PATHOLOGY LABORATORY CRITICAL VALUES
HAEMATOLOGY
TEST NAME CRITICAL ALERT VALUE Reference
Hemoglobin <7.0g/dl &>20g/dl
Hematocrit All ages <20%vol%
(Packed cell >60% vol% Jacques wallance, MD
volume) interpretation of
WBC count <2000/ cumm and Diagnostic Test Eight
>30000/ cumm Edition page 27.
Platelet count <50000/cumm&
(Adult) >10 Lac/ cumm
Platelet count <20000/ cumm&
(Pediatic) >10 Lac / cumm
Leukemia All cases except known cases
on follow up
BIOCHEMISTRY
Sodium <120 and >160 mmol/L
Potassium <2.5 and > 6.2 mmol/L
Potassium (newborns) <2.5 and >8.0 mmol/L Interpretation of diagnostics
Chloride <80 and >115 mmol/L tests by Jacques Wallach, 8th
Edition, page.27
Phosphorous <1.1 mg/dl
BUN (except dialysis <2mg/dl &>80mg/dl
patients)
Creatinine (except dialysis >5mg/dl
patients)
Creatinine (children) >3.8 Teitz Fundamental clinical
chemistry, 8th Edition, year
2014, page 872
Glucose <45 and >500 mg/dl Interpretation of Diagnostic
Glucose (newborn) <30mg/dl Test by Jacques Wallach,
8thEidtion, page 27
Glucose (children) <45mg/dl &>445 mg/dl Teitz Fundamental clinical
chemistry, 8th Edition, year
2014, page 872
Calcium <6.5 &>14 mg/dl Interpretation of Diagnostic
PATHOLOGY LABORATORY CRITICAL VALUES
Bilirubin (<3 month of age) >20mg/dl Test by Jacques Wallach,
8thEidtion, page 26
Amylase None and >200U/L
COAGULATION
PT >60 Referring Clinicians
Recommendation
APTT >100sec
Jacques wallance, MD
INR >5.0 (anticoagulated)
interpretation of Diagnostic
D-DIMER Positive Test Eight Edition page 27.
SEROLOGY & MICROBIOLOGY
HBsAg Positive
HIV 1 &2 Positive
Jacques wallance, MD
HCV Positive interpretation of Diagnostic
VDRL Positive Test Eight Edition page 27.
Malaria Positive
Filaria Positive
Dengue (NS1, IgM, IgG) Positive Referring Clinicians
Recommendation
URINE ANALYSIS
Postive for Glucose (age>10 years) Interpretation of Diagnostic
Positive for Ketones (+++) Test by Jacques Wallach,
Positive for Protein/Albumin (+++/++++) 8thEidtion, page 29
Positive for abnormal crystal (Urate, Cysteine, Leucine, tyrosine)