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    Lab Values

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    Jess Montgomery
    This document provides information on renal mnemonics, blood gases, cardiac enzymes, blood chemistry, cerebral spinal fluid, endocrine markers, hematology, iron studies, thyroid markers, urinalysis, and cardiac markers. It lists the normal ranges and timing of appearance and resolution for various lab tests used to evaluate renal function, blood gases, cardiac injury, metabolic panels, spinal fluid, hormones, blood counts, iron levels, thyroid function, urine analysis, and cardiac biomarkers.

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    Lab Values

    Uploaded by

    Jess Montgomery
    102 views11 pages
    This document provides information on renal mnemonics, blood gases, cardiac enzymes, blood chemistry, cerebral spinal fluid, endocrine markers, hematology, iron studies, thyroid markers, urinalysis, and cardiac markers. It lists the normal ranges and timing of appearance and resolution for various lab tests used to evaluate renal function, blood gases, cardiac injury, metabolic panels, spinal fluid, hormones, blood counts, iron levels, thyroid function, urine analysis, and cardiac biomarkers.

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    This document provides information on renal mnemonics, blood gases, cardiac enzymes, blood chemistry, cerebral spinal fluid, endocrine markers, hematology, iron studies, thyroid markers, urinalysis, and cardiac markers. It lists the normal ranges and timing of appearance and resolution for various lab tests used to evaluate renal function, blood gases, cardiac injury, metabolic panels, spinal fluid, hormones, blood counts, iron levels, thyroid function, urine analysis, and cardiac biomarkers.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    102 views11 pages

    Lab Values

    Uploaded by

    Jess Montgomery
    This document provides information on renal mnemonics, blood gases, cardiac enzymes, blood chemistry, cerebral spinal fluid, endocrine markers, hematology, iron studies, thyroid markers, urinalysis, and cardiac markers. It lists the normal ranges and timing of appearance and resolution for various lab tests used to evaluate renal function, blood gases, cardiac injury, metabolic panels, spinal fluid, hormones, blood counts, iron levels, thyroid function, urine analysis, and cardiac biomarkers.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 11

    RENAL Mnemonics

    Diuretics classification in order of


    site of action Gout: major features
    "COLT Pee:" GOUT:
    · In their sequential site of action along the
    nephron: Great toe
    Carbonic anhydrase inhibitors (at the
    proximal tubule) One joint (75% monoarticular)

    Osmotic diuretics (at the Loop of Henle) Uric acid increased (hence urolithiasis)
    Loop diuretics (at the ascending loop) Tophi
    Thiazides (at the distal tubule)
    Potassium-sparing diuretics (at the
    collecting tubules)
    · Diuretics make patient pee like a horse,
    hence "Colt Pee".
    Blood Gases

    Bicarbonate (HCO3-) Partial Pressure of Carbon Dioxide


    (pCO2)
    Normal Value: 22-26 mEq/L Normal Value: 35-45 mmHg

    Blood pH Partial Pressure of Oxygen (pO2)


    Normal Value: 7.35-7.45 Normal Value: 75-100
    mmHg

    Cardiac Enzymes

    Creatine Kinase Index (CK-Index) Total Creatine Kinase (Total CK)

    Normal Value: 0-3 Normal Value: 38-120


    ng/ml
    Creatine Kinase-MB (CK-MB)
    Normal Value: 0-3 ng/ml
    Troponin
    Normal Value: <0.4 ng/ml
    I: ≤ 0.6 can
    see0.1 - 0.2 if > than, indicative of MI
    T:
    elevations
    Troponin I is thought to be a more specific marker of cardiac damage than
    due to T. Cardiac troponin I begins to rise 2 to 6 hr after myocardial infarction
    troponin
    (MI). It has a biphasic peak: It initially peaks at 15 to 24 hr after MI and then
    exhibits a lower peak after 60 to 80 hr. Cardiac troponin T levels rise 2 to 6 hr after
    MI and remain elevated. Both proteins return to the reference range 7 days after
    MI.
    Timing for Appearance and Resolution of Serum/Plasma Cardiac Markers in
    Acute MI
    Cardiac Appearance Peak (hr) Resolution
    Marker (hr) (Days)

    AST 6–8 24–48 3–4

    CK (Total) 4–6 24 2–3


    CK-MB 4–6 15–20 2–3

    LDH 12 24–48 10–14

    Myoglobin 1–3 4–12 1

    Troponin I 2–6 15–20 5–7

    Blood
    Chemistry

    Alanine Aminotransferase (ALT) Bilirubin Lipase


    Normal Value: 7-56 U/L Normal Value: Normal Value:
    Direct: <0.3
    mg/dl
    Total: 0.2-
    1.3 mg/dl
    Albumin Potassium (K+)
    Normal Value: 3.5-4.8 U/L Normal Value:

    Calcium (Ca2+)
    Alkaline Phosphatase (ALP) Normal Value: 8.9-10.4 Sodium (Na+)
    Normal Value: 38-126 U/L mg/dl Normal Value:

    Chloride (Cl-)
    Amylase Normal Value: 98-110 Total Protein
    Normal Value: 30-110 U/L mEq/L Normal Value:

    Cholesterol
    Anti-streptolysin O Titer (ASO) Normal Value: 120-200 Triglycerides
    Normal Value: mg/dl Normal Value:

    Adult: <125
    Child: <250 Creatinine (Cre)
    Normal Value: 0.5-1.4 Urea Nitrogen (BUN)
    mg/dl Normal Value:
    Aspartate Aminotransferase (AST)

