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Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 X. Appendix A: Lab Values BASIC METABOLIC PANEL Reference Range Sodium 136 135-147 mmol/L Potassium 3.5 3.5-5.2 mmol/L Chloride 100 95-107 mmol/L CO 2 24 22-30 mmol/L Urea Nitrogen (BUN) 25 7-20 mg/dL Creatinine 1.0 0.5-1.2 mg/dL Glucose 100 60-110 mg/dL CHEMISTRY TESTS Reference Range Amylase 136 53 – 123 IU/L Lipase 3.5 7 – 60 IU/L Lactate 2.4 4.5 – 19.4 mg/dL COAGULATION PROFILE Reference Range Partial thromboplastin time (PTT) 40 30 – 45 sec Prothrombin time (PT) 12 10 – 12 sec International Normalized Ratio (INR) 1 1 - 2 104
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 COMPLETE BLOOD COUNT Reference Range WITH DIFFERENTIAL Male Female White Blood Cell (WBC) 10,000 4,500 - 10,000 K/uL Neutrophils (%) 59 54 – 62% Band forms (%) 4 3 - 5 (>8% indicates L shift) Basophils (%) 0.35 0 – 1% 0 - 0.75% Eosinophils (%) 2 0 – 3% 1 – 3% Lymphocytes (%) 32 24 – 44% 25 – 33% Monocytes (%) 4 3 – 6% 3 – 7% Hemoglobin (HGB) 8.0 13.5 - 16.5 g/dL 12.0 - 15.0 g/dL Hematocrit (HCT) 24.0 41 – 50% 36 – 44% Red blood cell (RBC) 4.8 4.5 - 5.5 M/uL 4.0 - 4.9 M/uL RBC Distribution Width 10.0 < 14.5% MCV 90 80 – 100 fL MCH 32 26 – 34 pg MCHC 33 31 – 37 g/dL Platelet 250,000 100,000 - 450,000 K/uL HEPATIC PANEL Reference Range Age 25-60 Age >61 Albumin 4.0 3.5 – 5.0 g/dL Alkaline Phosphatase 70 33 – 131 IU/L 51 – 153 IU/L Aspartate Aminotransferase (AST) 35 15-50 IU/L Alanine Aminotransferase (ALT) 23 6-50 IU/L T. Bilirubin 0.5 0.1 – 1.2 mg/dL D. Bilirubin 0.2 0 – 0.3 mg/dL Total Protein 6.8 6.3 – 8.5 g/dL 105
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