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Total Protein test Protein, total (TP), plasma or serum

Normal Range: 6-8 g/dL
SI Range: 60-80 g/L
Blood tube color: Marbled
Specfics of collection: Avoid prolonged venous stasis during collection.

Physiologic Basis:
The plasma protein concentration is determined by the nutritional state, hepatic function, renal function, and various disease states and hydration. The plasma protein concentration determines colloidal osmotic pressure.

Increased in: Polyclonal or monoclonal gammopathies, marked dehydration. Drugs: anabolic steroids, androgens, corticosteroids, epinephrine.

Decreased in: Protein-losing gastroenteropathies, acute burns, nephrotic syndrome, severe dietary protein deficiency, chronic liver disease, malabsorption syndrome, agammaglobulinemia.

Comments:
The serum total protein consists primarily of albumin and globulin. Hypoproteinemia usually means hypoalbuminemia, since albumin is the major serum protein. Globulin is calculated as total protein minus albumin. Source: Nicoll D, S. J. McPhee, T. M. Chou, W. M. Detmer. Pocket Guide to Diagnostic Tests. Appleton & Lange, 1996.


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