. A cold pack may be necessary to reduce swelling and bruising.
    • After a patient has blood drawn, even when bleeding has stopped, patients should not carry heavy objects with that arm for a minimum of one hour.

    Tips for collecting Specimens at Home

    • Patients must follow all instructions exactly for collection of specimens performed at home then brought to the laboratory for testing.
    • Special containers with a powder or liquid preservative may be provided for urine or stool collection. Patients should never empty or discard any powder or liquid from the container before beginning the collection of a specimen.
    • Specimens should be delivered to the laboratory in the prescribed timeframe in order to assure accurate results.

    When will you receive the Results of your test?

    Depending on the laboratory work performed, test results may be available within a few hours to as long as several weeks. More details about each test can be obtained in the services section.

    How can the patient help in getting accurate results?

    Since the vast majority of medical decisions are based upon results obtained from laboratory tests, it is critical to the well-being of patients to obtain the most accurate information possible. Patients can help to ensure that their lab tests are accurate by following pre-testing instructions carefully and by providing complete medical histories, including lists of medications and natural supplements, to their health care providers.

    What should I do to give my sample for Testing?

    • All patients for blood tests should proceed to the Phlebotomy room on the ground floor. Phlebotomy is located just behind the reception desk at the main entrance to the hospital. The service is open between 7.00 and 20:00 hrs from Monday through Saturday and between 7:00 and 15:00 hrs on Sundays.
    • When you arrive at phlebotomy please take a ticket at dispenser and wait seated in the waiting area until your number is called. When your number is displayed proceed to the phlebotomy room with your ticket and a phlebotomist will collect your blood.
    • A laboratory request form or a letter from your GP is required for a blood test. If you require clarification on any issues please ask the Phlebotomy Reception staff who will answer any queries.
    • Patients who are fasting should only drink water before the blood test.
    • The results of all blood tests are available at the report dispatch counter at the radiology reception on the ground floor.
    • Patients who are dropping off a specimen or have tests that require only urine/stool sample can go directly to the phlebotomy reception.

    How should I Collect Mid Stream Urine (MSU)?

    • Do not empty your bladder for three hours, if possible.
    • Label the container with your surname, first name, date of birth, date/ time and referring doctor.
    • Wash your hands, and then wash your genital area with water.
    • The aim is to get a sample of urine from the middle of your bladder.
    • Urine is normally sterile (no bacteria present). If bacteria are found in the sample, it means that the urine may be infected.
    • A ‘mid-stream’ sample is the best sample as the first bit of urine that you pass may be contaminated with bacteria from the skin.
    • Women – hold open your labia (entrance to the vagina) apart while urine is passed. If you have a vaginal discharge or period, a tampon should be inserted prior to collecting the sample.
    • Men – Uncircumcised males should retract the foreskin while the urine is passed. Do not open the sterile bottle until you are ready to take the sample.
    • Pass some urine into the toilet. Without stopping the flow of urine, catch some urine in the sterile bottle (fill approximately half full). (The bottle will be provided by the phlebotomy Reception). Finish off passing urine into the toilet. Close the lid firmly.
    • Wash hands thoroughly with soap and water.
    • Check that the form contains the full name, address and date of birth of the person sampled and add the date and time the sample was collected.
    • The sample should ideally be brought to the lab within one hour.
    • If that is not possible, put the sample in the fridge until it is brought to the lab.

    How should I collect Faeces /Stool Sample?

    • Label the container with your surname, first name, date of birth, date/ time and Referring doctor.
    • Place plenty of lavatory paper in a clean potty or in the lavatory pan.
    • Make sure there is no trace of disinfectant or bleach present, as this will interfere with the test.

    Collection of stool

    • Faeces (a bowel movement) should then be passed on to the toilet paper
    • Open the container.
    • Using the little spoon provided, scoop up 2 spoonfuls of faeces.
    • Place in the container.
    • There is no need to fill the container. Screw the lid firmly back on the container.
    • If you have severe diarrhoea or a watery stool, a potty may be needed to collect the initial sample.
    • The container with the stool sample should be placed in the plastic bag attached to the form and sealed.
    • Flush away the remaining paper and faeces down the lavatory.
    • Wash your hands thoroughly with soap and water.
    • Check that the form contains the full name, address and date of birth of the person sampled and add the date the sample was taken.
    • Bring the sample into Phlebotomy Reception.
    • Results will be available at the report dispatch counter as per the turnaround time given in the directory of services

    How should I collect 24-hour Urine sample?

