Blood Test Breath Analysis Urine Test Blood test Types of blood tests Biochemical analysis Molecular profiles Cellular evaluation Basic Metabolic Panel [BMP] Blood Gases, Arterial Blood Gases, Venous Comprehensive Metabolic Panel [CMP] Lipid Panel Thyroid Tests Hematology Panel Leukocyte Differential Other Common Chemistry Tests Blood biochemistry What questions should you ask before collecting blood samples for blood biochemistry? Did you take any food in the past 10 hours? Are you on any prescription medication? Did you take any over-the-counter or other drugs/medication in the past 10 days? Do you have any existing medical condition? When were her last laboratory investigations like complete blood count (CBC), blood chemistry test, pulse oximetry, arterial blood gases, X-ray, etc., done? What laboratory has done these tests? Pulmonary tests Have you ever done an arterial blood gas test? Have you ever done pulse oximetry? When and where were these tests done? What are the results? This section provides information about lab tests your doctor may use to screen for certain diseases or conditions. What are lab tests? Laboratory tests are medical procedures that involve testing samples of blood, urine, or other tissues or substances in the body. Why does your doctor use lab tests? Your doctor uses laboratory tests to help: * identify changes in your health condition before any symptoms occur * diagnose a disease or condition before you have symptoms * plan your treatment for a disease or condition, * evaluate your response to a treatment, or * monitor the course of a disease over time. How are lab tests analyzed? After your doctor collects a sample from your body, it is sent to a laboratory. Laboratories perform tests on the sample to see if it reacts to different substances. Depending on the test, a reaction may mean you do have a particular condition or it may mean that you do not have the particular condition. Sometimes laboratories compare your results to results obtained from previous tests, to see if there has been a change in your condition. What do lab tests show? Lab tests show whether or not your results fall within normal ranges. Normal test values are usually given as a range, rather than as a specific number, because normal values vary from person to person. What is normal for one person may not be normal for another person. Some laboratory tests are precise, reliable indicators of specific health problems, while others provide more general information that gives doctors clues to your possible health problems. Information obtained from laboratory tests may help doctors decide whether other tests or procedures are needed to make a diagnosis or to develop or revise a previous treatment plan. All laboratory test results must be interpreted within the context of your overall health and should be used along with other exams or tests. What factors affect your lab test results? Many factors can affect test results, including: * sex * age * race * medical history * general health * specific foods * drugs you are taking * how closely your follow preparatory instructions * variations in laboratory techniques * variation from one laboratory to another http://www.labtestsonline.org/understanding/features/lab_report.html Complete blood count Chemistry panel Urinalysis (UA) A lipid panel (cholesterol test) is recommended every five years. |
