Standardized Values

Standardized Values for Nursing Laboratory Values, Therapeutic Drug Monitoring, & Vital Signs Laboratory Values Test Abbreviation Adult Child HEMATOLOGIC – COMPLETE BLOOD COUNT (CBC) Hemoglobin Hgb Hematocrit Hct White Blood Cell WBC Platelet Count PLT Male: 14-18 g/dL Female: 12-16 g/dL Pregnant: > 11 g/dL Male: 42-52% Female: 37-47% Pregnant: > 33% Both Sexes: 5-10 mm3 Both Sexes: 150-400 mm3 1-6 yr: 9.5-14 g/dL 6-18 yr: 10-15.5 g/dL 1-6 yr: 30-40% 6-18 yr: 32-44% ≤2yr: 6.2-17 mm3 ≥2 yr: 5-10 mm3 Same as adults HEMATOLOGIC – COAGULATION PANEL (COAGS) Prothrombin Time PT International Normalized Ratio INR Partial thromboplastin time PTT Activated partial thromboplastin time APTT Both Sexes: 11-12.5 sec Pregnant: decreased ** 1.5-2.5 times the normal control (on warfarin) Normal is 0.9-1.2 seconds Desirable therapeutic level is 2-3 times the normal (on warfarin) Both Sexes: 20-30 sec Pregnant: decreased ** 1.5-2.5 times the normal control (on heparin) Both Sexes: 30-40 sec ** 1.5-2.5 times the normal control (on Heparin) Same as adults Same as adults Same as adults Same as adults Test Abbreviation Adult Child BLOOD CHEMISTRY – BASIC METABOLIC PANEL (BMP) Glucose Glu Both Sexes: 70-110 mg/dL ≤ 2 yr: 60-100 mg/dL ≥ 2 yr: 70-110 mg/dL Sodium Na Both Sexes: 135-145 mEq/L Same as adults Potassium K Both Sexes: 3.5-5 mEq/L 3.4-4.7 mEq/L Creatinine n/a Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL Child: 0.3-0.7 mg/dL Blood Urea Nitrogen BUN Both Sexes: 10-20 mg/dL 5-18 mg/dL BLOOD CHEMISTRY – LIPID PROFILE Cholesterol n/a Both Sexes: < 200 mg/dL 120-200 mg/dL BLOOD CHEMISTRY – MISCELLANEOUS Glycosylated Hemoglobin Hgb A1C pH n/a Both Sexes: 7.35-7.45 Same as adults Partial Pressure Carbon Dioxide PCO2 Both Sexes: 35-45 mm Hg Same as adults Partial Pressure Oxygen PO2 Both Sexes: 80-100 mm Hg Same as adults Bicarbonate HCO3 Both Sexes: 22-28 mEq/L Same as adults Oxygen saturation SaO2 Both Sexes: 95-100% Same as adults < 6% Same as adults ARTERIAL BLOOD CHEMISTRY The following values are relevant to nursing education in general: Test Abbreviation Adult Child HEMATOLOGIC – COMPLETE BLOOD COUNT (CBC) Red Blood Cell RBC Male: 4.7-6.1 mm3 Female: 4.2-5.4 mm3 1-6 yr: 4.5-5 mm3 6-18 yr: 4.5-5 mm3 HEMATOLOGIC – COAGULATION PANEL (COAGS) Bleeding Time n/a 1-9 minutes Same as adults D-Dimer n/a 500 ng/mL Same as adults HEMATOLOGIC – MISCELLANEOUS Erythrocyte Sedimentation Rate ESR Male: 15 mm/hr Female: up to 20 mm/hr Pregnant: increased Up to 10 mm/hr C-Reactive Protein CRP 6 mg/mL Same as adults Test Abbreviation Adult Child BLOOD CHEMISTRY – BASIC METABOLIC PANEL (BMP) Calcium Ca Both Sexes: 9-10.5 mg/dL 8.8-10.8 mg/dL Chloride Cl Both Sexes: 98-106 mEq/L 90-110 mEq/L Carbon Dioxide venous CO2 Both Sexes: 22-30 mEq/L Same as adults BLOOD CHEMISTRY – HEPATIC PANEL; LIVER FUNCTION TEST (LFT) 2-8 yr: 65-210 IU/L 9-15 yr: 60-300 IU/L 16-21 yr: 30-200 IU/L Alkaline Phosphatase ALP Both Sexes: 30-120 IU/L Bilirubin Bili Total: 0.3-1 mg/dL Indirect: 0.2-0.8 mg/dL Direct: 0.1-0.3 mg/dL Aspartate aminotransferase AST/SGOT 0-35 IU/L Alanine aminotransferase ALT/SGPT Both Sexes: 4-36 IU/mL Lactic dehydrogenase LDH Both Sexes: 100-190 IU/L 60-170 IU/L Ammonia NH3 15-110 mcg/dL 40-80 mcg/dL Same as adults 3-12yr: 10-50 IU/L 12-18 yr: 10-40 IU/L Same as adults BLOOD CHEMISTRY – COMPREHENSIVE METABOLIC PANEL (CMP) A comprehensive metabolic panel (CMP) contains all the components of a basic metabolic panel (BMP) with the addition of the liver function tests (LFT) and the following: Protein total n/a Both Sexes: 6.4-8.3 g/dL 6.2-8 g/dL Albumin n/a Both Sexes: 3.5-5 g/dL 4.5-9 g/dL BLOOD CHEMISTRY – PANCREATIC ENZYMES Amylase n/a 56-190 IU/L Same as adults Lipase n/a 0-110 IU/L Same as adults BLOOD CHEMISTRY – LIPID PANEL Triglycerides Trig Male: 40-160 mg/dL Female: 35-135 mg/dL 6-11yr: 31-108 mg/dL 12-15 yr: 36-138 mg/dL 16-19 yr: 40-163 mg/dL High Density Lipoprotein HDL Male: > 45 mg/dL Female: > 55 mg/dL Same as adults Low Density Lipoprotein LDL < 130 mg/dL Same as adults BLOOD CHEMISTRY – THYROID PANEL Thyroid Stimulating Hormone TSH 0.5-5 milli-IU/L Same as adults Serum Thyroxine T4 5-12 ng/dL Same as adults Serum Triiodothyronine T3 70-220 ng/dL Same as adults Test Abbreviation Adult Child BLOOD CHEMISTRY – MISCELLANEOUS Iron n/a Male: 80-180 mcg/dL Female: 60-160 mcg/dL 50-120 mcg/dL Total iron binding capacity TIBC Both Sexes: 250-460 mcg/dL Same as adults Mg Serum: Both Sexes: 1.5-2.5 mEq/L Therapeutic: (on Mg therapy): 3.3-6.6 mEq/L N/A Magnesium Phosphorus Phos Both Sexes: 2-4.5 mEq/L N/A Serum Osmolality n/a 285-295 mOsm/kg H2O Same as adults Glomerular Filtration Rate GFR 90-120 mL/min Same as adults Creatinine phosphokinase CPK Male: 55-170 IU/L Female: 30-135 IU/L Same as adults Cardiac Cell Isoenzyme CPK-MB 0% Same as adults Brain and Lung Cell Isoenzyme CPK-BB 0% Same as adults CARDIAC Male: 10-95 ng/mL (onset: 1-3 hrs, peak: 6-10 hrs, return to normal: 12-24 hrs) Female: 10-65 ng/mL (onset: 1-3 hrs, peak: 6-10 hrs, return to normal: 12-24 hrs) 0-0.1 ng/mL (onset: 4-6 hrs, peak: 12-24 hrs, return to normal: 4-7 days) 0-0.2 ng/mL (onset: 3-4 hrs; peak: 10-24 hrs; return to normal: 10-14 days) < 100 pg/mL: no heart failure (HF) 100-300 pg/mL: HF present > 300 pg/mL: mild HF > 600 pg/mL: moderate HF > 900 pg/mL: severe HF Myoglobin n/a Same as adults Troponin I TI Troponin T TT B-Type Natriuretic Peptide Hormone BNP Specific Gravity n/a 1.005-1.030 Same as adults Albumin, Protein n/a 50-80 mg / 24 hrs at rest < 250 / 24 hrs after exercise Same as adults pH n/a 4.6-8 Same as adults Same as adults Same as adults Same as adults URINE STUDIES Test Abbreviation Adult Child White Blood Cells WBC 0-4 Same as adults ARTERIAL BLOOD CHEMISTRY O2 Content n/a 15-20 vol % N/A Base Excess n/a 0 ± 2 mEq/L N/A Therapeutic Drug Monitoring Medication values will vary with individual laboratories Drug Therapeutic Range Toxic Range Digoxin (Lanoxin) 0.5-2 ng/mL > 2.2 ng/mL Lithium (Carbolith) 0.5-1.5 mEq/L > 2 mEq/L Valproic Acid (Depakene, Depakote) 50-125 mcg/mL > 125 mcg/mL Carbamazepine (Tegretol) 8-12 mcg/mL > 12 mcg/mL Phenytoin (Dilantin) 10-20 mcg/mL > 30 mcg/mL Theophylline 10-20 mcg/mL > 20 mcg/mL Lidocaine 1.5-5 mcg/mL > 5 mcg/mL Acetaminophen Depends on use > 250 mcg/mL Amikacin 15-25 mcg/mL > 25 mcg/mL Gentamicin 5-10 mcg/mL > 12 mcg/mL Vancomycin 20-40 mcg/mL > 40 mcg/mL Vital Signs Population Pulse Blood Pressure Newborn 110-170 60-85/40-55 mm Hg Axillary: 97.6-99.3° F Temperature Respirations 30-60 Infant 90-160 65-100/55-65 mm Hg Axillary: 97.6-99.5° F 30-53 Toddler 80-140 90-105/55-70 mm Hg Axillary: 97.6-99.5° F 22-37 Preschooler 75-120 95-110/60-75 mm Hg Axillary: 97.6-99.5° F 20-28 School-age 70-100 100-120/60-75 mm Hg Axillary: 97.6-99.5° F 18-25 Adolescents 60-100 110-125/65-85 mm Hg Axillary: 97.6-99.5° F 12-20 < 120/80 mm Hg 18-65 yrs: 97.6-99.5° F > 65 yrs: < 98.6° F 12-20 Adults 60-100