CHEMISTRY UC HEALTH CLINICAL LABORATORY REFERENCE RANGES. Nov g/dl. Alpha Fetoprotein Adult 9 Alkaline Phosphatase All U/L U/L

Transcription

1 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS Albumin g/dl Alpha 1 Anti-trypsin Alpha Fetoprotein Adult 9 ng/ml Alkaline Phosphatase U/L ALT 7-52 U/L Ammonia µg/dl Amylase U/L ANA <1.0 Ratio Anion Gap 3 16 mmol/l Anticardiolipin IgA <12.0 APL Anticardiolipin IgG < 20.0 GPL Anticardiolipin IgM < 20.0 MPL Anti-thryoglobulin IU/mL AST U/L B pg/ml Beta-2-microglobulin mg/l Beta hydroxy butyrate mmol/l Bilirubin, Direct Bilirubin, Indirect Bilirubin, Total 0-1 day 1-2 days 3-5 days 6 days 9 years 10 years - Adult BNP Adult <100 pg/ml BUN 7-25 C C CA U/mL CA U/mL CA U/mL

2 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS Calcium Ceruoloplasmin mg/l Chloride mmol/l Cholesterol <200 CK U/L CKMB ng/ml CMV IgG CMV IgM CO mmol/l AM PM <10 Cortisol Cortisol Stimulation ACTH Stimulation Dexamethasone Suppression µg/dl Over twice (usually 3 to 5 times) basal values Below basal (control) values for the screening, lowdose and highdose tests An increase in cortisol after stimulation by ACTH is normal. Blood cortisol after ACTH stimulation should be greater than ug/dl, depending on the dose of cosyntropin used. Samples from patients receiving prednisone or prednisolone should not be assayed for cortisol using this method due to high cross reactivity.

3 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS C-peptide ng/ml Creatinine CRP <10.0 mg/l CRP, High Sensitivity <10.0 mg/l DHEAS Females Age > Males Age > µg/dl EBV IgG EBV IgM Males <47 Females Estradiol Mid Follicular Phase pg/ml Mid Luteal Phase Peri-ovulatory Phase Post Menopausal <40

4 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS Ferritin Male Female ng/ml Folate ng/ml Free T pg/ml Free T ng/dl Males Females FSH Mid Follicular Phase Midcycle Peak miu/ml Mid Luteal Phase Post Menopausal GGT 9-64 U/L 0 1 month Glucose, serum/plasma 2months 6 years >6 years Glucose. CSF Glycohemoglobin % (NGSP units) Haptoglobin HDL >60 Gestational Age (weeks) Mean hcg HCG, Quant , ,000 1,000-50,000 10, ,000 15, ,000 10, ,000 miu/ml HCG, Qualitative serum Females

5 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS Hepatitis A IgM Hepatitis A Total Antibody Hepatitis B Core Antibody Hepatitis B Core IgM Hepatitis B Surface Antibody Hepatitis B Surface Anitgen Hepatitis C Antibody HIV 1 and 2 Antibody; p24 Antigen Non Reactive Homocysteine umol/l IgA IgE IU/mL IgG IgM

6 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS Insulin miu/ml Iron µg/dl Lactic Acid mmol/l LDH U/L LDL, calculated <100 LDL, direct Males Females LH Mid Follicular Phase Midcycle Peak miu/ml Mid Luteal Phase Post menopausal Lipase 4-82 U/L Magnesium Microalbumin 0-17 mg/l Microalbumin/ urine creatinine Myoglobin Normal Microalbminuria Clinical Albuminuria Adult >/=300 Male Female mg/g creat mg/g creat mg/g creat ng/ml Osmolality - serum mosm/kg Osmolality - urine mosm/kg

7 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS Prealbumin Phosphorus months Potassium 1 year - 19 years mmol/l >19 years Males Non-pregnant Females Mid-Follicular Phase Progesterone Mid-Luteal Phase Post Menopausal < ng/ml Pregnant Females First Trimester Second Trimester Males Prolactin Females (<50 years) ng/ml Females (>50 years) Protein, Total <1 year year - Adult g/dl Protein, CSF <1 year > 1year-Adult PSA ng/ml PTH/IOPTH pg/ml Rheumatoid Factor <14 IU/mL RPR

8 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS Sodium mmol/l T ng/ml T µg/dl Testosterone Male Female <0.75 ng/ml Thyroglobulin ng/ml TIBC Male Female µg/dl TP-PA Transferrin TREPIA (Syphilis Screening) Triglyceride <150 Troponin I <0.04 ng/ml TSH uiu/ml Uric Acid Urine 24 Total Protein mg/24hr Male Female Urine 24 Creatinine g/24hr VZV Vitamin D deficiency : <20 Vitamin D ng/ml Vitamin D insufficiency: 21-29

