Thursday, October 10, 2013

That test... you know....

What do you call the lab test that includes Na, K, Cl, CO2, BUN, Cr, and Glu (+/- Calcium)?

I've been noticing that what you call that test seems to vary between a lot of different names based on hospital and part of the country. Sort of like soda vs. pop vs. coke.

40 comments:

  1. Here it's a basic metabolic panel (BMP).

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  2. EUC (Electrolytes, Urea, Creatinine)

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  3. We just call it U&E. It's reached a point where doctors have to tell medical students if they're only interested in a few panels, because if they say U&E the whole lot is ticked. Oops for cost savings...

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  4. Used to be a CP-6 now it is a BMP

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  5. We just write it as lytes, BUN, creat.

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  6. It was a chem-7 in medical school, renal panel in residency, and CMP in my current hospital. (all in Ohio)

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  7. At Ohio state: Most people called it a Chem7
    At UPMC: Most people call it a BMP
    At the VA: I think it was listed as a Chem8 (included Ca)

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  8. Chem-7 at the first hospital I worked at; BMP where I work now (in the same medical system!)

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  9. It's a BMP in Kansas City.

    Some individual physicians call it a chem-7 or chem-8. Our EMR accepts any of those names and converts them all to BMP.

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  10. BMP (pa)
    Where I went to school it was a Chem-7
    CMP adds liver enzymes

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  11. U&E in every hospital in the UK

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  12. Chem 7 or Lytes 7 at our hospital, depends on the resident who orders it. The one time I made the error of writing for a BMP, the nurse put it into into the system as BNP.

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  13. Community hosp in suburban Massachusetts: BMP. Gigantic medical center in Boston: Chem 7.

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  14. BMP or CMP usually, though some people (probably those who trained in other parts of the country) call it a chem panel. I'm in Oregon too.

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  15. At my med school, we always just wrote out "Lytes, BUN, Cr, Glc, Ca" though writing "Extended lytes" was understood to be Na, K, Cl, CO2, Ca, Mg, Phos. Now at my current centre we just write "LBC" or "ERS" (Emergency Room Set).

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  16. Quebec, Canada :

    Ions (which gives us Na / K / Cl )
    Bun/Creat
    All others are asked separately (Ca, Mg, PO4, random glycemia)

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  17. BUSE [ Blood Urea (+Cr) and Serum Electrolytes] in Pondicherry, India.

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  18. In SF Bay Area, the academic center calls it BMP, community site calls it chem 7, county site calls it p7. So tough to keep straight when placing orders at the different places as a resident.

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  19. What you wrote is a "basic". A "renal" would be those plus PO4 and albumin.

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  20. I've heard it called a BMP and a chem 7 depending on the age of the person ordering it. A CMP adds liver enzymes. In my old hospital, LFTs were a CMP + bilirubin (I had to put in a lot of the orders).

    Colorado and Virginia

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  21. University of California Irvine: BMP
    Tulane in NoLa: BMP

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  22. Australia: EUC/UEC/U&E

    These used to include glucose/calcium/magnesium/phosphate, but cost cutting measures mean you now have to order glucose specifically or CMP (calcium/magnesium/phosphate) if you want these

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  23. BUSE blood urea serum electrolytes

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  24. U+E in the Caribbean. Ca and Glu wouldn't be included, have to be ordered separately

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  25. small community hospital in ND = BMP. Big fancy place in MN = electrolyte panel.

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