ALP (alkaline phosphatase) isoenzyme
How the test is performed:
Adult or child:
Blood is drawn from a vein (venipuncture), usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and a tourniquet (an elastic band) or blood pressure cuff is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the tourniquet to distend (fill with blood). A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the tourniquet is removed to restore circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
Infant or young child:
The area is cleansed with antiseptic and punctured with a sharp needle or a lancet. The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container. Cotton or a bandage may be applied to the puncture site if there is any continued bleeding.
How to prepare for the test:
Fasting for 10 to 12 hours before the test is usually standard. A urine specimen may also be tested (your health care provider determines which tests are appropriate). Many drugs affect the level of alkaline phosphatase in the blood. These drugs will be monitored or you will be instructed to discontinue their use: - antibiotics
- narcotics
- methyldopa
- propranolol
- cortisone
- allopurinol
- tricyclic antidepressants
- chlorpromazine
- estrogens and progestins - oral contraceptives
- anti-inflammatory analgesics - oral
- male hormones
- tranquilizers
- some antiarthritic drugs
- antidiabetics - oral
Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:
How the test will feel:
When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.
Why the test is performed:
This test is useful in diagnosing: - liver disease (jaundice-yellowing of the skin and eyes)
- the cause of liver disease
- parathyroid disease
- vitamin D deficiency
- the cause of pain in the upper abdomen
- bone diseases
It can also be used to monitor: - patients on medications that may be harmful to the liver
- liver production (used in conjunction with other tests)
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