LABORATORY NORMAL RANGES. Prepared by Date Adopted Supersedes Procedure # / Dated William T. Pope, PhD and

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1 Prepared by Date Adopted Supersedes Procedure # / Dated William T. Pope, PhD and Normal Ranges / Christy O Brien, MT (ASCP) CHEMISTRY Acetone None detected Albumin, g/dl Adult month Alk. Phosphatase, u/l Adult years years years years Ammonia, um/l Amylase, u/l Serum Bilirubin, Total, mg/dl Adults Bilirubin, Neonatal, mg/dl months >18 Bilirubin, Conjugated BUN, mg/dl 5-22 Adult months Calcium, mg/dl Adult <6.0, > month Chloride, meq/l Serum Cholesterol, mg/dl Adult years years Cholesterol, HDL, mg/dl Male Female >60 Low CHD Risk Cholesterol, LDL, mg/dl Desirable <100 Optimal / Low Risk CO2, meq/l Adult <10, >40 CPK, u/l Male Female Creat., mg/dl Adult Male Adult Female years years years QM-000 Page 1 of 1

2 CRP hs, mg/dl Normal (95% of population) < 0.1 Low CHD Risk Average CHD Risk > 0.30 High CHD Risk > 1.0 Suspect acute inflammation, repeat hscrp for CHD Risk assessment in 2 weeks. CSF Fl. Prot., mg/dl <1 month Glucose, mg/dl Adult <40 Outpatient, <1 month <50 Inpatient >500 All Impaired fasting glucose GGT, u/l 6-39 > 3 months months <1 month Iron, ug/dl Male Female Iron-TIBC Iron-%Sat K+, meq/l Adult <2.5, > months Lactic Acid Lipase, u/l LDH, u/l Adult yrs yrs yr HDL Chol Female Male > 60 Low CHD Risk LDL-Chol Desirable < 100 Optimal / Low Risk Magnesium, mg/dl <1.2, >4.9 Na+, meq/l <120, >155 Osmolality, mosm/kg PCHE Iu/L QM-000 Page 2 of 2

3 Phosphorus, mg/dl >12 yrs < yrs yrs < 1 yr SGOT (AST), u/l 5-38 Adult months SGPT (ALT), u/l 5-37 Adult Total Protein, g/dl > 3 yrs yrs yr Triglycerides, mg/dl Uric Acid, mg/dl Adult yrs yrs Calculated Values: BUN / Creatinine Ratio 6-22 Anion Gap (Na C1 + CO2) Albumin / Globulin Ratio TIBC, ug/ml % SAT, % Male Female LDL, mg/dl yrs yrs >29 yrs Blood Gas: ph Arterial <7.2, > Venous PCO2, mm/hg Arterial Venous PO2, mm/hg Arterial < Venous Coox: Total Hb, g/dl Male Female % O2 Hb, % Male, Arterial Female, Arterial Venous CO Hb, % Non-smokers <5, >20 <5.0 Smokers QM-000 Page 3 of 3

4 Met Hb, % O2, vol.% Ionized Calcium: CaIcium, mg/dl ph Venous Drug Therapeutic Range Toxic Range_ TDM & Toxicology: Acetaminophen, mg/dl < 20 >150 (4 hr. post dose) or > 40 (12 hr. post dose) Amikacin, ug/ml Peak > Trough >8 4-8 Severe infections Carbamazepine, ug/ml 8-12 >20 Digoxin, ug/ml >2.4 Gentamicin, ug/ml 5-10 Peak > Trough >2.0 Lithium, meq/l >1.5 Pentobarbital, ug/ml 1-5 > Treatment of intracranial pressure with supportive therapy Phenobarbital, ug/ml >50 Phenytoin, ug/ml >30 (Dilantin) Phenytoin, Free, ug/ml >2.5 Procainamide, ug/ml 4-8 >16 NAPA, ug/ml No ranges (Metabolite) Proca. + NAPA, ug/ml 6-25 >30 Quinidine, ug/ml 2-5 >10 Salicylate, mg/dl 2-29 Theophylline, ug/ml Adults > Neonates >20 Tobramycin, ug/ml 4-10 Peak > Trough >2 Valproic Acid, ug/ml >200 Vancomycin, ug/ml Peak >80 QM-000 Page 4 of 4

