Standardized Laboratory Values The following values are seen on the NCLEX® Test Plan: Test Abbreviation Adult Child HEMATOLOGIC – COMPLETE BLOOD COUNT (CBC) Hemoglobin** Hgb Hematocrit** Hct White Blood Cell** WBC Platelet Count** PLT Male: 14-18 g/dL Female: 12-16 g/dL Pregnant: < 11 g/dL Male: 42-52% Female: 37-47% Pregnant: >33% Both Sexes: 5-10 mm3 Both Sexes: 150-400 mm3 1-6 yr: 9.5-14 g/dL 6-18 yr: 10-15.5 g/dL 1-6 yr: 30-40% 6-18 yr: 32-44% ≤2yr: 6.2-17 mm3 ≥2 yr: 5-10 mm3 Same as adults HEMATOLOGIC – COAGULATION PANEL (COAGS) Prothrombin Time** PT Both Sexes: 11-12.5 sec Pregnant: decreased Same as adults ** 1.5-2.5 times the normal control (on Coumadin) Normal is 0.9-1.2 seconds International Normalized Ratio** INR Partial thromboplastin time** PTT Activated partial thromboplastin time** APTT Desirable therapeutic level is 2-3 times the normal Both Sexes 60-70 sec Pregnant: decreased ** 1.5-2.5 times the normal control (on Heparin) Both Sexes 30-40 sec ** 1.5-2.5 times the normal control (on Heparin) Same as adults Same as adults Same as adults BLOOD CHEMISTRY – BASIC METABOLIC PANEL (BMP) Glucose** Glu Both Sexes: 70-110 mg/dL ≤2 yr: 60-100 mg/dL ≥2 yr: 70-110 mg/dL Sodium** Na Both Sexes: 135-145 mEq/L Same as adults Potassium** K Both Sexes: 3.5-5 mEq/L 3.4-4.7 mEq/l Creatinine N/A Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL Child: 0.3-0.7 mg/dL HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier. ISBN: 9780323065856 Pagana, K. & Pagana, T. (2009). Mosby’s Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby. 0323053459 Prepared by: The Office of the Provost and Academic Affairs Curriculum Council Approved: 03/12/15 Page 1 Test Abbreviation Adult Child Blood Urea Nitrogen** BUN Both Sexes: 10-20 mg/dL 5-18 mg/dL BLOOD CHEMISTRY – LIPID PROFILE Cholesterol** N/A Both Sexes: <200 mg/dL 120-200 mg/dL BLOOD CHEMISTRY – MISCELLANEOUS Glycosylated Hemoglobin** Hgb A1C <6% Same as adults HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier. ISBN: 9780323065856 Pagana, K. & Pagana, T. (2009). Mosby’s Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby. 0323053459 Prepared by: The Office of the Provost and Academic Affairs Curriculum Council Approved: 03/12/15 Page 2 The following values are relevant to nursing education in general: Test Abbreviation Adult Child ARTERIAL BLOOD CHEMISTRY pH** N/A Both Sexes: 7.35-7.45 Same as adults PCO2 Both Sexes: 35-45 mmHg Same as adults PO2 Both Sexes: 80-100 mmHg Same as adults Bicarbonate** HCO3 Both Sexes: 22-28 mEq/L Same as adults Oxygen saturation** SaO2 Both Sexes: 95-100% Same as adults Partial Pressure Carbon Dioxide** Partial Pressure Oxygen** HEMATOLOGIC – COMPLETE BLOOD COUNT (CBC) Red Blood Cell RBC Male: 4.7-6.1 mm3 Female: 4.2-5.4 mm3 1-6 yr: 4.5-5 mm3 6-18 yr: 4.5-5 mm3 HEMATOLOGIC – COAGULATION PANEL (COAGS) Bleeding Time N/A 1-9 minutes Same as adults D-Dimer N/A 500 ng/mL Same as adults HEMATOLOGIC – MISCELLANEOUS Erythrocyte Sedimentation Rate C-Reactive Protein ESR Male: 15 mm/hr Female: up to 20 mm/hr Pregnant: increased Up to 10 mm/hr CRP 6 mg/mL Same as adults BLOOD CHEMISTRY – BASIC METABOLIC PANEL (BMP) Calcium Ca Both Sexes: 9-10.5 mg/dL 8.8-10.8 mg/dL Chloride Cl Both Sexes: 98-106 mEq/L 90-110 mEq/L Carbon Dioxide venous CO2 Both Sexes: 22-30 mEq/L Same as adults BLOOD CHEMISTRY – HEPATIC PANEL; LIVER FUNCTION TEST (LFT) Alkaline Phosphatase ALP Both Sexes: 30-120 IU/I 2-8 yr: 65-210 IU/I 9-15 yr: 60-300 IU/I 16-21 yr: 30-200 IU/I Bilirubin Bili Total: 0.3-1 mg/dL Indirect: 0.2-0.8 mg/dL Direct: 0.1-0.3 mg/dL Same as adults Aspartate aminotransferase AST/SGOT 0-35 IU/I 3-12yr: 10-50 IU/I 12-18 yr: 10-40 IU/I HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier. ISBN: 9780323065856 Pagana, K. & Pagana, T. (2009). Mosby’s Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby. 0323053459 Prepared by: The Office of the Provost and Academic Affairs Curriculum Council Approved: 03/12/15 Page 3 Test Abbreviation Adult Child Alanine aminotransferase ALT/SGPT Both Sexes: 4-36 IU/mL Same as adults Lactic dehydrogenase