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Standardized Laboratory Values

The following values are seen on the NCLEX Test Plan:

Test Abbreviation Adult Child

HEMATOLOGIC COMPLETE BLOOD COUNT (CBC)


Male: 14-18 g/dL
1-6 yr: 9.5-14 g/dL
Hemoglobin** Hgb Female: 12-16 g/dL
6-18 yr: 10-15.5 g/dL
Pregnant: < 11 g/dL
Male: 42-52%
1-6 yr: 30-40%
Hematocrit** Hct Female: 37-47%
6-18 yr: 32-44%
Pregnant: >33%
Both Sexes: 2yr: 6.2-17 mm3
White Blood Cell** WBC
5-10 mm3 2 yr: 5-10 mm3
Both Sexes:
Platelet Count** PLT Same as adults
150-400 mm3
HEMATOLOGIC COAGULATION PANEL (COAGS)
Both Sexes: 11-12.5 sec
Pregnant: decreased
Prothrombin Time** PT Same as adults
** 1.5-2.5 times the normal
control (on Coumadin)
Normal is 0.9-1.2 seconds
International Normalized
INR Same as adults
Ratio** Desirable therapeutic level is
2-3 times the normal
Both Sexes 60-70 sec
Pregnant: decreased
Partial thromboplastin
PTT Same as adults
time**
** 1.5-2.5 times the normal
control (on Heparin)
Both Sexes 30-40 sec
Activated partial
APTT Same as adults
thromboplastin time** ** 1.5-2.5 times the normal
control (on Heparin)
BLOOD CHEMISTRY BASIC METABOLIC PANEL (BMP)
2 yr: 60-100 mg/dL
Glucose** Glu Both Sexes: 70-110 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
Male: 0.6-1.2 mg/dL
Creatinine N/A Child: 0.3-0.7 mg/dL
Female: 0.5-1.1 mg/dL

HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier.
ISBN: 9780323065856
Pagana, K. & Pagana, T. (2009). Mosbys Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby.
0323053459
Prepared by: The Office of the Provost and Academic Affairs
Curriculum Council Approved: 03/12/15
Page 1
Test Abbreviation Adult Child

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
Hgb A1C <6% Same as adults
Hemoglobin**

HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier.
ISBN: 9780323065856
Pagana, K. & Pagana, T. (2009). Mosbys Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby.
0323053459
Prepared by: The Office of the Provost and Academic Affairs
Curriculum Council Approved: 03/12/15
Page 2
The following values are relevant to nursing education in general:

Test Abbreviation Adult Child


ARTERIAL BLOOD CHEMISTRY

pH** N/A Both Sexes: 7.35-7.45 Same as adults


Partial Pressure Carbon
PCO2 Both Sexes: 35-45 mmHg Same as adults
Dioxide**
Partial Pressure
PO2 Both Sexes: 80-100 mmHg Same as adults
Oxygen**
Bicarbonate** HCO3 Both Sexes: 22-28 mEq/L Same as adults
Oxygen saturation** SaO2 Both Sexes: 95-100% Same as adults

HEMATOLOGIC COMPLETE BLOOD COUNT (CBC)


Male: 4.7-6.1 mm3 1-6 yr: 4.5-5 mm3
Red Blood Cell RBC
Female: 4.2-5.4 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
Male: 15 mm/hr
Erythrocyte
ESR Female: up to 20 mm/hr Up to 10 mm/hr
Sedimentation Rate
Pregnant: increased
C-Reactive Protein CRP 6 mg/mL Same as adults

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/I
Alkaline Phosphatase ALP Both Sexes: 30-120 IU/I 9-15 yr: 60-300 IU/I
16-21 yr: 30-200 IU/I
Total: 0.3-1 mg/dL
Bilirubin Bili Indirect: 0.2-0.8 mg/dL Same as adults
Direct: 0.1-0.3 mg/dL
3-12yr: 10-50 IU/I
Aspartate
AST/SGOT 0-35 IU/I 12-18 yr: 10-40 IU/I
aminotransferase

HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier.
ISBN: 9780323065856
Pagana, K. & Pagana, T. (2009). Mosbys Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby.
0323053459
Prepared by: The Office of the Provost and Academic Affairs
Curriculum Council Approved: 03/12/15
Page 3
Test Abbreviation Adult Child
Alanine
ALT/SGPT Both Sexes: 4-36 IU/mL Same as adults
aminotransferase
Lactic dehydrogenase LDH Both Sexes: 100-190 IU/I 60-170 IU/I

Ammonia NH3 15-110 mcg/dL 40-80 mcg/dL


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 4.5-9g/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


