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Lab. Critical Values

The document contains a comprehensive haematology and clinical chemistry test report detailing critical values for various blood tests, including activated partial thromboplastin time, prothrombin time, and levels of various blood components such as hemoglobin and white blood cells. It also includes microbiology and serology results indicating the presence of pathogens and antibodies, as well as critical values for dialysis patients. The report emphasizes the importance of monitoring these values for patient care and includes references to reputable medical journals and organizations.

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lylygan22
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
7 views

Lab. Critical Values

The document contains a comprehensive haematology and clinical chemistry test report detailing critical values for various blood tests, including activated partial thromboplastin time, prothrombin time, and levels of various blood components such as hemoglobin and white blood cells. It also includes microbiology and serology results indicating the presence of pathogens and antibodies, as well as critical values for dialysis patients. The report emphasizes the importance of monitoring these values for patient care and includes references to reputable medical journals and organizations.

Uploaded by

lylygan22
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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‫مستشفى‬

Haematology
Test Report Name Age Critical Low Critical High Units
Activated Partial Thromboplastin Time,
– ≥ 85 sec
Plasma
Prothrombin time ≥ 45 sec or
--
INR ≥ 5
D-Dimer -- Positive
Fibrinogen ≤ 80 mg/dL
Hemoglobin 0 – 7 weeks ≤ 6.0 ≥ 24.0 g/dL
Hemoglobin > 7 weeks ≤ 6.0 ≥ 20.0 g/dL
White blood cell count ≤2 ≥ 50 x10(3)/ml
Absolute Neutrophil Count ≤ 0.5 – x10(3)/ml
Platelets, Blood ≤ 20 ≥ 1000 x10(3)/ml
Differential blood count:
Suspected leukaemia
Suspected Aplastic crisis
Sickle cells
Malarial parasite
Any blood parasite
Microbiology
Positive Acid Fast stain or culture or PCR
Detection of pathogen in gram stain of blood culture/ exudates/transudates of body cavities
Antigenic detection of pathogen with latex agglutination
Positive stool culture for Salmonella, Shigella, Cambylobacter,Vibrio, C.defficile, C.perfringens,
N.gonorheae,N. meningitidis
Methicillin Resistant Staph Aureus (MRSA)
Serology
HIV AB Positive
Urine
Test strip reaction for glucose & Acetone Strong positive
Severe Heamoglubinuria (No erythrocytes on microscopic examination)
Cerebrospinal Fluid
Glucose ≤ 40 mg/dL
White Blood Cells >30 cells excluding peripheral blood contamination
Presence of blast cells
Detection of pathogens in gram stain
Detection of pathogens in agglutination test

Laboratory Critical (Panic) Values


- The journal of The International Federation Of Clinical Chemistry & Laboratory
Medicine (JIFCC).
- Mayo clinic Laboratories – Mayo clinic Organization.
‫مدير‬ ‫رئيس لجنه الهيئه الطبيه‬ ‫مدير المعمل‬
‫المستشفى‬
‫مستشفى‬

Clinical Chemistry

- The journal of The International Federation Of Clinical Chemistry & Laboratory


Medicine (JIFCC).
- Mayo clinic Laboratories – Mayo clinic Organization.
‫مدير‬ ‫رئيس لجنه الهيئه الطبيه‬ ‫مدير المعمل‬
‫المستشفى‬
‫مستشفى‬

Test Report Name Age Critical Low Critical High Units


Aminotransferases (ALT,AST) > 1000 U/L
Albumin ≤ 3.0 g/dl
Bilirubin Total, Serum < 1 year – ≥ 15.0 mg/dl
Bilirubin Total, Serum ≥ 1 year -- ≥ 15.0 mg/dl
Calcium, Total ≤ 6.5 ≥ 13.0 mg/dl
Calcium, Ionized, Blood < 1 yr ≤ 2.0 ≥ 6.0 mg/dl
Calcium, Ionized, Blood ≥ 1 yr ≤ 3.0 ≥ 6.5 mg/dl
Creatinine, Blood/Plasma/Serum 1 day – 4weeks – ≥ 1.5 mg/dl
Creatinine, Blood/Plasma/Serum 5 weeks – 23 mos – ≥ 2.0 mg/dl
Creatinine, Blood/Plasma/Serum 2 yrs – 11 yrs – ≥ 2.5 mg/dl
Creatinine, Blood/Plasma/Serum 12 yrs – 15 yrs – ≥ 3.0 mg/dl
Creatinine, Blood/Plasma/Serum 16 yrs – 17 yrs – ≥ 10.0 mg/dl
Creatinine, Blood/Plasma/Serum > 17 years -- ≥ 7.4 mg/dl
Creatine Kinase, Total – ≥ 10,000 U/L
Or 3.5 normal level
CK-MB -- Above normal level U/L
Troponin -- Above normal level mg/dl
According to the
used kit
Glucose, Plasma/Serum < 4 weeks ≤ 40 ≥ 400 mg/dl
Glucose, Plasma/Serum ≥ 4 weeks to adult ≤ 50 ≥ 500 mg/dl
Lactate Dehydrogenase -- >1000 U/L
Uric acid -- >13 mg/dl
BUN -- >100 mg/dl
Urea >214 mg/dl
Osmolality ≤ 190 ≥ 390 mOsm/Kg
pH ≤ 7.200 ≥ 7.600 pH
pC02, arterial ≤ 20.0 ≥ 70.0 mmHg
pO2 ≤ 40.0 – mmHg
Bicabonate ≤10 >40 mmol/L
Phosphorus ≤ 1.0 >9.0 mg/dl
Potassium ≤ 2.5 ≥ 6.0 mmol/L
Sodium ≤ 120 ≥ 160 mmol/L
Magnesium, Serum ≤ 1.0 ≥ 9.0 mg/dl
Chloride <75 >125 mmol/L

-The journal of The International Federation Of Clinical Chemistry & Laboratory


Medicine (JIFCC).
- Mayo clinic Laboratories – Mayo clinic Organization.
‫مدير‬ ‫رئيس لجنه الهيئه الطبيه‬ ‫مدير المعمل‬
‫المستشفى‬
‫مستشفى‬

Laboratory Critical values for Dialysis Unit


Haematology
Test Report Name Age Critical Critical High Units
Low
Haemoglobin <7 > 14.0 mg/dL
White Blood Cells <2 > 15 x10(3)/ml
Platelet Count < 50 > 500 x10(3)/ml
Clinical Chemistry
Creatinine, Blood/Plasma/Serum – > 8.0 mg/dL
Glucose, Plasma/Serum <40 > 450 mg/dL
Phosphorus, Serum < 1.1 > 8.0 meq/L
Potassium, Serum < 2.5 > 6.0 meq/L
Sodium, Serum < 125 > 160 meql/L
Calsium, Serum < 6.0 > 12.0 mg/dL
Parathormone Hormone -- > 600 ng/mL
Serology
HBsAg Positive (new case)
HIV Ab Positive (new case)

- The journal of The International Federation Of Clinical Chemistry & Laboratory


Medicine (JIFCC).
- Mayo clinic Laboratories – Mayo clinic Organization.
‫مدير‬ ‫رئيس لجنه الهيئه الطبيه‬ ‫مدير المعمل‬
‫المستشفى‬

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