They mix the sample with some chemical, that a) reacts with the tested substance and b) produce some detectable effect (usually – changing color). Then they measure that change in color: either manually (lab worker compares it with a paper that have all possible colors and its meanings), or automatically (light is shined through a mixture and a light sensor measures it).
When testing for multiple values, there are three ways:
1. Separate the sample into different parts, one part for one test. Low tech, reliable, but requires a lot of blood for sample
2. Run all the tests in one vial. Requires specifically picked test reagents, that play nice with each other and a good measuring equipment (manual eyeballing is out of question)
3. Some combination of the above. The sample is separated into parts, each part for few tests.
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