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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 XII. Appendix A: Lab Values BASIC METABOLIC PANEL Reference Range Sodium 142 135-147 mmol/L Potassium 4.5 3.5-5.2 mmol/L Chloride 97 95-107 mmol/L CO 2 27 22-30 mmol/L Urea Nitrogen (BUN) 13 7-20 mg/dL Creatinine 1.2 0.5-1.2 mg/dL Glucose 110 60-110 mg/dL CARDIAC MARKERS Reference Range Part I Creatine Kinase-BB 0 0% Creatine Kinase-MB (cardiac) 2.0 0 - 3.9% Creatine Kinase-MM 98 96 – 100% Creatine phosphokinase (CPK) 85 8 – 150 IU/L Troponin I 0.0 < 0.03 ng/mL Part II Creatine Kinase-BB 0 0% Creatine Kinase-MB (cardiac) 2.3 0 - 3.9% Creatine Kinase-MM 99 96 – 100% Creatine phosphokinase (CPK) 101 8 – 150 IU/L Troponin I 0.02 < 0.03 ng/mL 22
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 COAGULATION PROFILE Reference Range Partial thromboplastin time (PTT) 35 30 – 45 sec Prothrombin time (PT) 12 10 – 12 sec International Normalized Ratio (INR) 1.0 1 - 2 Fibrinogen 180 170 – 420 mg/dL COMPLETE BLOOD COUNT Reference Range WITH DIFFERENTIAL Male Female White Blood Cell (WBC) 7,500 4,500 - 10,000 K/uL Neutrophils (%) 60 54 – 62% Band forms (%) 4 3 - 5 (>8% indicates L shift) Basophils (%) 0.45 0 – 1% 0 - 0.75% Eosinophils (%) 1 0 – 3% 1 – 3% Lymphocytes (%) 30 24 – 44% 25 – 33% Monocytes (%) 4 3 – 6% 3 – 7% Hemoglobin (HGB) 14.0 13.5 - 16.5 g/dL 12.0 - 15.0 g/dL Hematocrit (HCT) 40.2 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 27 26 – 34 pg MCHC 33 31 – 37 g/dL Platelet 200,000 100,000 - 450,000 K/uL 23
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