9 CHEMISTRY ASSAY CATEGORY REFERENCE RANGE UNITS ** *** The following comment is appended to all HCG Quantitative results:values from different assay methods may vary. This assay is not approved for and should not be used to diagnose any condition unrelated to pregnancy. For values between 5 and 25 for HCG Quantitative, the following comment will be reported on the patient report: Values between 5 and 25 miu/ml in women should be confirmed by repeat analysis in two to four days if clinically indicated.

10 ANALYTE *Adult values REFERENCE RANGE SPECIMEN TYPE* UNITS Code Description ph AO / CP None AO Arterial CB CP Capillary V/MV CB Cord Blood pco AO / CP mmhg V Venous V/MV MV Mixed Venous po AO / CP mmhg WB Whole Blood V/MV S Serum HCO AO / CP mmol/l V/MV TCO AO / CP mmol/l V/MV Base Excess -5 AO CSAT AO/CP % O 2 HB (O 2 Saturation) AO % V Calcium, Free AO/CP/V/MV/S Calcium, Ionized DIALYSIS PORT Sodium ALL mmol/l Potassium ALL mmol/l Hemoglobin (Female) AO / V/MV g/dl (Male) Hematocrit (Female) AO / CP / V % (Male) Carboxyhemoglobin % normal AO / WB % % smokers BLOOD GAS Methemoglobin AO / MV / V/ CB % Reduced Hemoglobin AO / MV / V / CB % Glucose AO / MV / V / CB Lactic Acid AO/CB mmol/l SPECIMEN TYPE

11 ELECTROPHERESIS HEMOGLOBIN ELECTROPHERESIS ASSAY REFERENCE RANGE Hemoglobin A % Hemoglobin A % Hemoglobin F % UNIT PROTEIN ELECTROPHERESIS ASSAY REFERENCE RANGE UNIT Kappa Free Light Chains- Serum mg/l Kappa Free Light Chains- Urine mg/l Lamda Free Light Chains- Serum mg/l Lamda Free Light Chains- Urine mg/l SERUM PROTEIN ELECTROPHERESIS ASSAY REFERENCE RANGE UNIT Albumin g/dl Alpha-1 globulins g/dl Alpha-2 globulins g/dl Beta globulins g/dl Gamma globulins g/dl

12 TOXICOLOGY THERAPEUTIC DRUG LEVELS ASSAY THERAPEUTIC TOXIC LEVELS ASSAY Acetaminophen ug/ml >100 ug/ml Acetone < 2.0 REFERENCE RANGE Carbamazepine 4 12 ug/ml >/= 20 ug/ml Cyclosporine ng/ml Digoxin ng/ml >/= 2.5 ng/ml Ethyl Alcohol <10 Gentamicin Peak 4-8 ug/ml n/a Ethylene Glycol None Detected Gentamicin Trough ug/ml >2.5 ug/ml Glycolic Acid None Detected Lithium mmol/l >/= 1.5 mmol/l Pentobarbitol None Detected Phenobarbital ug/ml >70 ug/ml Tacrolimus ng/ml Phenytoin ug/ml >30 ug/ml Volatiles None Detected Salicylate >/= 30 Theophylline ug/ml > 30 ug/ml Tobramycin Trough 1 2 ug/ml >2.5 ug/ml Valproic Acid ug/ml >/= 150 ug/ml Vancomycin Peak n/a n/a DRUG LEVELS Vancomycin Random n/a > 60 ug/ml Bilirubin, Indirect n/a Vancomycin Trough ug/ml >25 ug/ml

13 HEMATOLOGY ADULT CBC AND DIFFERENTIAL REFERENCE RANGES The reference ranges should be interpreted as up to and including the age specified in the title of each column Male Reference Ranges Female Reference Ranges Parameter/Units of measurement No Age 12y 18y 133y No Age 12y 18y 133y WBC/ 10*3/μL RBC/ 10*6/μL HGB/ g/dl HCT/ % MCV/ fl MCH/ pg MCHC/ g/dl RDW/ % PLT/ Thous/μL MPV/ fl NRBC /100 WBC s Neutrophil Bands % Absolute Bands /ul Neutrophil % Absolute Neutrophils /ul Lymphocyte % (10Y) (10y) Absolute Lymphs /ul

