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THYROID STUDIES
Thyroid –stimulating hormone (thyrotropin; THS): 0.2 to 5.4 ug/dL
Triiodothyronine (T3): 80 to 230 ng/dL
Thyroxine (T4): 5.0 to 12.0 ug/dL
Thyroxine free (FT3) : 0.8 to 2.4 ng/dL
MI MARKERS
CK-MB: 5%
Normal CK is 25-175 U/L
Troponin T >0.1 to 0.2 ng/mL = MI
Troponin I value: normal (<0.6 ng/mL)
COAGULATION STUDIES
Activated partial thromboplastin time(APTT): 20 – 35 seconds
- heparin 1.5 – 2.5 seconds
Prothrombin time(PT): male: 10 – 12 seconds
International Normalized Ratio(INR): 2.0 - 3.0 for standard Coumadin therapy
ERYTROCYTES STUDIES
Blood volume: 5000mL
Red blood cell (RBC): male: 4.5 to 6.2 million/uL
Hemoglobin– 14 – 17
Hematocrit: male: 42% - 52% (increased in hemoconcentration, fluid loss and dehydration)
Serum Iron: 65-175
Erytrocyte sedimentation rate(ESR): 0 – 30 mm/hr increase in
Inflammation Dx Hodgkin (RedStenberg cells)-painless lympnode
PRESSURES
Spinal pressure: 70 to 200mmH2O
Normal serum osmolality: 285 – 295 mOsmlkgH2O increase in dehydration;
Decrease in over hydration
OTHERS
Normal sweat chloride: <40 mEq/L
scalp pH: 7.26 and above
Safe Suction Range: normal [Infant] 50-95 mm Hg
[Child] 95-115 mm Hg
[Adult]100-120 mm Hg)
PR Interval: normal (0.12-0.20 seconds) QRS measurements: normal (0.04 to 0.10 second)
Normal Lab Values
Partial List of “Normal” Lab Values
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In the following tables, normal haematology reference values for commonly requested laboratory tests
are listed in traditional units and in SI units. The tables are a guideline only. Values are method
dependent and normal lab values may vary between laboratories.
Glucose-6 -
Pphosphate dehydrognase 250–5000 units/106 cells 250–5000 mcunits/cell
(G-6-PD)
Ferritin
Folic acid: normal
Platelet count
10–383 ng/ml
Reticulocytes >3.1–12.4 ng/ml 23–862 pmol/L
150–450 x 103/mcl 7–28.1 nmol/L
150–450 x 109/L
0.5%-1.5% of
erythrocytes
Vitamin B12 0.005–0.015
223–1132 pg/ml
165–835 pmol/L
Iron: Female 30–160 mcg/dl 5.4–31.3 mcmol/L
Male 45–160 mcg/dl 8.1–31.3 mcmol/L
Iron binding capacity 220–420 mcg/dl 39.4–75.2 mcmol/L
Isocitrate dehydrogenase 1.2–7 units/L 1.2–7 units/L
Isoenzymes 14%-26% of total 0.14–0.26 fraction of
total
0.29–0.39 fraction of
Fraction 1 29%-39% of total total
0.20–0.26 fraction of
total
Fraction 2 20%-26% of total 0.08–0.16 fraction of
total
0.06–0.16 fraction of
Fraction 3 8%-16% of total total
Fraction 5
Lactate dehydrogenase 100–250 IU/L 1.67–4.17 mckat/L
Lactic acid (lactate) 6–19 mg/dl 0.7–2.1 mmol/L
Lead 50 mcg/dl 2.41 mcmol/L
Lipase 10–150 units/L 10–150 units/L
Lipids:
Total Cholesterol
Desirable < 200 mg/dl < 5.2 mmol/L
200–239 mg/dl < 5.2–6.2 mmol/L
Borderline-high
High
LDL
Desirable > 239 mg/dl > 6.2 mmol/L
< 130 mg/dl
130–159 mg/dl < 3.36 mmol/L
Borderline-high 3.36–4.11 mmol/L
High
HDL (low)
Triglycerides
Desirable
> 159 mg/dl > 4.11 mmol/L
< 35 mg/dl < 0.91 mmol/L
Borderline-high
High < 200 mg/dl < 2.26 mmol/L
Very high 200–400 mg/dl 2.26–4.52 mmol/L
Urine
Reference Value
Determination
Conventional units SI units
Calcium 50–250 mcg/day 1.25–6.25 mmol/day
Catecholamines:
Epinephrine
Norepinephrine < 20 mcg/day < 109 nmol/day
< 100 mcg/day < 590 nmol/day
Catecholamines, 24-hr < 110 µg < 650 nmol
Copper 15–60 mcg/day 0.24–0.95 mcmol/day
Creatinine:
Child
Adolescent 8–22 mg/kg 71–195 µmol/kg
Female 8–30 mg/kg 71–265 µmol/kg
Male 0.6–1.5 g/day 5.3–13.3 mmol/day
0.8–1.8 g/day 7.1–15.9 mmol/day
pH 4.5–8 4.5–8
Phosphate 0.9–1.3 g/day 29–42 mmol/day
Potassium 25–100 mEq/day 25–100 mmol/day
Protein
Total
At rest
1–14 mg/dL 10–140 mg/L
50–80 mg/day 50–80 mg/day
Protein, quantitative < 150 mg/day < 0.15 g/day
Sodium 100–250 mEq/day 100–250 mmol/day
Specific gravity, random 1.002–1.030 1.002–1.030
Uric acid, 24-hr 250–750 mg 1.48–4.43 mmol
1
Diet dependent.