5 5-10 Trough >20 Ethanol, mg/dl None Detected >300 Ethylene Glycol, mg/dl 0-5 >20 Isopropanol None Detected >150 Methanol None Detected >50 Urine Drug Screening None Detected Test Normal Range Urine & Manual Chemistries: Acetone None detected Creatinine, urine, g/24 hrs Male Female Creatinine Clearance, mg/min >3 years Calcium, urine, mg/24 hrs Avg. calorie diet High Calorie diet Magnesium,urine, mg/24 hrs Microalbumin, urine, mg/dl Osmolality, urine, mosm/kg Protein, urine, mg/dl < 15 g/24 hrs Urea nitrogen, urine, g/24 hrs Uric Acid, urine, mg/24 hrs Urine Protein/Urine Creatinine Ratio <0.20 Sweat Chloride, meq/l L/S Ratio, Amniotic fluid > 2.3 consistent with fetal lung maturity < 1.5 suggestive of fetal lung immaturity Phosphotidyl Glycerol, Amniotic Fl > 1.9 ug/ml Positive fetal lung maturity > Wk Pos suggests fetal lung maturity < 0.5 Negative indeterminate for lung maturity QM-000 Page 5 of 5

6 Immunoassay / Immunology Test Normal Range ACTH, pg/ml AFP (tumor marker), ng/ml <9 Alpha 1 antitrypsin, mg/dl Anti-Thyroid Peroxidase AB, IU/ml 0-34 B12, pg/ml percentile <130 Deficiency >300 No deficiency BNP, pg/ml <100 C-Peptide, ng/ml CA-125, U/ml <35 CA19-9, U/ml 0-34 CEA, ng/ml <3 Nonsmoker <5 Smoker Ceruloplasmin, mg/dl CKMB, ng/ml Complement C-3, mg/dl Complement C-4, mg/dl Cortisol, ug/dl 7-25 AM 2-14 PM DHEA Sulphate, ug/dl Male Female Estradiol, pg/ml ND - 75 Male Female : <20-47 post-menopausal mid-follicular mid-luteal QM-000 Page 6 of 6

7 peri-ovulatory Ferritin, ng/ml Male Female Folate, ng/ml Suggestive of deficiency Test Normal Range FSH, MIU/ml Male Female: mid-follicular mid-cycle peak mid-luteal post-menopausal Haptoglobin, mg/dl HCG, miu/ml 0-5 Male, Females <40 yrs <7 Female >40 yrs Hemoglobin A1C, % Homocysteine, umol/l < 7.2 Desirable IgA, mg/dl IgG, mg/dl IgM, mg/dl Insulin,uIU/ml Fasting LH, MIU/ml Child Male Female: mid-follicular mid-cycle peak mid-luteal post-menopausal Myoglobin, ng/ml Male Female PTH, pg/ml PTH, Intraoperative, pg/ml QM-000 Page 7 of 7

8 Prealbumin, mg/dl Procalcitonin, ng/ml >2.0 High risk of sepsis Progesterone, ng/ml Male Female: mid-follicular mid-luteal ND post-menopausal preg.-1 st trimester preg.- 2 nd trimester Prolactin, ng/ml Male Female: pre-menopausal post-menopausal Test Normal Range Prostate Specific Antigen, (PSA),ng/ml years years years >69 years Rheumatoid Factor, u/ml 0-25 RBC Folate, ng/ml Testosterone, ng/dl years 3-50 Male, 5-11 years Male, years Male, years 2-25 Female, 5-11 years Female, years T3, Free, pg/ml T3, Total, ng/dl T4, ug/dl T4, Free (measured), ng/dl FTI T-Uptake, % TSH, uiu/ml Thyroglobulin, ng/ml <33 >16 yrs (tumor marker) <5 Athyrotic Thyroglobulin Antibodies, IU/ml <4 QM-000 Page 8 of 8