    Normal Value: 5-35 U/L Gamma GT


    Normal Value: 8-78 U/L Uric Acid
    Normal Value:

    Bicarbonate (HCO3-)
    Normal Value: 22-26 mEq/L Glucose
    Normal Value: 65-110
    mg/dL
    Cerebral
    Spinal Fluid

    CSF Glucose CSF RBCs


    Normal Value: 50-80 ng/dl Normal Value: 0/?l

    CSF Protein CSF WBCs


    Normal Value: 15-45 mg/dl Normal Value: 0-3/?l

    Endocrine

    17-Hydroxycorticosteroid (17-OHCS) Prolactin (PRL)

    Normal Value: <4 mg/day Normal Value: 0-14 ng/ml

    Adrenocorticotrophic Hormone (ACTH) Serum Alpha-Fetoprotein (AFP)

    Normal Value: 20-100 Normal Value: 0-44 ng/ml


    pg/ml
    Hematology

    CD4+ Partial Thromboplastin Time (PTT) Red Cell Distribution Width


    (RDW)
    Normal Value: 31-63% Normal Value: 18-28 Normal Value:
    seconds
    Absolute:
    416-1751/?l

    Platelet Count (Plt)


    Fibrinogen Normal Value: 140-
    450x103/?l
    Normal Value: 170-420
    mg/dl
    Reticulocyte
    Prothrombin Time (PT) Normal Value:
    Hematocrit (Hct) Normal Value: 12-14 Adult:
    seconds
    Normal Value: Infant:
    Male: 40-52% Newborn:

    Female: 37-46% RBC Mean Cell Volume (MCV)


    Child: 31-43% Normal Value:
    Male: 82-102 fL White Blood Cell Count (WBC)
    Female: 78-101 fL Normal Value:

    Hemoglobin (Hg, Hgb)

    Normal Value:

    Male: 13.2-16.2 Red Blood Cell Count (RBC)


    gm/dL

    Female: 12.0-15.2 Normal Value:


    gm/dL

    Male: 4.3-
    6.2x106/?l

    Female: 3.8-
    5.5x106/?l

    Mean Cell Hemoglobin Concentration Child: 3.8-


    (MCHC) 5.5x106/?l
    Normal Value: 31-35 gm/dl

    Iron Studies

    Ferritin Total Serum Iron (TSI)


    Normal Value: Normal Value:
    Male: 18-250 Male: 76-198 ?g/dl
    ng/ml
    Female: 12-160 Female: 26-170 ?g/dl
    ng/ml

    Total Iron-Binding Capacity (TIBC) Transferrin

    Normal Value: 262-474 ? Normal Value: 204-360


    g/dl mg/dl
    Thyroid

    Free Thyroxine (T4 Free) Thyroxine-binding Globulin (TBG) Total Triiodothyronine (T3 Total)

    Normal Value: 0.8-1.5 ng/dl Normal Value: 12-30 mg/L Normal Value:

    Thyroid Stimulating Hormone (TSH) Total Thyroxine (T4 Total)


    Normal Value: 0.4-4.5 U/ml Normal Value: 5.5-12.3
    ng/ml
    Urinalysis

    Urine Bilirubin Urine Micro Urine pH


    Normal Value: Negative Normal Value: Normal Value:
    RBCs: 0-
    2/HPF
    WBCs: 0-
    2/HPF
    Urine Blood RBC Casts: Urobilogen
    0/HPF
    Normal Value: Negative Normal Value:

    Urine Ketone Urine Nitrite


    Normal Value: Negative Normal Value: Negative

    Urine Leukocytes Urine Protein


    Normal Value: Negative Normal Value: Negative-
    Trace

    Specific Gravity
    Normal Value: 1.002-1.030
    CARDIAC MARKERS

    troponin I 0 – 0.1 ng/ml (onset: 4-6 hrs, peak:

    12-24 hrs, return to normal: 4-7 days)


    troponin T 0 – 0.2 ng/ml (onset: 3-4 hrs, peak:
    10-24 hrs, return to normal: 10-14 days)
    myoglobin (Male) 10 – 95 ng/ml (onset: 1-3 hrs, peak:

    6-10 hrs, return to normal: 12-24 hrs)


    myoglobin (Female) 10 – 65 ng/ml (onset: 1-3 hrs, peak:
    6-10 hrs, return to normal: 12-24 hrs)
    7-60 U/L

    (K+)
    3.6-5.0
    mEq/L

    a +)
    137-145
    mEq/L

    in
    6.3-8.2
    gm/dl

    es
    50-250
    mg/dl

    gen (BUN)
    7-21 mg/dl

    3.5-8.5
    mg/dl
    istribution Width

    Coefficient
    of
    variation:
    11.5-
    14.5%
    Standard
    deviation:
    35-47 fL

    0.5-1.5%

    0.5-3.1%
    1.1-4.5%
    d Cell Count (WBC)
    4.1-
    10.9x103/?
    l
    Polymorph
    onuclear
    (PMN):
    35-80%
    Immature
    Polys
    (Bands):
    0-10%
    Lymphocyt
    es (Lymp):
    20-50%

    Monocytes
    (Mono): 2-
    12%
    Eosinophil
    s (Eos): 0-
    7%
    Basophils
    (Bas): 0-
    2%

    othyronine (T3 Total)

    60-181
    ng/ml
    7-May

    0.2-1.0
    Ehr U/dl

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