1 Laboratory Test RBCs Mean corpuscular hemoglobin (MCH) Mean corpuscular hemoglobin concentration (MCHC) Mean corpuscular volume (MCV) Hemoglobin Hematocrit WBCs WBC differential Neutrophils Lymphocytes Monocytes/macrophages Eosinophils Basophils Platelets Laboratory Values Value TUBE Complete Blood Count (CBC) 4.2-5.4/mm3 (F) 4.6-6.2/mm3 (M) 26-34 31-37g/dL 80-100% 12-15 g/dL (F) 13.5-16.5 g/dL (M) 36-44% 45,000-100,000/mm3 Sodium (NA) Potassium (K) Calcium (Ca) Magnesium (Mg) Chloride (Cl) 1.8-6.6/mm3 (57-67%) .8-4.8/mm3 (25-33%) .2-.9/mm3 (3-7%) .0-.04/mm3 (1-4%) .0-.02/mm3(0-0.75%) 150,000-400,000 Electrolytes 135-145 mEq/L 3.5-5 mEq/L 8.8-10.3 mg/dL 1.6-2.4 mEq/L 95-107 mEq/L Phosphate 2.5-4.5 mg/dL Glucose (fasting) 60-99 mg/dL Anion Gap: difference between cations and anions in ECF; ([Na+]-[(Cl-)+(HCO3)]) 10-14 mmol/L; 8-16 mEq/L Creatinine Kinase (CK) Creatine kinase MG (CK-MB) EDTA Cardiac Markers M: 20-200 U/L ; F: 20-180 U/L Values 4-6% of total CK highly indicative of MI; serum levels Red (no addative) or tiger top. Green (heparin) also acceptable. Red (no addative) or tiger top. Red (no addative) or tiger top. Green (heparin) also acceptable. Red (no addative) or tiger top. Green (heparin) also acceptable. Serum: red Plasma: gray or tiger top top (sodium fluoride) or green (heparin) Red (no addative) or tiger top. Green (heparin) also acceptable. Red (no addative) or tiger top. 2 Troponin I serum BNP (causes natruresis, can distinguish Resp/Cardiac issues) ANP Homocysteine International normalized ratio (INR) COUMADIN Partial thromboplastin time (PTT) (Intrinsic Factors) HEPARIN Prothrombin time (PT)(Extrinsic Factors) Anti Xa Cholesterol High-density lipoprotein (HDL) Low-density lipoprotein (LDL) Triglycerides GFR Creatinine BUN BUN/CR ratio AST (SGOT: liver disease, MI, PI, acute hepatitis) increase w/ 4-6 hr after MI Triponin I: negative <.5 ng/mL int. or suspicious: .5-2.3 ng/mL Positive: >2.3 ng/mL Triponin T: <.1ng/mL HF: >100 pg/mL >80ng/L M: 5.2-12.9 μmol/L F: 3.7-10.4 μmol/L Blood clotting assessment 2-3 depending on p.t. therapy goals 25-40 seconds 10-14 seconds Unfractionated Heparin: 0.30.7 U/mL (therapeutic); 0.10.4 (prophylactic) LMWH: 0.5-1.2 U/mL (therapeutic); 0.2-0.5 (prophylactic) Lipid Panel <200 mg/dL Greater than or equal to 35 mg/dL, Negative risk fewer than 60 65-180 mg/dL -Normal <150 mg/dL -Borderline High 150-199 mg/dL -High 200-499 mg/dL -Very High >499 mg/dL Renal Function Test 120 mg/dL 0.7-1.2 mg/dL 10-20 mg/dL Between 10:1-20:1 Liver Function Tests 10-30 U/L Serum: red or tiger top Plasma: green (heparin) EDTA Tube Chilled, EDTA tube transferred on ice Red or tiger top if measured w/ methlymalmonic acid. Alternatively, EDTA appropriate. Sodium citrate tube Completely filled sodium citrate tube (may need to be adjusted based on HCT) Sodium citrate tube Red or tiger top Serum: red or tiger top Plasma: green (heparin) Serum in red or tiger top, heparin also acceptable Red or tiger top 3 ALT (SGPT: liver disease, shock) 10-40 U/L Bilirubin Total: .2-1.2 mg/dL Indirect: .1-1.0 mg/dL Direct: 0.1-0.3 mg/dL Alkaline Phosphatase (bone diseases, 38-126 U/L hyperthyroidism, biliary obstruction, hypothyroidism, excessive vit D) Ammonia 15-45 mcg N/dL T3( triiodothyronine; active form) T3 uptake T4 (Thyroxine; prohormone) total T4 (Thyroxine; prohormone) free TSH pH HCO3 PaCO2 Pa O2 Thyroid Function Tests 20-50 yo: 70-204 ng/dL >50 yo: 40-81 ng/dL 24%-34% 4.6-11.0 mcg/dL 0.8-2.7 ng/dL 0.4-4.2 μU/mL Blood Gas 7.35-7.45 A: 22-26 V: 24-28 mEq/L A: 35-45 mmHg V:41-51 A: 80-100 mmHg V: 20-49 Miscellaneous blood tests 6.4-8.3 g/dL 3.5-5.0 g/dL Total prn Albumin (dehydration, chronic liver disease, malnutrition) Albumin/Globulin 1.2-1.5 *MCH is the average hemoglobin per RBC *MCHC is the measurement of hemoglobin and hematocrit Serum in red or tiger top, heparin also acceptable Serum in red or tiger top, heparin also acceptable Protect sample from light Serum in red or tiger top, heparin also acceptable EDTA (lavender) or heparin (green) tube. Should be transferred in ice slurry Red or tiger top Serum: red Plasma in or tiger top heparin tube (green) tube Red or tiger top Arterial: Venous: Heparinized sodium Syringe heparin/lithium heparin tube Red or tiger top Serum in red or tiger top, heparin also acceptable