6-11yr: 31-108 mg/dL
Male: 40-60 mg/dL
Triglycerides Trig 12-15 yr: 36-138 mg/dL
Female: 35-135 mg/dL
16-19 yr: 40-163 mg/dL
High Density Male: >45 mg/dL
HDL Same as adults
Lipoprotein** Female: >55 mg/dL
Low Density
LDL 60-180 mg/dL Same as adults
Lipoprotein**
BLOOD CHEMISTRY THYROID PANEL
Thyroid Stimulating
TSH 0.5-5 milli-IU/L Same as adults
Hormone
Serum Thyroxine T4 5-12 ng/dL Same as adults
Serum Triiodothyronine T3 70-220 ng/dL Same as adults
BLOOD CHEMISTRY MISCELLANEOUS
Male: 80-180 mcg/dL
Iron N/A 50-120 mcg/dL
Female: 60-160 mcg/dL
Total iron binding
TIBC Both Sexes: 250-460 mcg/dL Same as adults
capacity
Serum:
Both Sexes: 1.5-2.5 mEq/L
Magnesium 1.8-3 mg/dL
Mg N/A
1mEq/l = 1.2 mg/dL
Therapeutic: (on Mg therapy):
4-8 mg/dL

HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier.
ISBN: 9780323065856
Pagana, K. & Pagana, T. (2009). Mosbys Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby.
0323053459
Prepared by: The Office of the Provost and Academic Affairs
Curriculum Council Approved: 03/12/15
Page 4
Test Abbreviation Adult Child

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
GFR 90-120 mL/min Same as adults
Rate
CARDIAC
Creatinine Male: 55-170 IU/I
CPK Same as adults
phosphokinase Female: 30-135 IU/I
Cardiac Cell Isoenzyme CPK-MB 0% Same as adults
Brain and Lung Cell
CPK-BB 0% Same as adults
Isoenzyme
Male: 10-95 ng/mL
(onset: 1-3 hrs, peak: 6-10 hrs,
return to normal: 12-24 hrs)
Myoglobin N/A Same as adults
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
Troponin I TI Same as adults
hrs, return to normal: 4-7
days)
0-0.2 ng/mL
(onset: 3-4 hrs; peak: 10-24
Troponin T TT
hrs; return to normal: 10-14 Same as adults
days)
<100 pg/mL: heart failure (HF)
100-300 pg/mL: HF present
>300 pg/mL: indicate mild HF
B-Type Natriuretic
BNP >600 pg/mL: indicate Same as adults
Peptide Hormone
moderate HF
>900 pg/mL: indicate severe
HF
URINE STUDIES

Specific Gravity N/A 1.005-1.030 Same as adults


50-80 mg / 24 hrs at rest
Albumin, Protein N/A Same as adults
<250 / 24 hrs after exercise
pH N/A 4.6-8 Same as adults

White Blood Cells WBC 0-4 Same as adults

HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier.
ISBN: 9780323065856
Pagana, K. & Pagana, T. (2009). Mosbys Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby.
0323053459
Prepared by: The Office of the Provost and Academic Affairs
Curriculum Council Approved: 03/12/15
Page 5
Test Abbreviation Adult Child

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
Digoxin (Lanoxin) N/A 0.5-2 ng/mL >2.2 ng/mL

Lithium (Carbolith) N/A 0.5-1.5 mEq/L >2 mEq/L


Valproic Acid (Depakene,
N/A 50-125 mcg/mL >125 mcg/mL
Depakote)
Carbamazepine
N/A 8-12 mcg/mL >12 mcg/mL
(Tegretol)
Phenytoin (Dilantin) N/A 10-20 mcg/mL >30 mcg/mL
Theophylline N/A 10-20 mcg/mL >20 mcg/mL
Lidocaine N/A 1.5-5 mcg/mL >5 mcg/mL
Acetaminophen N/A Depends on use >250 mcg/mL

Amikacin N/A 15-25 mcg/mL >25 mcg/mL

Gentamicin N/A 5-10 mcg/mL >12 mcg/mL


Vancomycin N/A 20-40 mcg/mL >40 mcg/mL

HESI Evolve Reach comprehensive review for the NCLEX-RN examination. (3rd ed.) (2011). St. Louis: Elsevier.
ISBN: 9780323065856
Pagana, K. & Pagana, T. (2009). Mosbys Diagnostic and Laboratory Test Reference. St. Louis, M.O: Mosby.
0323053459
Prepared by: The Office of the Provost and Academic Affairs
Curriculum Council Approved: 03/12/15
Page 6

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