LDH Both Sexes: 100-190 IU/I 60-170 IU/I Ammonia NH3 15-110 mcg/dL 40-80 mcg/dL BLOOD CHEMISTRY – COMPREHENSIVE METABOLIC PANEL (CMP) A comprehensive metabolic panel (CMP) contains all the components of a basic metabolic panel (BMP) with the addition of the liver function tests (LFT) and the following: Protein total N/A Both Sexes: 6.4-8.3 g/dL 6.2-8 g/dL Albumin N/A Both Sexes: 3.5-5 g/dL 4.5-9g/dL BLOOD CHEMISTRY – PANCREATIC ENZYMES Amylase N/A 56-190 IU/L Same as adults Lipase N/A 0-110 IU/L Same as adults BLOOD CHEMISTRY – LIPID PANEL Triglycerides High Density Lipoprotein** Low Density Lipoprotein** Trig Male: 40-60 mg/dL Female: 35-135 mg/dL 6-11yr: 31-108 mg/dL 12-15 yr: 36-138 mg/dL 16-19 yr: 40-163 mg/dL HDL Male: >45 mg/dL Female: >55 mg/dL Same as adults LDL 60-180 mg/dL Same as adults BLOOD CHEMISTRY – THYROID PANEL Thyroid Stimulating Hormone TSH 0.5-5 milli-IU/L Same as adults Serum Thyroxine T4 5-12 ng/dL Same as adults Serum Triiodothyronine T3 70-220 ng/dL Same as adults BLOOD CHEMISTRY – MISCELLANEOUS Iron N/A Male: 80-180 mcg/dL Female: 60-160 mcg/dL 50-120 mcg/dL Total iron binding capacity TIBC Both Sexes: 250-460 mcg/dL Same as adults Magnesium 1mEq/l = 1.2 mg/dL Mg Serum: Both Sexes: 1.5-2.5 mEq/L 1.8-3 mg/dL N/A Therapeutic: (on Mg therapy): 4-8 mg/dL HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier. ISBN: 9780323065856 Pagana, K. & Pagana, T. (2009). Mosby’s Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby. 0323053459 Prepared by: The Office of the Provost and Academic Affairs Curriculum Council Approved: 03/12/15 Page 4 Test Abbreviation Adult Child Phosphorus Phos Both Sexes: 2-4.5 mEq/L N/A Serum Osmolality N/A 285-295 mOsm/kg H2O Same as adults Glomerular Filtration Rate GFR 90-120 mL/min Same as adults CARDIAC Creatinine phosphokinase CPK Male: 55-170 IU/I Female: 30-135 IU/I Same as adults Cardiac Cell Isoenzyme CPK-MB 0% Same as adults Brain and Lung Cell Isoenzyme CPK-BB 0% Same as adults Male: 10-95 ng/mL (onset: 1-3 hrs, peak: 6-10 hrs, return to normal: 12-24 hrs) Myoglobin N/A Troponin I TI Troponin T TT B-Type Natriuretic Peptide Hormone BNP Female: 10-65 ng/mL (onset: 1-3 hrs, peak: 6-10 hrs, return to normal: 12-24 hrs) 0-0.1 ng/mL (onset: 4-6 hrs, peak: 12-24 hrs, return to normal: 4-7 days) 0-0.2 ng/mL (onset: 3-4 hrs; peak: 10-24 hrs; return to normal: 10-14 days) <100 pg/mL: heart failure (HF) 100-300 pg/mL: HF present >300 pg/mL: indicate mild HF >600 pg/mL: indicate moderate HF >900 pg/mL: indicate severe HF Same as adults Same as adults Same as adults Same as adults URINE STUDIES Specific Gravity N/A 1.005-1.030 Same as adults Albumin, Protein N/A 50-80 mg / 24 hrs at rest <250 / 24 hrs after exercise Same as adults pH N/A 4.6-8 Same as adults White Blood Cells WBC 0-4 Same as adults HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier. ISBN: 9780323065856 Pagana, K. & Pagana, T. (2009). Mosby’s Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby. 0323053459 Prepared by: The Office of the Provost and Academic Affairs Curriculum Council Approved: 03/12/15 Page 5 Test Abbreviation Adult Child ARTERIAL BLOOD CHEMISTRY O2 Content N/A 15-20 vol % N/A Base Excess N/A 0 ± 2 mEq/L N/A THERAPEUTIC DRUG MONITORING Medication values will vary with individual laboratories Digoxin (Lanoxin) N/A 0.5-2 ng/mL >2.2 ng/mL Lithium (Carbolith) N/A 0.5-1.5 mEq/L >2 mEq/L N/A 50-125 mcg/mL >125 mcg/mL N/A 8-12 mcg/mL >12 mcg/mL Phenytoin (Dilantin) N/A 10-20 mcg/mL >30 mcg/mL Theophylline N/A 10-20 mcg/mL >20 mcg/mL Lidocaine N/A 1.5-5 mcg/mL >5 mcg/mL Acetaminophen N/A Depends on use >250 mcg/mL Amikacin N/A 15-25 mcg/mL >25 mcg/mL Gentamicin N/A 5-10 mcg/mL >12 mcg/mL Vancomycin N/A 20-40 mcg/mL >40 mcg/mL Valproic Acid (Depakene, Depakote) Carbamazepine (Tegretol) HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier. ISBN: 9780323065856 Pagana, K. & Pagana, T. (2009). Mosby’s Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby. 0323053459 Prepared by: The Office of the Provost and Academic Affairs Curriculum Council Approved: 03/12/15 Page 6