Alkaline Phosphatase (ALK PHOS) Lab Values - podcast episode cover
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Episode description

Objective:

Determine the significance and clinical use of alkaline phosphatase in clinical practice

Lab Test Name:

Alkaline Phosphatase – ALP

Description:

Measures amount of ALP in circulation

Located in several places in the body:

  • Liver
  • Intestines
  • Biliary tract
  • Bones
  • Placenta

Different isoenzymes of ALP are used to determine:

  • Liver, bone, intestine and other cancers
  • Bone turnover in postmenopausal women

Indications:

Evaluation of ALP:

  • Hepatobiliary disease
  • Malignancies
  • Bone disease
  • Bone damage in renal patients

Normal Therapeutic Values:

Normal – 40-130 U/L

Collection:

  • Plasma separator tube

What would cause increased levels?

Increased levels assessed in:

  • Liver disease
  • Bone disease
  • Pregnancy
  • Amyloidosis
  • Lung cancer
  • Pancreatic cancer
  • Congestive heart failure
  • Ulcerative colitis
  • Hodgkin's disease
  • Chronic renal failure
  • Sarcoidosis

What would cause decreased levels?
  • Hypophosphatasia (spelling error on existing outline on NURSING.com)
  • Anemia
  • Kwashiorkor
  • Cretinism
  • Hypothyroidism
  • Zinc or magnesium deficiency
  • Scurvy
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