    Important points

    • It is very important that you collect all the urine that you pass during an exact 24-hour period. Do not void urine directly into the 24-hour container but into a suitable clean detergent-free jug and then pour into the 24-hour container.
    • Ensure that the container is labeled with patient’s full name, date of birth and address, date and time collection of specimen started and finished.
    • Loss of any urine, or a collection made for either more or less than 24 hours, will invalidate the test and might lead to an incorrect diagnosis.
    • If this container contains acid as a preservative and/or has a warning label, then care needs to be exercised when adding urine to it from your collection vessel. The following points should also be noted: Hydrochloric Acid (fuming liquid) causes burns and is irritating to eyes, skin and respiratory system. If in contact with skin, wash immediately with plenty of water and seek medical advice. Keep out of reach of children. Not to be taken internally – would cause severe irritation and damage.

    Procedure

    • Empty your bladder at 7am on rising (or at a more convenient time) and throw away the sample.
    • Only after this sample has been passed is the collection started.
    • Write start time on container label.
    • Collect all your urine in the container provided on every occasion that it is passed during the following 24 hours and store refrigerated if possible.
    • Empty your bladder at 7am on rising the next morning (or at the more convenient time chosen) and add this sample to the collection.
    • Write the finish time on the container label.
    • Please ensure that the label on the container and the request form are fully completed and that the cap is closed securely.
    • Bring the collection to the hospital on the day of completion.

    Incomplete Collections

    If you forget and lose a sample down the toilet, then please throw away all the urine collected up to that time and start again the following morning. If you are making an acid collection, return the container with the acid to the laboratory and request a new container from the laboratory.

    What is Oral Glucose Tolerance Test (GTT)?

    Principle

    The oral Glucose Tolerance Test involves the taking of three to four blood samples; one when you arrive (fasting for 8-14 hours) and others at the end of one, two and three hours after a glucose drink depending on the type of GTT (75 or 100 gms).

    Procedure

    • After the fasting blood has been taken and after you have taken the glucose drink, you will be required to remain in the hospital for 3 hours, at the end of one hour second blood specimen will be taken and every hour up to three hours.
    • Throughout the test (the 3 hours between the four blood samples), please observe the following
      • No Food
      • No Drinks (sweetened /unsweetened tea/coffee or any beverage).
      • No Smoking
      • No Exercise
      • Drink plain water.
    • Please report back to the Phlebotomy Outpatient Department in time to have your second blood sample (within 1 hour of glucose drink) taken and subsequently every hour till completion of test.

    When should I give my sample for double marker/ triple marker test?

    Double marker test

    It is done between 10 to 13 weeks of pregnancy. You have to bring a form filled by your obstetrician along with a copy of the most recent ultrasound scan report.

    Triple marker test

    It is done between 14 to 20 weeks of pregnancy. You have to bring a form filled by your obstetrician along with a copy of the most recent ultrasound scan report.

    What tests require patients consent?

    • Some tests such as FNAC and HIV testing require the consent of the patient.
    • Your doctor will explain the test to you and will take your consent for the same.
    • You need to sign the consent form along with a witness and the doctor who has explained the test to you.
    • The signed consent form has to be deposited with the technician who is collecting your sample. Sample will not be collected without a signed consent form.
    • You will be counselled about you results before being issued the HIV result.

    What Happens During A Blood Test?

    Blood tests are carried out at Apollo hospitals by phlebotomists who are specially trained in the collection of blood.

    A test usually involves placing a needle attached to a vacutainer into one of the blood vessels in the inside of your elbow or wrist. You will feel a sharp prick as the needle goes in but this isn’t particularly painful.

    A sample of blood is then taken and the needle is removed. You will be given a gauze pad to put pressure on the site of the injection, which stops any bleeding and should prevent bruising. Most blood tests only take a few minutes to complete.

    Recovery after giving blood sample

    Only a small amount of blood is taken during the test so you shouldn’t feel any significant after-effects.

    However, some people do feel dizzy and faint during and after the test. If this happens to you, tell the person carrying out the test so they can help you feel more comfortable. After a blood test, you may have a small bruised area on your skin where the needle went in. Occasionally, a larger area of bruising may appear. This can be because there was a lack of pressure at the site of the jab or the blood vessel was damaged by the needle.

    Bruises can be painful but are usually harmless. However, tell your doctor if you frequently get bruises after having a blood test.

    What should I do to avoid bruising?

    After the needle is removed from your vein the phlebotomist will give you a gauze pad. Place the gauze pad over the site where the needle punctured your skin and apply pressure over it with your thumb. To know if you have applied adequate pressure observe the nail bed of the finger used to apply pressure it should be paler than the rest of the nail. Pressure should be applied for at least 2 minutes. If you are taking certain medications for thinning your blood such as Warfarin, the pressure should be applied for at least 5 minutes. Once bleeding has stopped a band aid will be applied.

    Do not rub the area as rubbing may dislodge the clot and lead to further bleeding and bruising.

    Do not carry heavy weights/ hand bag on the same arm for at least one hour.

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