Scribd
Upload
483 views

Normal Lab Values

This document provides reference ranges for over 50 common clinical laboratory tests. It lists normal ranges for components of complete blood counts, blood gases, electrolytes, liver enzymes, kidney function tests, lipid panels, protein levels, hormone levels, and other biochemical markers. Additional information is given on calculating absolute neutrophil counts and interpreting thyroid function tests and hemoglobin A1c levels.

Uploaded by

Nadiya Elfira Bilqis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
483 views

Normal Lab Values

This document provides reference ranges for over 50 common clinical laboratory tests. It lists normal ranges for components of complete blood counts, blood gases, electrolytes, liver enzymes, kidney function tests, lipid panels, protein levels, hormone levels, and other biochemical markers. Additional information is given on calculating absolute neutrophil counts and interpreting thyroid function tests and hemoglobin A1c levels.

Uploaded by

Nadiya Elfira Bilqis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

Albumin

3.2 - 5 g/dl

Alkaline phosphatase
(Adults: 25-60)

33 - 131 IU/L

Adults > 61 yo:

51 - 153 IU/L

Ammonia

20 - 70 mcg/dl

Bilirubin, direct

0 - 0.3 mg/dl

Bilirubin, total

0.1 - 1.2 mg/dl


Blood Gases

Arterial
pH

7.35 - 7.45

Venous
7.32 - 7.42

pCO2

35 - 45

38 - 52

pO2

70 - 100

28 - 48

HCO3

19 - 25

19 - 25

O2 Sat %

90 - 95

40 - 70

BUN

7 - 20 mg/dl
Complete blood count (CBC) Adults

Male

Female

Hemoglobin (g/dl)

13.5 - 16.5

12.0 - 15.0

Hematocrit (%)

41 - 50

36 - 44

RBC's ( x 106 /ml)

4.5 - 5.5

4.0 - 4.9

RDW (RBC distribution width) < 14.5


MCV

80 - 100

MCH

26 - 34

MCHC %

31 - 37

Platelet count

100,000 to 450,000
Creatine kinase (CK) isoenzymes

CK-BB

0%

CK-MB (cardiac)

0 - 3.9%

CK-MM

96 - 100%

Creatine phosphokinase
(CPK)

8 - 150 IU/L

Creatinine (mg/dl)

0.5 - 1.4
Electrolytes

http://www.globalrph.com/labs.htm

Calcium

8.8 - 10.3 mg/dL

Calcium, ionized

2.24 - 2.46 meq/L

Chloride

95 - 107 mEq/L

Magnesium

1.6 - 2.4 mEq/L

Phosphate

2.5 - 4.5 mg/dL

Potassium

3.5 - 5.2 mEq/L

Sodium

135 - 147 mEq/L


Other

Ferritin (ng/ml)

13 - 300

Folate (ng/dl)

3.6 - 20

Glucose, fasting (mg/dl)

60 - 110

Glucose (2 hours
postprandial) (mg/dl)

Up to 140

Hemoglobin A1c

<6% of total Hb
AACE Guidelines (2011)
Hemoglobin A1c, % (as a screening test)
5.4 - Normal
------------------------5.5-6.4 - High risk/prediabetes; requires
screening by glucose criteria
------------------------6.5 -Diabetes, confirmed by repeating the
test on a different day
=================
In general, therapy should target a A1C level
of 6.5% or less for most nonpregnant adults.

Iron (mcg/dl)

65 - 150

Lactic acid (meq/L)

0.7 - 2.1

LDH (lactic dehydrogenase)

56 - 194 IU/L

Lipoproteins and triglycerides

Cholesterol, total

< 200 mg/dl

HDL cholesterol

35 mg/dL. Negative risk factor:


mg/dL

LDL cholesterol

65 - 180 mg/dl

Triglycerides

Normal: < 150 mg/dL.


