DOCCS
Laboratory

Laboratory

Basic Metabolic Panel

A Basic Metabolic Panel is a lab test that is very important and necessary for doctors to be able to get a better understanding of your body and the way that it is functioning. BMP’s are compromised of 7 to 8 different blood chemical tests from a blood sample that is drawn after an 8 to 10 hour fast (instructions will be given by your doctor) and then sent to a lab to analyze key factors regarding your health.

A BMP can detect if you are having any issues with blood filtration, your electrolyte levels, blood sugar levels, and the balance of acids and bases in your blood. BMP can also help in the diagnoses of diabetes, kidney disease, lung disease, and how you may respond to different medications. The seven different blood chemical tests that are taken for a BMP (also referred to as the CHEM-7) are glucose, creatinine, BUN (Blood Urea Nitrogen), sodium, potassium, chloride, and bicarbonate. These exams can also help pinpoint a medical issue that needs a particular and immediate procedure, such as diabetic shock, dehydration, congestive heart failure, or substance overdose. For this reason a BMP is a very necessary and relevant exam in our process of healing you.

PT & INR

PT INR stands for Prothrombin Time and International Normalized Ratio. The INR is a ratio that was created to set international standards for measuring prothrombin time accurately.
The formula is as follows, with ISI standing for the International Sensitivity Index:

Prothrombin time is the time it takes blood to clot after adding a tissue factor. Since the tissue factor varies between manufacturers, the ISI was implemented to compare the tissue factor used for the test to the international reference tissue factor. The result is a measurement of the extrinsic pathway of coagulation.

Prothrombin time can be measured to find the cause for abnormal bleeding or bruising, check for low levels of Vitamin K (necessary to make prothrombin), and to check levels of other blood clotting factors, since the lack of clotting factors can lead to bleeding disorders such as hempohilia. Another main reason for PT INR testing is to evaluate the efficiency of warfarin, an anticoagulant used in the prevention of thrombosis, as well as to check for liver damage.

Each year an estimated 800 million PT INR tests are performed.

HbA1C

HbA1c is also known as glycated hemoglobin and is used to measure the average plasma glucose concentration (blood sugar) over a certain period of time. This lab test helps doctors monitor blood sugar levels of diabetes patients, and test for diabetes for at risk patients. Differing laboratories may vary slightly, and demographic factors such as age, race, gender, and whether or not you smoke may influence a safe HbA1c level, however an HbA1c level of 5.6% or less is considered normal when diagnosing diabetes. A level of 5.7% to 6.4% is considered at risk for diabetes, and a level of 6.5% or greater is considered diabetes.

Your doctor will schedule your HbA1c testing every 3 to 6 months, and monitor your HbA1c to help you maintain your blood sugar to a safe level. If your HbA1c becomes too high you can become more at risk for developing kidney disease, heart disease, eye disease, nerve damage, and stroke. For this reason it is very important to stay informed on your condition and take the preventative steps to help lower your chances of getting diabetes, and keeping it under control if you are already are diagnosed.

UA

UA is short for urinalysis, and is an analysis of a urine sample that can measure a number of different compounds that pass through the urine. A urinalysis is the oldest known form of testing and diagnosing disease, the first tests dating back to 500 BC when they were done by the ancient Greeks. A urinalysis is performed on three different levels: The physical analysis, the chemical analysis, and the microscopic analysis. These tests are performed to screen for the early signs of several different diseases, to monitor certain conditions you may have such as diabetes or kidney disease, to diagnose a UTI (Urinary TractInfection), or to check for blood in urine. A urinalysis can also be performed as a method of drug-testing and pregnancy testing.

Here at DOCCS, urinalysis are done on-site daily by our doctors and physician assistants. Depending on the reason for the test immediate results can be delivered, however some tests have to be sent out for a more detailed analysis.

Other Lab Tests

If you have any questions regarding this issue, please give us a call at 321-259-6007