Basic Metabolic Panel [BMP] Blood Gases, Arterial Blood Gases, Venous Comprehensive Metabolic Panel [CMP] Lipid Panel Thyroid Tests Hematology Panel Leukocyte Differential Other Common Chemistry Tests
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Blood Gases, Arterial | |
TEST | RANGE |
pH | |
1 d - 1 mo | None |
1 mo - adult | 7.35 - 7.45 |
pCO2 | |
1 d - 1 mo | None |
1 mo - adult male | 35 - 48 mm Hg |
1 mo - adult female | 32 - 45 mm Hg |
pO2 | |
1 d - 1 mo | None |
1 mo - adult | 83 - 108 mm Hg |
Bicarbonate | |
1 - 2 d | 17.2 - 23.6 mmol/L |
2 d - 2 mo | 19.0 - 23.9 mmol/L |
2 mo - 2 y | 16.3 - 23.9 mmol/L |
2 y - adult | 18.0 - 23.0 mmol/L |
CO2 | 19.0 - 24.0 mmol/L |
O2 Saturation | |
1 - 2 d | 40% - 90% |
2 d - adult | 95% - 98% |
Blood Gases, Venous | |
TEST | RANGE |
pH | |
1 d - 1 mo | None |
1 mo - adult | 7.33 - 7.43 |
pCO2 | |
1 d - 1 mo | None |
1 mo - adult male | 41 - 54 mm Hg |
1 mo - adult female | 38 - 51 mm Hg |
pO2 | |
1 d - 1 mo | None |
1 mo - adult | 25 - 29 mm Hg |
Bicarbonate | 22 - 29 mmol/L |
CO2 | 22.0 - 26.0 mmol/L |
O2 Saturation | 60% - 85% |
Comprehensive Metabolic Panel [CMP] | |
TEST | RANGE |
Albumin | |
0 - 3 y | 2.9 - 5.5 g/dL |
3 y - adult | 3.5 - 5.0 g/dL |
Alkaline Phosphatase | |
1 d - 15 y | 80 - 250 units/L |
15 y - adult | 30 - 125 units/L |
ALT (SGPT) | 0 - 40 units/L |
AST (SGOT) | 3 - 44 units/L |
Bilirubin, total | |
1 d - 1 mo | 0.6 - 11.1 mg/dL |
1 mo - adult | 0.2 - 1.3 mg/dL |
Calcium | |
1 d - 1 mo | 7.3 - 11.9 mg/dL |
1 mo - adult | 8.7 - 10.7 mg/dL |
Carbon dioxide | |
1 d - 1 y | 13 - 22 mmol/L |
1 y - 15 y | 20 - 28 mmol/L |
15 y - adult | 22 - 29 mmol/L |
Chloride | |
1 d - 1 mo | 91 - 118 mmol/L |
1 mo - adult | 99 - 108 mmol/L |
Creatinine | |
male | 0.75 - 1.20 mg/dL |
female | 0.65 - 1.00 mg/dL |
Glucose | |
fasting | 60 - 99 mg/dL |
nonfasting | 60 - 200 mg/dL |
Potassium | |
1 d - 1 mo | 4.0 - 6.0 mmol/L |
1 mo - adult | 3.4 - 5.3 mmol/L |
Protein, total | |
1 d - 1 mo | 5.3 - 8.9 g/dL |
1 mo - 8 y | 5.6 - 8.5 g/dL |
8y - adult | 6.0 - 8.2 g/dL |
Sodium | 137 - 147 mmol/L |
Urea Nitrogen (BUN) | |
1 d - 1 mo | 4 - 12 mg/dL |
1 mo - 15 y | 5 - 18 mg/dL |
15 y - adult | 8 - 21 mg/dL |
Lipid Panel | ||
TEST | MALE (MG/dL) |
FEMALE (MG/dL) |
Cholestrol | ||
recommended | <200 | <200 |
moderate risk | 200 - 239 | 200 - 239 |
high risk | >239 | >239 |
HDL cholesterol | ||
major risk factor | <40 | <40 |
negative risk factor | >59 | >59 |
LDL cholesterol | ||
recommended | <130 | <130 |
moderate risk | 130 - 159 | 130 - 159 |
high risk | >159 | >159 |
Triglyceride | ||
recommended | 30 - 149 | 30 - 149 |
Thyroid Tests | |
TSH | 0.350 - 4.940 µIU/mL |
Total T4, adult | 4.9-11.7:mg/dL |
Free T4 | 0.7-1.5 ng/dL |
Total T3 | 0.6-1.6 ng/mL |
Free T3 | 1.7-3.7 pg/mL |
COMPLETE BLOOD COUNT | |||||||||
|
PLATELETS (x103/mm3) | RDW (%) | |||||||
Adult | 4.0-10.0 | M: 4.50-5.90 F: 4.00-5.20 | M: 13.5-17.5 F: 12.0-16.0 | M: 42-54 F: 37-47 | 82-103 | 26-34 | 30-37 | 150-399 | 11.5-14.5 |
0-3 days | 8-38 | 4.00-6.60 | 14.5-22.5 | 46-68 | 97-124 | 31-37 | 28-37 | 150-399 | 11.5-14.5 |
4-7 days | 6-17 | 3.90-6.30 | 13.5-21.5 | 43-67 | 90-129 | 28-40 | 27-38 | 150-399 | 11.5-14.5 |
8-14 days | 5-16 | 3.60-6.20 | 12.5-20.5 | 40-64 | 88-127 | 28-40 | 27-38 | 150-399 | 11.5-14.5 |
15-30 days | 5-15 | 3.00-5.40 | 10.0-18.0 | 32-56 | 87-126 | 28-40 | 28-37 | 150-399 | 11.5-14.5 |
