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  • Critical Values in Clinical Chemistry

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    This document provides critical value ranges for various clinical chemistry, hematology, and microscopy tests. For clinical chemistry, critical low and high values are given for analytes like calcium, glucose, potassium, and cholesterol. In hematology, critical low and high ranges are listed for hematocrit, hemoglobin, platelet count, WBC count, and coagulation tests. Finally, critical values are outlined for urinalysis tests and cerebrospinal fluid measurements including glucose, protein, WBC count, and presence of malignant cells. The document instructs referring to the pathologist when any critical values are observed.

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    This document provides critical value ranges for various clinical chemistry, hematology, and microscopy tests. For clinical chemistry, critical low and high values are given for analytes like calcium, glucose, potassium, and cholesterol. In hematology, critical low and high ranges are listed for hematocrit, hemoglobin, platelet count, WBC count, and coagulation tests. Finally, critical values are outlined for urinalysis tests and cerebrospinal fluid measurements including glucose, protein, WBC count, and presence of malignant cells. The document instructs referring to the pathologist when any critical values are observed.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    10 views3 pages

    Critical Values in Clinical Chemistry

    Uploaded by

    Captain Marvel
    This document provides critical value ranges for various clinical chemistry, hematology, and microscopy tests. For clinical chemistry, critical low and high values are given for analytes like calcium, glucose, potassium, and cholesterol. In hematology, critical low and high ranges are listed for hematocrit, hemoglobin, platelet count, WBC count, and coagulation tests. Finally, critical values are outlined for urinalysis tests and cerebrospinal fluid measurements including glucose, protein, WBC count, and presence of malignant cells. The document instructs referring to the pathologist when any critical values are observed.

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    © All Rights Reserved
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    of 3

    Critical Values in Clinical Chemistry

    *NOTE: PLEASE REFER TO THE PATHOLOGIST WHEN THE FOLLOWING


    RESULTS ARE OBTAINED.
    ANALYTES LOW HIGH
    S.I UNIT CONV. UNIT S.I UNIT CONV. UNIT
    AMYLASE NONE NONE >200 U/L NONE
    BILIRUBIN, TOTAL (NEWBORN) NONE NONE >255 mmol/L 15 meq/L
    CALCIUM <1.5 mmol/L 6 meq/L >3.25 mmol/L 13.0 meq/L
    CHLORIDE <80 mmol/L 80 meq/L >115 mmol/L 115 meq/L
    CK NONE NONE >3-5x normal
    upper limit
    CK-MB NONE NONE >5% or >10
    ug/dL
    CREATININE except in dialysis NONE NONE >0.442 mmol/L >5 mg/dL
    patients.
    GLUCOSE <2.2 mmol/L 40 mg/dL >24.75 mmol/L 450 mg/dL
    GLUCOSE (NEWBORN) <1.65 mmol/L 30 mg/dL >16.5 mmol/L 300 mg/dL
    MAGNESIUM <0.05 mmol/L 1.0 mg/dL >2.35 mmol/L 4.7 mg/dL
    POTASSIUM <2.8 mmol/L 2.8 meq/L >6.2 mmol/L 6.2 meq/L
    POTASSIUM (NEWBORN) <2.5 mmol/L 2.5 meq/L >8 mmol/L 8 meq/L
    SODIUM <120 mmol/L 120 meq/L >160 mmol/L 160 meq/L
    BUN except in dialysis patients 0.714 mmol/L 2 mg/dL >28.56 mmol/L 80 mg/dL
    Serum CHOLESTEROL NONE NONE >7.74 mmol/L >300 mg/dL
    Serum TOTAL PROTEIN NONE NONE >90 grams/L 90 mg/dL
    Critical Values in Hematology

    *NOTE: PLEASE REFER TO THE PATHOLOGIST WHEN THE FOLLOWING


    RESULTS ARE OBTAINED.

    Hematology Low High


    1. Hematocrit <20 vol% <60 vol%
    2. Hemoglobin <7 gm/dL >20 gm/dL
    3. Platelet Count (Adult) <40,000/cu mm >1,000,000/cu mm
    4. Platelet Count (pedia) <20,000/cu mm >1,000,000/cu mm
    5. WBC <2,000/cu mm >30,000/cu mm
    6. Presence of blast and sickle cells
    7. New diagnosis of leukemia, sickle cell anemia, aplastic crises
    8. Prothrombin time -- INR: >5.0 sec *
    9. Partial thromboplastin time -- INR: >120 sec*
    10. Peripheral blood smears with atypical lymphocytes and/or plasma cells.

    .
    Critical Values in Clinical Microscopy

    *NOTE: PLEASE REFER TO THE PATHOLOGIST WHEN THE FOLLOWING


    RESULTS ARE OBTAINED.

    Urinalysis
    1. Strongly positive test for ketone
    2. Presence of reducing sugars in infants
    3. Presence of pathological crystals (cysteine, leucine, tyrosine)

    CSF Low High


    1. Glucose < 80% of blood level --
    2. Protein, total None >45 mg/dL
    3. Positive GS or AFB stain, culture or India ink preparation\
    4. WBC in CSF None >10/ cu mm
    5. Presence of malignant cells or blasts in any other body fluid.

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