9 Transferrin, mg/dl Troponin, ng/ml < 0.09 > 0.10 Cardiac Injury Test Normal Range_ Electrophoresis: Hemoglobin Elect. AA Pattern Fetal Hemoglobin 55 85% At birth 2.1% > 2 years Protein Elect. Total protein, g/dl month months >3 years Albumin, g/dl months months months > 2 years Alpha -1, g/dl months > 2 months Alpha 2, g/dl month months months months >2 years QM-000 Page 9 of 9

10 Beta, g/dl month months months months >2 years Gamma, g/dl month months months months >2 years HEMATOLOGY CBC: WBC, K/mm³ month month-2 yrs yrs yrs >18 yrs RBC, M/mm³ month <2.00, > month-2 yrs yrs Male, 9-18 yrs Female, 9-18 yrs Male, >18 yrs Female, >18 yrs Hemoglobin, gm/dl month <6.9, > month-2 yrs < yrs QM-000 Page 10 of 10

11 Male, 9-18 yrs Female, 9-18 yrs Male, >18 yrs Female, >18 yrs Hematocrit, % month <20, > month-2 yrs < yrs Male, 9-18 yrs Female, 9-18 yrs Male, >18 yrs Female, >18 yrs MCV, fl month month-2 yrs yrs Male, 9-18 yrs Female, 9-18 yrs >18 yrs MCH, uug month month-2 yrs yrs yrs >18 yrs MCHC, % month month- 2 yrs yrs >18 yrs RDW, % month month-2 yrs yrs yrs >18 yrs Platelet, K/mm³ <20, >1,000,000 QM-000 Page 11 of 11

12 MPV, fl Differential: Neutrophils, % Bands, % 0-10 Lymphocytes, % Monocytes, % 0-10 Eosinophils, % 0-7 Basophils, % 0-2 Reticulocytes: Absolute Retic, M/mm³ Male Female % Retic, % Male Female Immature Retic Fraction Male (IRF) Female Sedimentation Rate, mm/hr 0-15 Male, 0-50 yrs (ESR) 0-20 Female, 0-50 yrs 0-20 Male, >50 yrs 0-30 Female, >30 yrs Hemoglobin Electrophoresis Phenotype AF 0-1 yr (qualitative) Phenotype AA >1 yr Eosinophil, Blood, mm³ < yr <600 > 1 yr Leukocyte Alkaline Phosphatase (LAP score) Kleihauer-Betke, % fetal cells 0.00 QM-000 Page 12 of 12

13 Antithrombin III Activity, % D-Dimer, ug/dl FEU < 0.46 Factor VIII, % Factor IX, % Fibrinogen, mg/dl COAGULATION Heparin, IU/ml LMW, Therapeutic LMW, Prophylactic Unfractionated, Therapeutic QM-000 Page 13 of 13

14 PT, sec >45.8 (value Corresponding to INR>5.0) INR Refer to physician directed therapeutic target >5.0 PTT, sec >150 PFA, sec Epinephrine ADP Protein C Activity, % Protein S Activity, % Male Female Thrombin Time, sec Thromboelastograph (TEG) R, min K, min AA, Deg MA, mm URINALYSIS Specific Gravity ph Protein Glucose Ketones Bilirubin Nitrite Negative Negative Negative Negative Negative QM-000 Page 14 of 14

15 Leukocyte Esterase Negative Urobilinogen RBC, hpf 0-4 WBC, hpf 0-4 Hyaline cast, lpf 0-7 Squamous Epithelial, hpf 0-3 Bacteria None seen - Occasional Approved Reviewed Reviewed Reviewed Reviewed Reviewed Date Signature QM-000 Page 15 of 15