Borderline-high: 150 to 199 mg/dL
High: 200 to 499 mg/dL
Very High: >499 mg/dL

60

http://www.globalrph.com/labs.htm

Osmolality

289 - 308 mOsm/kg

SGOT (AST)

< 35 IU/L (20-48)

SGPT (ALT)

<35 IU/L
Male: 300 to 1000 ng/dL
Female: < 62 ng/dL

Testosterone - total(serum)

ALT:
Male:
14-15 yr: 33-585 ng/dL
16-17 yr: 185-886 ng/dL
18-39 yr: 400-1080 ng/dL
40-59 yr: 350-890 ng/dL
> 60 yr: 350-720 ng/dL
Tanner Stage IV: 165-854 ng/dL
Tanner Stage V: 194-783 ng/dL

Thyroid Function tests

Thyroid Function Testing


Thyroid Function
Test

Measurement

Normal Range

Total T4 (TT4)

bound and free T4

4.5 -11.5 ug/dL

Free T4 (FT4)

free T4

0.8 -2.8 ng/dL

Free T4 Index
(FT4I)

estimate of free T4
FT4I = TT4 x RT3U

1.0 -4.3 U

Total T3 (TT3)

bound and free T3

75 -200 ng/dL

Resin T3 Uptake
(RT3U)

binding capacity of
TBG

25 -35%

TRH

TRH

5 -25 mIu/mL

TSH

TSH

0.5 - 4.70 IU/mL


American Association of Clinical
Endocrinologists guidelines
changed their normal range for
TSH to
0.3 - 3.04 mIU/L.

Thyroglobulin

Thyroglobulin

5-25 ng/mL

Radioactive Iodine Distribution of


5 hr 5 to 15%
Uptake (RAIU)
radiolabeled iodine in 24 hr 15 to 35%
the thyroid
Notes:
Free T4 - much more useful then total T4 (e.g. interested in unbound or
active form). Total T4 not commonly measured. Greatly affected by TBG.

http://www.globalrph.com/labs.htm

Free T4 index: indirect measure of free T4. Corrects for high/low values of
TBG.
Total T3: not as useful as free T3, however, may be useful in locating
problems with TBG, or if looking for problems with peripheral conversion of
T4 to T3.
Resin T3 Uptake: if low, then TBG binding capacity is high. Opposite if high.
TSH: best measure to determine thyroid function.
Thyroglobulin: nonspecific test that is elevated when the thyroid gland is
inflamed or enlarged.
Free T3

2.3-4.2 pg/ml

Total iron binding capacity


(TIBC)

250 - 420 mcg/dl

Transferrin

> 200 mg/dl

Uric acid

(male)

2.0 - 8.0 mg/dl

(female)

2.0 - 7.5 mg/dl


WBC + differential

WBC (cells/ml)

4,500 - 10,000

Segmented neutrophils

54 - 62%

Band forms

3 - 5% (above 8% indicates left shift)

Basophils

0 - 1 (0 - 0.75%)

Eosinophils

0 - 3 (1 - 3%)

lymphocytes

24 - 44 (25 - 33%)

Monocytes

3 - 6 (3 - 7%)
Absolute Neutrophil Count (ANC) - Oncology

Equations:
(1) Segs and bands reported as a percentage:
WBC * ((segs / 100) + (bands / 100))
(2) Segs and bands reported in total numbers:
WBC * (segs + bands)
Neutrophils (aka polymorphonuclear cells, PMNs, granulocytes, segmented
neutrophils, or segs) fight against infection and represent a subset of the
white blood count. Neutropenia by definition is an ANC below 1800/mm3
(some sources use a lower value).
Absolute neutrophil count (ANC) of 1000-1800:
Most patients will be given chemotherapy in this range.
Risk of infection is considered low.
Mild neutropenia - Absolute neutrophil count (ANC) of 500-1000:

http://www.globalrph.com/labs.htm

Carries with it a moderate risk of infection.


Absolute neutrophil count (ANC) of less than 500:
Severe neutropenia - high risk of infection. Remember that a reduced WBC
is known as leukopenia.
The WBC consists of the following (differential):
Lymphocytes: 20-40%
Neutrophils: 50-60%
Basophils: 0.5-2%
Eosinophils: 1-4%
Monocytes: 2-9% (average: 4%).
ANC = Total WBC x (% "Segs" + % "Bands")
Equivalent to: WBC x ((Segs/100) + (Bands/100))
The ANC refers to the total number of neutrophil granulocytes present in the
blood.
Normal value: 1500 cells/mm3.
Mild neutropenia: 1000 - <1500/mm3.
Moderate neutropenia: 500 - <1000/mm3.
Severe neutropenia: < 500/mm3.
Reference:
Ayalew Tefferi, MD, ed. Primary Hematology. Totowa, NJ: Humana Press,
2001

http://www.globalrph.com/labs.htm

You might also like