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Viral Hemorrhagic Fever (VHF) Chemistry Panel Testing

Source Blood
Mnemonic

WBCMP and WBLPP are restricted for use for VHF patients and can only be ordered at ACH and SHC.

CLS staff: if "Comprehensive Metabolic Panel" is ordered by a U.S. physician, refer to PX-QR3110 Panel Tests

Specimen Requirements

Lithium Heparin Whole Blood
Do not centrifuge tube.

Minimum sample 300 uL Lithium Heparin Whole Blood

Specimen Handling Sample must be analyzed with 60 minutes of collection time.
Additional Information

If Ebola Virus Disease (EVD) or other viral hemorrhagic fever (VHF) is suspected, the ordering physician MUST contact the local zone Medical Officer of Health by the fastest means possible. ANY and ALL laboratory testing for patients with suspected EVD or VHF MUST be coordinated and approved through the local zone Medical Officer of Health.

WBCMP (Whole blood comprehensive metabolic panel) includes:
Sodium, Potassium, Chloride, Total Carbon Dioxide, Glucose, Urea, Creatinine, Calcium, Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Total Bilirubin and Total Protein.

WBLPP (Whole blood liver panel plus) includes:
Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Amylase, Aspartate Aminotransferase (AST), Total Bilirubin, Total Protein, Gamma Glutamyltransferase (GGT).

NOTE: The WBCMP is the preferred panel for VHF patients. The WBLPP panel contains the same liver function tests as WBCMP except GGT. It is not recommended to order both panels unless amylase and GGT are critical for patient care.

CLS staff: Refer to the VHF Documents section of the BCERP manual for enhanced safety procedures.

Testing Location Chemistry-ACH, SHC
Testing Frequency Daily
Alternate Name(s) Whole Blood Comprehensive Metabolic Panel, Whole Blood Liver Panel Plus
Reference Interval

Refer to individual test pages:

Alkaline Phosphatase (ALP)
Alanine Aminotransferase (ALT)
Amylase
Aspartate Aminotransferase (AST)
Calcium
Carbon Dioxide (Total)
Chloride
Creatinine
Gamma Glutamyl-Transferase (GGT)
Glucose
Potassium
Sodium
Total Protein
Urea

 Total Bilirubin (BILT)
 < 1 day  5 -108 umol/L
 1 - 2 days  5 -159 umol/L
 3 - 14 days  5 - 231 umol/L
 15 - 365 days  5 - 29 umol/L
 1 - 4 years  5 - 15 umol/L
 5 - 9 years  5 - 19 umol/L
 10 - 14 years  5 - 25 umol/L
 15 - 150 years  5 - 30 umol/L

Click here for critical values