Thorough blood tests can help you and your healthcare team understand what is going on inside your body and whether or not your treatment plan is working well as it should.
Below are the lab tests that we monitor regularly here at Renal Team Singapore. Please take note that the target range unit set here may be different from other hospitals and labs.
Anaemia Management Lab Do I have enough red blood cells and iron to feel my best? |
|
Name of Test | Target Range |
HB | 11-12 g/dl |
HCT | 33-36% |
Ferritin | ≥100 and <800µg/ml |
TSAT (Transferrin Saturation) | 20-50% |
Bone Disease Management Am I at risk of developing renal bone disease? |
|
Calcium (Serum) | 8.8-10.4 mg/dl or 2.2-2.6mmol/L |
Phosphate (Inorganic) | < 5.5 mg/dL or 1.82mmol/L |
Calcium Phosphate Product (Ca x PO4 ) | <60 |
Intact Parathyroid Hormone (iPTH) | 15-30 pmol/L or 150-300pg/ml |
Electrolyte Management How are my muscles and nerves working? |
|
Sodium | 135-145 mEq/L |
Potassium | 3.5-5.5 mmol/L |
Bicarbonate | >20 and <24 mmol/L (Pre-dx) |
Diabetic Management How is my diabetic risk and is it well-controlled? |
|
Blood Glucose Level | >4.0 and <9.0 mmol/L or <180 mg/dL |
HbA1c | 4.6-6.3% |
Dialysis Adequacy Management How am I responding to dialysis? |
|
Urea Reduction Ratio (URR) | >65% (for Haemodialysis) |
Creatinine Clearance Ratio (CCR) | >60% (for CAPD)>63% (for APD) |
Kt/V for Haemodialysis | >1.4 ( for non-diabetic dialysis patient) >1.6 (for diabetic dialysis patient) |
Kt/V for Peritoneal Dialysis | >2.0 /week (for CAPD)>2.1 /week (for APD) |
Nutrition Management What is my nutrition status? |
|
Albumin | ≥35g/L |
Creatinine (pre-dialysis) | variable on body mass & sex |
Creatinine (post-dialysis) | <5.0 mg/dL or <442 µmol/L |
Total Cholesterol | 200-240 mg/dL or 5.1-6.1 mmol/ L |
HDL Cholesterol | 40-60 mg /dL or 1.0-2.0 mmol/L |
LDL Cholesterol | <130 mg/dL or <3.334mmol/L |
Triglycerides | <200 mg/dL or <1.89mmol/L |
Total Cholesterol/HDL ratio | 3.5-4.5 |
Uric acid | 3.0 – 7.0 mg/dL |
Virology Management What is my virology status on a routinary basis? (These virology tests are conducted routinely and is a requirement under Singapore’s Ministry of Health Infection Control Guidelines) |
|
Hbs Ag | Negative |
Anti HBS | >10 |
Anti HCV | Negative |
Anti HIV | Negative |
血液报告将可以帮助您和您的团队了解您的身体状况。
以下几个指标是我们所关注的
1) 贫血风险评估 (是否有足够的红血球和铁质?)
2) 骨骼评估 (我将会有骨质疏松的状况吗?)
3) 电解质评估 (我的肌肉和神经的状况如何?)
4) 糖尿病评估 (跟洗肾之间是否有影响?)
5) 适量性评估 (洗肾是否充足?)
6) 营养评估 (我的营养是否充足?)
7) B型肝炎, C型肝炎, 爱之病 (我这半年来的状态是如何?)
请您记录下来您的各式血液报告,并且要记得询问您的护士当指数过高过低或有任何疑惑。建议您每次收到报告时,都应该请教您的护士或医生,并且学习如何阅读您的血液报告。