Drug Levels*
Reference Value
Drug Determination
Conventional units SI units
Amikacin
(trough) 1–8 mcg/ml 20–30 mcg/ml
(peak) 1.7–13.7 mcmol/L 34–51 mcmol/L
Gentamicin
(trough) 0.5–2 mcg/ml 1–4.2 mcmol/L
(peak) 6–10 mcg/ml 12.5–20.9 mcmol/L
Kanamycin
(trough) 5–10 mcg/ml nd
(peak) 20–25 mcg/ml nd
Aminoglycosides
Netilimicin
(trough) 0.5–2 mcg/ml nd
(peak) 6–10 mcg/ml nd
Streptomycin
(trough) < 5 mcg/ml nd
(peak) 5–20 mcg/ml nd
Tobramycin
(trough) 0.5–2 mcg/ml 1.1–4.3 mcmol/L
(peak) 5–20 mcg/ml 12.8–21.8 mcmol/L
Reference Value
Drug Determination
Conventional units SI units
Amiodarone 0.5–2.5 mcg/ml 1.5–4 mcmol/L
Bretylium 0.5–1.5 mcg/ml nd
Digitoxin 9–25 mcg/L 11.8–32.8 nmol/L
Digoxin 0.8–2 ng/ml 0.9–2.5 nmol/L
Disopyramide 2–8 mcg/ml 6–18 mcmol/L
Flecainide 0.2–1 mcg/ml nd
Antiarrhythmics Lidocaine 1.5–6 mcg/ml 4.5–21.5 mcmol/L
Mexiletine 0.5–2 mcg/ml nd
Procainamide 4–8 mcg/ml 17–34 mcmol/ml
Propranolol 50–200 ng/ml 190–770 nmol/L
Quinidine 2–6 mcg/ml 4.6–9.2 mcmol/L
Tocainide 4–10 mcg/ml nd
Verapamil 0.08–0.3 mcg/ml nd
Anticonvulsants Carbamazepine 4–12 mcg/ml 17–51 mcmol/L
Phenobarbital 10–40 mcg/ml 43–172 mcmol/L
Phenytoin 10–20 mcg/ml 40–80 mcmol/L
Primidone 4–12 mcg/ml 18–55 mcmol/L
Valproic Acid 40–100 mcg/ml 280–700 mcmol/L
Amitriptyline 110–250 ng/ml 500–900 nmol/L
Amoxapine 200–500 ng/ml nd
Bupropion 25–100 ng/ml nd
Clomipramine 80–100 ng/ml nd
Desipramine 115–300 ng/ml nd
Antidepressants Doxepin 110–250 ng/ml nd
Imipramine 225–350 ng/ml nd
Maprotiline 200–300 ng/ml nd
Nortriptyline 50–150 ng/ml nd
Protriptyline 70–250 ng/ml nd
Trazodone 800–1600 ng/ml nd
Chlorpromazine 50–300 ng/ml 150–950 nmol/L
Fluphenazine 0.13–2.8 ng/ml nd
Antipsychotics Haloperidol 5–20 ng/ml nd
Perphenazine 0.8–1.2 ng/ml nd
Thiothixene 2–57 ng/ml nd
Reference Value
Drug Determination
Conventional units SI units
Amantadine 300 ng/ml nd
Amrinone 3.7 mcg/ml nd
Chloramphenicol 10–20 mcg/ml 31–62 mcmol/L
Cyclosporine 250–800 ng/ml nd
(whole blood, RIA) nd
50–300 ng/ml (plasma, RIA)
Ethanol 0 mg/dl 0 mmol/L
Hydralazine 100 ng/ml nd
Miscellaneous
Lithium 0.6–1.2 mEq/L 0.6–1.2 mmol/L
Salicylate 100–300 mg/L 724–2172 mcmol/L
Sulfonamide 5–15 mg/dl nd
Terbutaline 0.5–4.1 ng/ml nd
Theophylline 10–20 mcg/ml 55–110 mcmol/L
Vancomycin
(trough) 5–15 ng/ml nd
(peak) 20–40 mcg/ml nd
* The values given are generally accepted as desirable for treatment without toxicity for most patients.
However, exceptions are not uncommon.
1
nd = No data available.
2
Parent drug plus N-desmethyl metabolite.
3
24–hour trough values.
4
Toxic: 50–100 mg/dl (10.9–21.7 mmol/L).
The following table is adopted from the Sixth Report of the Joint National Committee on Prevention,
Detection, Evaluation, and Treatment of High Blood Pressure, National Institutes of Health.
Classification of Blood Pressure *
Reference value
Category
Systolic (mm Hg) Diastolic (mm Hg)
Optimal < 120 and < 80
Normal < 130 and < 85
High-normal 130–139 or 85–89
Hypertension
Stage 1
Stage 2 140–159 or 90–99
Stage 3 160–179 or 100–109
180 or 110
* For adults age 18 and older who are not taking antihypertensive drugs and not acutely ill. When
systolic and diastolic blood pressures fall into different categories, the higher category should be
selected to classify the individual's blood pressure status. In addition to classifying stages of
hypertension on the basis of average blood pressure levels, clinicians should specify presence or
absence of target organ disease and additional risk factors.
1
Optimal blood pressure with respect to cardiovascular risk is below 120/88 m Hg. However, unusually
low readings should be evaluated for clinical significance.
2
Based on the average of two or more readings taken at each of two or more visits after an initial
screening.