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ATI Normal Lab Values Overview

This document lists normal ranges for various laboratory values in seven categories: 1. Electrolytes and glucose, including sodium, potassium, chloride, calcium, phosphorus, magnesium, and glucose levels. 2. Hematology tests like the complete blood count, which measures red blood cells, white blood cells, hemoglobin, hematocrit, and platelets. 3. Tests of clotting and inflammation like prothrombin time, partial thromboplastin time, D-dimer, and fibrinogen levels. 4. Values for arterial blood gases, lipids, cardiac enzymes, liver enzymes, and other tests of gastrointestinal, hepatic, renal, and miscellaneous function.

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0% found this document useful (0 votes)
2K views4 pages

ATI Normal Lab Values Overview

This document lists normal ranges for various laboratory values in seven categories: 1. Electrolytes and glucose, including sodium, potassium, chloride, calcium, phosphorus, magnesium, and glucose levels. 2. Hematology tests like the complete blood count, which measures red blood cells, white blood cells, hemoglobin, hematocrit, and platelets. 3. Tests of clotting and inflammation like prothrombin time, partial thromboplastin time, D-dimer, and fibrinogen levels. 4. Values for arterial blood gases, lipids, cardiac enzymes, liver enzymes, and other tests of gastrointestinal, hepatic, renal, and miscellaneous function.

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  • Laboratory Values: Describes essential laboratory values for critical body parameters including electrolytes, glucose, and hematology data.
  • Cardiovascular: Outlines cardiovascular health indicators, detailing blood lipid levels and their implications.
  • Respiratory: Describes tests used to evaluate respiratory function through arterial blood gases.
  • Clotting and Inflammation: Explains clotting and inflammatory processes with associated tests and interpretations.

Laboratory Values

*This list is based on current values listed by ATI and is likely not comprehensive. But it is a good place to
start. Add on as you go through nursing school.
*Values listed are blood values, unless otherwise specified. These are adult values.

1. Electrolytes and Glucose

Electrolyte Normal range


Sodium, Na+ 136-145 mEq/L
Potassium, K+ 3.5-5.0 mEq/L
Chloride, Cl- 98-106 mEq/L
Calcium, Ca2+ 9-10.5 mg/dL
Phosphorous, P 2.5-4.5 mg/dL
Magnesium, Mg2+ 1.3-2.1 mg/dL
Glucose measures

Fasting blood glucose <100 mg/dL


Glycosylated hemoglobin (HbA1c) 5-7%

2. Hematology

Complete blood count (CBC)

Component Normal range Interpretation of findings


High: erythrocytosis, polycythemia, severe
Females: 4.2-5.4 x 106 cells/uL
RBCs (erythrocytes) dehydration
Males: 4.7-6.1 x 106 cells/uL Low: anemia, hemorrhage, renal disease
Females: 37-47% Males: High: erythrocytosis, COPD, severe dehydration
Hct (hematocrit)
42-52% Low: anemia, hemorrhage, renal disease
Females: 12-16 g/dL Males: High: erythrocytosis, COPD, severe dehydration
Hb (hemoglobin)
14-18 g/dL Low: anemia, hemorrhage, renal disease
MCH (mean High: megaloblastic anemia Low:
27-31 pg/cell
corpuscular Hb) iron deficiency anemia
MCV (mean High: megaloblastic anemia Low:
80-95 fL
corpuscular volume) iron deficiency anemia
High: malignancy, polycythemia, rheumatoid
Platelets 150,000-400,000 cells/mm3 arthritis
Low: splenomegaly, hemorrhage, leukemia
High: infection, inflammation
WBCs (leukocytes) 5,000-10,000 cells/mm3
Low: immunosuppression, autoimmune disease
Females: 60-160 mcg/dL High: liver disorder, lead toxicity
Iron (not part of CBC)
Males: 80-180 mcg/dL Low: iron deficiency anemia, chronic blood loss

1
What is a CBC? The complete blood count (CBC) is a group of tests that evaluate the cells that circulate in
blood, including red blood cells (RBCs), white blood cells (WBCs), and platelets (PLTs). The CBC detect a
variety of diseases and conditions, such as infections, anemia and leukemia.

