Lab Value NCLEX Review

LAB VALUES MUST KNOW NCLEX LAB VALUES Test Abbreviation Value COMPLETE BLOOD COUNT (CBC) Hemoglobin Hgb Hematocrit Hct Male: 14-18 g/dL Female: 12-16 g/dL Male: 42-52% Female: 37-47% White Blood Cell WBC 5-10 mm3 Platelet Count PLT 150-400 mm3 COAGULATION PANEL (COAGS) Prothrombin Time PT 10-12 sec International Normalized Ratio INR 0.9-1.2 seconds Partial thromboplastin time PTT 20-30 sec Activated partial thromboplastin time APTT 30-40 sec BASIC METABOLIC PANEL (BMP) Glucose Glu 70-110 mg/dL Sodium Na 135-145 mEq/L Potassium K 3.5-5 mEq/L Creatinine n/a 0.6-1.2 mg/dL Blood Urea Nitrogen BUN 10-20 mg/dL ARTERIAL BLOOD GAS (ABG) pH n/a 7.35-7.45 Carbon Dioxide PCO2 35-45 mm Hg Partial Pressure Oxygen PO2 80-100 mm Hg Bicarbonate HCO3 22-28 mEq/L Oxygen saturation SaO2 95-100% MISCELLANEOUS Cholesterol n/a Glycosylated Hemoglobin Hgb A1C < 200 mg/dL 5.7-6.4% Prediabetes 6.5% Diabetes Mellitus Dx < 7% treatment goal for diabetics LAB VALUES ADDITIONAL LAB VALUES FOR REFERENCE Test Abbreviation Value COMPLETE BLOOD COUNT (CBC) Red Blood Cell RBC Male: 4.7-6.1 mm3 Female: 4.2-5.4 mm3 COAGULATION PANEL (COAGS) D-Dimer n/a < 500 ng/mL COMPLETE METABOLIC PANEL (CMP) Calcium Ca 9-10.5 mg/dL Chloride Cl 98-106 mEq/L Carbon Dioxide venous CO2 22-30 mEq/L Magnesium Mg 1.5-2.5 mEq/L Phosphorus Phos 2-4.5 mEq/L LIVER FUNCTION TEST (LFT) Alkaline Phosphatase ALP Bilirubin Bili Aspartate aminotransferase AST/SGOT 0-35 IU/L Alanine aminotransferase ALT/SGPT 4-36 IU/mL Lactic dehydrogenase LDH Ammonia NH3 Protein total n/a 6.4-8.3 g/dL Albumin n/a 3.5-5 g/dL 30-120 IU/L To tal : 0 .3- 1 m g/d L In dir ect : 0 .2- 0.8 mg /dL Di rec t: 0.1 -0. 3 m g/d L 100-190 IU/L 15-110 mcg/dL PANCREATIC ENZYMES Amylase n/a 56-190 IU/L Lipase n/a 0-110 IU/L LIPID PANEL Triglycerides Trig High Density Lipoprotein HDL Male: 40-160 mg/dL Female: 35-135 mg/dL Male: > 45 mg/dL Female: > 55 mg/dL Low Density Lipoprotein LDL < 130 mg/dL ADDITIONAL LAB VALUES FOR REFERENCE CONTINUED Test Abbreviation Value THYROID PANEL Thyroid Stimulating Hormone TSH 0.5-5 milli-IU/L Serum Thyroxine T4 5-12 ng/dL Serum Triiodothyronine T3 70-220 ng/dL CARDIAC C r e at i n i n e p h o s p h ok i n a s e CPK Male: 55-170 IU/L Female: 30-135 IU/L Cardiac Cell Isoenzyme CPK-MB 0% Brain and Lung Cell Isoenzyme CPK-BB 0% Myoglobin n/a Male: 10-95 ng/mL Female: 10-65 ng/mL Troponin I TI 0-0.1 ng/mL Troponin T TT 0-0.2 ng/mL B-Type Natriuretic Peptide BNP < 100 pg/mL URINE STUDIES Specific Gravity n/a 1.005-1.030 Albumin, Protein n/a 50-80 mg pH n/a 4.6-8 White Blood Cells WBC 0-4 Urine osmolality n/a 100-900 MISCELLANEOUS Erythrocyte Sedimentation Rate ESR Ma le : 1 5 m m/h r Fe ma le: up to 20 m m/h r C-Reactive Protein CRP < 1.0 mg/dL Iron n/a Ma le : 8 0- 18 0 mc g/ dL Fe ma l e: 6 0- 16 0 mc g/ dL To ta l iro n bi nd ing c ap ac ity TIBC 250-460 mcg/dL Serum Osmolality n/a 285-295 mOsm/kg H2O Gl o me ru la r Fi l tr at io n Ra te GFR 90-120 mL/min O2 Co nt en t n/a 15-20 vol % Ba s e Ex ce ss n/a 0 ± 2 mEq/L THERAPEUTIC DRUG LEVELS Drug Therapeutic range Toxic range Digoxin 0.5-2 ng/mL > 2.2 ng/mL Lithium 0.6 – 1.2 mEq/L > 1.5 mEq/L Valproic Acid 50-125 mcg/mL > 125 mcg/mL Carbamazepine 8-12 mcg/mL > 12 mcg/mL Phenytoin 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