14 HEMATOLOGY Monocyte % Absolute Monocytes /ul Eosinophil % Absolute Eosinophils /ul Basophil % Absolute Basophils /ul

15 HEMATOLOGY PEDIATRIC CBC AND DIFFERENTIAL REFERENCE RANGES: The reference ranges should be interpreted as up to and including the age specified in the title of each column Parmater/Units of Measurement 2d 3d 2w 1m 2m 6m 1y 2y 6y WBC/ 10*3/μL RBC/ 10*6/μL HGB/ g/dl HCT/ % MCV/ fl MCH/ pg MCHC/ g/dl RDW/ % PLT/ 10*3/μL MPV/ fl NRBC /100 WBC s Neutrophil Bands % Absolute Bands /ul Neutrophil % Abs Neutrophils /ul Lymphocyte % (6d) (4y) Absolute Lymphs /ul Monocyte %

16 HEMATOLOGY Absolute Monocytes /ul Eosinophil % Absolute Eos /ul Basophil % Absolute Basophils /ul

17 RETICULOCYTE COUNT HEMATOLOGY AGE Ref Range UNITS Reticulocyte Count % Infants (0-1 week) % Immature Retic Fraction ALL Absolute Retic Count AGE 3D 1W 1M 2M 3M 1Y 12Y 17Y 133Y cells/ul FEMALE MALE

18 RESULT <15 K/UL K/UL >50K/UL HEMATOLOGY LAMELLAR BODY CATEGORY IMMATURE TRANSITIONAL MATURE SED RATE AGE 0-50 yrs. MALE 0-15 mm/hr FEMALE 0-20 mm/hr >50 yrs mm/hr 0-30 mm/hr HANSEL STAIN FOR EOSINOPHILS SPECIMEN REFERENCE RANGE Urine Nasal None Seen None Seen

19 COAGULATION ASSAY REFERENCE RANGE UNITS PT seconds INR aptt seconds aptt-dti Therapeutic range for this agent should be times the baseline normal aptt. HPTT seconds Fibrinogen Thrombin Time seconds Anti Xa- UFH Units/mL Anti Xa- LMWH Units/mL D-Dimer <0.50 μg/ml FEU F % Normal F % Normal F % Normal F % Normal F % Normal F % Normal F11 F % Normal % Normal

20 COAGULATION ASSAY REFERENCE RANGE UNITS F8 Inhibitor (Bethesda Titer) Bethesda Units Protein C Fx % Protein S Fx Male= Female= % Antithrombin III % vwf: Ag % vwf: Functional % APCR >2.1 Ratio Platelet Function: Aspirin >550 ARU Platelet Function: P2Y12 >208 PRU RAPID TEG ANALYTE REFERENCE RANGE UNITS R value seconds K value seconds Angle degrees MA mm LY30 n/a

21 MACROSCOPIC URINALYSIS MICROSCOPIC Color Yellow, Straw WBC 0-5/hpf (0-3, 3-5) Appearance Clear RBC 0-3/hpf ph SQEP 0-5/hpf (0-3, 0-5) Specific Gravity TREP 0-5/hpf (0-3, 3-5) Urobilinogen E.U./dL REEP 0-3/hpf Glucose BACT None seen Bilirubin YEAST None seen Ketones Trichomonas None seen Occult Blood Hyaline Casts 0-2/ lpf Protein Nitrite Casts (other than Hyaline) CaOx, Triple Phos, Uric acid 0-0 None seen, Few/hpf Leukocyte Esterase Other crystals None seen CRYSTALS Acid ph Amorphous Urates Uric Acid Alkaline ph Amorphous Phosphates Triple Phosphates Acid Urates Monosodium or Sodium Urates Calcium Oxalate Ammonium Biurate Calcium Phosphate Calcium Carbonate

22 AUTOMATED BODY FLUID CELL COUNT Fluid Type WBC (cells/ul) Abdominal n/a n/a Ascites n/a n/a CSF: 0-1 month CSF: 31d-4y CSF: 5y-15y CSF: 16y 999y Pericardial n/a n/a Peritoneal n/a n/a Pleural n/a n/a RBC (cells/ul) LAMELLAR BODY HCG (Urine) RESULT CATEGORY RESULT <15 K/UL IMMATURE K/UL TRANSITIONAL >50K/UL MATURE

