Standardized Lab Values - Final - 031215 PDF

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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) Both Sexes: 11-12.5 sec Pregnant: decreased Prothrombin Time**

PT

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

Same as adults

Same as adults ** 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

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: 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

Same as adults 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) 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

URINE STUDIES Specific Gravity

N/A

1.005-1.030

Same as adults

Albumin, Protein

N/A

50-80 mg / 24 hrs at rest 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...