LIST OF CRITICAL AND PANIC VALUES

Attachment 1: Dar Al Hikmah Medical Lab Critical Values List.

Critical Values List

Chemistry
Test Critical Low Critical High Unit Comments
Bicarbonate (Total CO2) < 10 > 40 mmol/L
Bilirubin, Total > 15 mg/dL
Calcium, Ionized ≤3 ≥ 6.5 mg/dL
Calcium, Total <6 > 13.0 mg/dL
Glucose < 40 > 450 mg/dL
HIV Rapid Serology Testing Positive
Iron > 500 ug/dL
≥ 45 ug/dL Birth – 18 years
Lead, Blood
≥ 70 ug/dL ≥ 19 years
Magnesium <1 >9 mg/dL
Phosphorous <1 >9 mg/dL
Potassium <3 > 6.1 mmol/L
Sodium < 120 > 160 mmol/L
Troponin I ≥ 0.3 ng/mL

Coagulation
Test Critical Low Critical High Unit Comments
Prothrombin Time ≥ 46.3 seconds
INR ≥ 5.0
PTT ≥ 85 seconds
Fibrinogen < 100 mg/dL

Microbiology
Test Critical Result
CSF Gram Stain Positive
CSF Culture Positive
Gram Stain Sterile body fluids other than CSF Positive
Culture Sterile body fluids other than CSF Positive
RSV Antigen Detection in Nasopharyngeal Swab Positive
Blood Culture Gram Stain Positive
Blood Culture Positive
Acid Fast Bacilli (AFB) (M.tuberculosis) Positive

Hematology
Test Critical Low Critical High Unit Comments
Hematocrit ≤ 21 ≥ 65 %
Hemoglobin ≤7 > 21 g/dL
Platelet Count ≤ 20 ≥ 1000 X103/uL
White Blood Cell Count ≤2 ≥ 40 X103/uL
ESR > 100 mm/hr
 LIST OF CRITICAL AND PANIC VALUES

Test Critical Result

Blood Film Preparation Interpretation of serious diseases like Leukaemia
Blood Film for Malaria Parasite Positive

Molecular Biology
Test Critical Result
M.tuberculosis DNA Detection by PCR Positive
Herpes Simplex Virus and Varicella Zoster Virus DNA Detection by PCR in CSF Positive

Cytogenetic
Test
All 15;17 chromosome translocations
Trisomy 13 results
Trisomy 18 results

Critical result reportable to the physician within 30 minutes