Clotting and Inflammation


Laboratory measure Normal range Interpretation of findings
Increased: vitamin K deficiency, DIC, liver
PTT (prothrombin time) 30-40 seconds disease, heparin therapy Decreased:
extensive cancer
PT (partial thromboplastin
11-12.5 seconds Same as PTT
time)
INR 0.78-1.1 Elevated: warfarin therapy
Positive: DIC, malignancy
D-dimer <0.4 mcg/dL
Negative: rule out PE or DVT
Fibrinogen 200-400 mg/dL High: acute inflammation/infection, heart disease

3. Respiratory

Arterial blood gas (ABG). An arterial blood gas (ABG) sample reports the status of oxygenation and acid-base
balance of the blood. (often done by respiratory therapist) An ABG measures the following:
• pH: amount of free hydrogen ions in the arterial blood (H+)
• PaO2: partial pressure of oxygen
• PaCO2: partial pressure of carbon dioxide
• HCO3¯ : concentration of bicarbonate in arterial blood

Normal Values
pH 7.35 – 7.45
PO 80-100 mmHg
2

PCO 35 – 45 mmHg
2

HCO 21-28 mEq/L


3

4. Cardiovascular

Lipids

Type Desired Value Purpose


Total cholesterol <200 mg/dL Screening for heart disease
LDL <130 mg/dL ‘bad cholesterol’ – transports cholesterol from cells to liver
Females: 35-135 mg/dL
Triglycerides Higher levels associated with increased heart disease risk
Males: 40-160 mg/dL

2
Females: >55 mg/dL ‘good’ cholesterol – protects from heart disease by
HDL
Males: >45 mg/dL transporting cholesterol from cells to liver
Cardiac enzymes

Type Expected range (normal) Timing after myocardial injury


First detected 3-6 hours after injury. Remains elevated 2-3
CK MB 30-170 units/L
days
First detected 2-3 hours after injury. Remains elevated
Troponin T <0.1 ng/mL
1014 days
5. Gastrointestinal and hepatobiliary

Blood test Normal range Interpretation of findings


Liver enzymes

Aspartate aminotransferase (AST) 0-35 units/L Elevated in hepatitis or cirrhosis


Alanine aminotransferase (ALT) 4-36 units/L Same as above
Alkaline phosphatase (ALP) 30-120 units/L Elevated with liver damage
Other liver tests

Elevated with altered liver function, bile duct


Total bilirubin 0.3-1 mg/dL
obstruction
Direct (conjugated) bilirubin 0.1-0.3 mg/dL Same as above
Indirect (unconjugated) bilirubin 0.2-0.8 mg/dL Same as above
Albumin 3.5-5 g/dL Decreased in liver disease
Total protein (albumin + globulin) 6 – 8.3 g/dL Decreased in liver disease
Ammonia 10-80 mcg/dL Elevated in liver disease
Lactate dehydrogenase (LDH) 140 – 280 U/L Elevated in tissue damage from anemia, liver
disease, lung disease, infections
Pancreatic enzymes

Amylase 30-220 units/L Elevated in pancreatitis


Lipase 0-160 units/L Same as above

6. Renal

Measure Normal Range Interpretation of Findings


Blood urea nitrogen (BUN) 8-20 mg/dL High: renal impairment, dehydration
Creatinine (Cr) 0.6-1.2 mg/dL High: renal impairment
Glomerular filtration rate (GFR) >90 ml/min Low: decreased renal function
Urinalysis

Urinary output 30 ml/hr Low: renal injury or impairment


Specific gravity 1.005-1.030 High: dehydration
Normal urine pH 4.5 – 8.0 Usual values are 6.0 – 7.5

7. MIscellanous

3
Blood test Normal range Interpretation of findings
Ethanol < 50 mg/dL or Individual is not considered intoxicated
0.05% 0.08% ethanol level – alcohol limit for drivers

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