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Standardized Lab Values - Final - 031215

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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
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