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Blood stained CSF samples cannot be processed as amino acid levels are much higher in blood and results will not be interpretable.

This can be a distressing time for them and they will need you to reassure them.

Our nurses in Gloucestershire continue to give exceptional care in difficult circumstances and I couldn’t be prouder.

Chemical Pathology Notes Please note: this test may only be requested by the endocrine consultants at GHNHSFT 11-Deoxycortisol may be indicated in the

The test can be ordered as an urgent request.

Blood must ideally be collected on the same day as the lumbar puncture, and within an absolute maximum of 14 days of lumbar puncture, for samples to be

be used for non-GIT malignancy.

The situations in which it would be beneficial are infrequent in the department.

Any sample displaying these factors cannot be processed and will be rejected Sample requirements Maternal  EDTA tube - 6mL Maternal   Serum tube - 6mL

For example, a small quarter-sized area of alopecia areata may be treated with 4 injections and a full eyebrow may be treated with 5 to 6 injections.

The test can be ordered urgently. Reference ranges The adult reference range for CSF lactate is 1.1 – 2.4 mmol/L.

Plasma must be promptly separated and frozen on receipt in the laboratory.

Vaseline® or Savlon® can be applied daily to the wound if necessary. Oral pain relief should not be required.

For GP requests the surgery POCT carbon monoxide breath monitor can be used as a screen.

Let us know of any equipment you use at home to help you as it may be that this can be also used in hospital.

Treatment will be given if your symptoms get worse.

We would expect you to be admitted to hospital.

In these cases, treatment may need to be considered.

Sessions will be interactive and there will be the opportunity to undertake practical tests on the lab staff!

Therefore, the presence of hCG in urine should not be used to diagnose pregnancy unless these conditions have been ruled out.