23 MICROBIOLOGY ASSAY SPECIMEN TYPE REFERENCE RANGE Anaerobic Culture Swab, Fluid, or Tissue No anaerobic growth at 5 days AFB Culture Any specimen except swabs No growth at 6 weeks Blood Culture 1 set of aerobic and anaerobic bottles No growth at 5 days Body Fluids Sterile Body fluid No growth at 5 days Cath tip Culture Cath tip, excluding foleys No growth at 4 days CSF Cultures CSF No growth at 5 days Cryptococcal Antigen CSF or Serum Dialysis water Cultures Dialysis waters No growth at 48 hours Eye Cultures Swab or pre-inoculated plates No growth at 72 hours Fecal Leukocytes Stool Sample- No preservative Fungus Culture Any specimen No growth at 4 weeks Fungal culture-dermatophyte Hair, skin or nails No growth at 4 weeks Gonococcus cultures Giardia/Crypto Antigen Legionella Culture Eye, Rectal, throat eswab or charcoal swab Stool in 10% formalin Pink container Respiratory, Tissue, routine or Sterile body fluid No growth at 72 hours No growth at 7 days Legionella Urinary Antigen Urine Lower Respiratory Culture Sputum, BAL, BW Normal Respiratory Flora Respiratory Syncytial Virus NP wash / NP swab

24 MICROBIOLOGY ASSAY SPECIMEN TYPE REFERENCE RANGE Routine, aspirates, Tissue Culture Swab, Fluid, or Tissue No growth at 3 days Spore Strip Cultures Attest vials or Spordii strips Satisfactory Staph aureus Screen / Surveillance Stool Cultures Nares Stool in a C&S vial orange container No Staph aureus or MRSA at 24 hours No growth of Salmonella, Shigella, Campylobacter, Aeromonas, Pleisomonas, E. coli 0157 STEC - Shigatoxin testing Stool in a C&S vial orange container No Shiga toxin detected Strep A Screen Throat Swab Strep pneumo Antigen Urine or CSF Throat Cultures Throat Swab No Gp A Strep, Normal oral flora Transfusion Rxn Cultures Blood bag No growth at 7 days Urine Culture Yeast Culture Urine cup or boric acid preservative tubes Throat, Vaginal, Mouth, Stool, or Cath tips No growth at 48 hours No growth at 2 weeks

25 MOLECULAR DIAGNOSTICS ASSAY SPECIMEN TYPE REFERENCE RANGE UNITS Chlamydia trachomatis, PCR Swab, urine, Thin Prep Neisseria gonorrhea PCR Swab, urine, Thin Prep C Diff DNA Liquid or soft stool CMV Qual, PCR Plasma, CSF, BAL, Urine Not Detected CMV Quant, PCR HBV Quant, PCR Plasma Positive HBV Patient, Serum or Plasma n/a n/a IU/ ml and Log of IU/mL IU/ ml and Log of IU/mL HCV Qual, PCR HCV Quant, PCR HCV Genotyping Serum or Plasma Positive HCV patient, Serum or Plasma Positive HCV patient, Serum or Plasma Not Detected n/a n/a IU/ ml and Log of IU/mL 1,1a,1b,2a,2b/ c,3,4,5,6 HIV Quant, PCR Positive HIV patient, plasma n/a Copies/ml and Log copies/ml Influenza, PCR Respiratory Viral panel, PCR Nasophyngeal swab or wash NP swab, BAL Strep A DNA probe Throat swab Strep B DNA probe Vaginal/Rectal swab Bacterial Vaginosis DNA Factor V Leiden/Factor 2 DNA gene mutations Affirm VPIII vaginal swab for Trichomonas, Gardnerella, and Candida Normal Enterovirus PCR CSF HPV High Risk with 16/18 genotyping Thin Prep, cervical and anal

26 Daniel Drake Center ANALYTE SAMPLE TYPE REFERENCE RANGE ph arterial venous pco2 (mmhg) arterial venous po2 (mmhg) arterial capillary venous *HCO3 (mmol/l) **TCO2 (mmol/l) arterial venous arterial venous *BE arterial (-2)-(+3) -30 (+30) *O2 Sat (%) arterial venous Na+ (mmol/l) K+ (mmol/l) Chloride (mmol/l) *Anion Gap (+99) Glucose () Neonate < 4 weeks old BUN () Creatinine () Male Female ica++ () ctni (ng/ml) BNP pg/ml * Calculated REPORTABLE RANGES AMR

27 Daniel Drake Center ANALYTE White Blood Cell Count (WBC) REFERENCE RANGE *3/uL Granulocyte % % Absolute Gran /ul Lymphocyte and Monocyte % % Absolute Lymph/Mono / ul Platelet Count *3/uL Hemoglobin Male = g/dl Female = g/dl INR