30-90 days | 5-15 | 2.70-4.90 | 9.0-14.0 | 29-43 | 79-117 | 26-34 | 28-37 | 150-399 | 11.5-14.5 |
3-6 mos. | 5-15 | 3.10-4.50 | 9.5-13.5 | 30-42 | 76-111 | 25-35 | 29-36 | 150-399 | 11.5-14.5 |
6 mos. - 2 yrs. | 5-15 | 3.70-5.30 | 11.0-13.0 | 34-40 | 72-89 | 23-31 | 29-36 | 150-399 | 11.5-14.5 |
2-6 yrs. | 5-13 | 3.90-5.30 | 11.5-13.5 | 35-41 | 77-90 | 24-30 | 30-37 | 150-399 | 11.5-14.5 |
6-12 yrs. | 5-12 | 4.00-5.20 | 11.5-15.5 | 36-46 | 79-98 | 25-33 | 30-37 | 150-399 | 11.5-14.5 |
Automated Differential | ||||||||||||||
AGE | Neutrophils | IG | Lymphocytes | Monocytes | Eosinophils | Basophils | ||||||||
th/uL | (%) | th/uL | (%) | th/uL | (%) | th/uL | (%) | th/uL | (%) | th/uL | (%) | |||
Adult | 1.84-7.8 | 46-78 | 0.0-0.15 | 0.0-1.5 | 0.720-5.200 | 18-52 | 0.120-1.000 | 3-10 | .000-0.600 | 0-6 | 0-0.300 | 0-3 | ||
Newborn | 3.76-23.94 | 47-63 | 0.0-0.15 | 0.0-1.5 | 2.5-14.06 | 32-37 | 0.240-3.800 | 3-10 | 0.016-3.800 | 0.2-10 | 0.-1.140 | 0-3 | ||
2 wks-4 yrs. | 1.1-6.0 | 22-40 | 0.0-0.15 | 0.0-1.5 | 2.5-10.95 | 50-73 | 0.150-1.500 | 3-10 | 0-0.900 | 0-6 | 0-0.450 | 0-3 | ||
10 yrs. | 1.55-6.89 | 31-53 | 0.0-0.15 | 0.0-1.5 | 2.0-7.8 | 40-60 | 0.150-1.300 | 3-10 | 0-0.780 | 0-6 | 0-0.390 | 0-3 | ||
11-17 yrs. | 2.05-8.04 | 41-67 | 0.0-0.15 | 0.0-1.5 | 1.35-5.85 | 27-58 | 0.150-1.200 | 3-10 | 0-0.720 | 0-6 | 0-0.360 | 0-3 |
Microscopic Differential | ||||||||||||||
AGE | Segmented Neutrophils | Band Neutrophils | Meta-myelocytes | Myelo-cytges | Pro-myelocytes | Lympho-cytes | Mono-cytes | Eosino-phils | Baso-phils | Blast | ||||
(%) | (%) | (%) | (%) | (%) | (%) | |||||||||
Adult | 36-72 | 0-6 | 0 | 0 | 0 | 18-52 | 3-10 | 0-6 | 0-3 | 0 | ||||
Newborn | 47-57 | 0-6 | 0 | 0 | 0 | 32-37 | 3-10 | 0.2-10 | 0-3 | 0 | ||||
2 wks-4 yrs. | 22-34 | 0-6 | 0 | 0 | 0 | 50-73 | 3-10 | 0-6 | 0-3 | 0 | ||||
5-10 yrs. | 31-47 | 0-6 | 0 | 0 | 0 | 40-60 | 3-10 | 0-6 | 0-3 | 0 | ||||
11-17 yrs. | 41-61 | 0-6 | 0 | 0 | 0 | 27-58 | 3-10 | 0-6 | 0-3 | 0 |
Other Common Chemistry Tests | |
TEST | RANGE |
Amylase | 25 - 100 units/L |
Bilirubin, direct | |
0 - 1 mo. | 0.0 - 0.6 mg/dL |
1 mo. - Adult | 0.0 - 0.4 mg/dL |
C-Reactive Protein | 0 - 8 ug/mL |
Creatine Kinase | 10 - 205 units/L |
GGT | |
male | 12 - 64 units/L |
female | 9 - 36 units/L |
HEMOGLOBIN A1C | 3.9-6.2% |
LDH | 110 - 240 units/L |
Lipase | 10 - 52 units/L |
Magnesium | 1.6 - 2.7 mg/dL |
Phosphorus | |
1 d - 1 y | 4.0 - 7.0 mg/dL |
1 y - 15 y | 4.5 - 6.5 mg/dL |
15 y - adult | 2.5 - 4.6 mg/dL |
QUANTITATIVE hCG, SERUM | |
Nonpregnant females | 0 - 4 mIU/mL |
Trop | 0.00 - 0.09 ng/mL |
Uric Acid | |
---|---|
male | 3.5 - 7.7 mg/dL |
female | 2.6 - 6.8 mg/dL |
0 - 15 y | 2.0 - 5.5 mg/dL |
URINALYSIS STANDARD EXAM (ROUTINE URINALYSIS) | |
---|---|
Specific Gravity 1.002 - 1.030 | Leukocyte esterase negative |
pH 5 - 8 | RBCs 0 - 5/hpf |
Protein negative | WBCs 0 - 5/hpf |
Bilirubin negative | Bacteria negative on spun specimen |
Urobilinogen 0.2 - 1 EU/dL | Casts 0 - 4 hyaline casts/lpf |
Glucose negative | Crystals interpreted by physican |
Ketones negative | SQEP <5/lpf |
Occult blood negative |
COAGULATION TESTS | ||
---|---|---|
PROTHROMBIN TIME 9.5 - 13.2 secs PT INR 0.83 - 1.20 |
ACTIVATED PARTIAL THROMBOPLASTIN TIME 23 - 33 seconds | |
FIBRINOGEN 190 - 395 mg/dL |
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THROMBIN TIME 14.9 - 19.8 secs D-DIMER: 0.00 - 0.60 mg/L |