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400 S. Clark Street
Butte, MT 59701
406.723.2500

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Laboratory Critical Values

 

LOW   HIGH
HEMATOLOGY: 
Absolute Neutrophil Count <0.5 K/ul
Blood Hematocrit <24% >60% Adult
>70% Infant
Blood Hemoglobin <8gm/dl >20 gm/dl
CSF WBC > 5
PTT (except post load level) > 100
Platelet Count <50,000/mm3 > 1 million
PT INR >5
WBC <1500/mm3 > 30,000/mm3

 
























LOW HIGH
CHEMISTRY:
Bicarbonate <10mEq/L >40mEq/L
Bilirubin (Total) >3 mg/dl (cord blood)
>12 mg/dl (newborn)
BNP >1300pg/ml
Glucose (Newborn)
Glucose (Adult)
<40 mg/dl
<50 mg/dl
>100 mg/dl
>400 mg/dl
Calcium < 6.0 mg/dl >14 mg/dl
Magnesium <1.2 mg/dl >6.0 mg/dl
PCO2 <20 mm Hg >70 mm Hg
PH (Adult) <7.30 >7.60
PO2 < 50 mm Hg
Phosphorus <1.0 mg/dl
Potassium (PreOP)
Potassium (Routine)
<3.5 mEq/L
<3.0 mEq/1
>6.0 mEq/L
Sodium <120 mEq/L >160 mEq/L
T4 <4 ng/dl >14 ng/dl
T3U <20% >50%
Troponin >0.40 mg/ml





























 

URINALYSIS:
Ketones in a newborn
Positive glucose on dipstick or clinitest on a newborn
Positive Bilirubin on dipstick, confirmed by Ictototest
WBC, RBC, Waxy casts
Abnormal (pathological) crystals such as cystine, leucine etc.

LOW
HIGH
TOXICOLOGY
Acetaminophen (Tylenol) >25 mcg/ml
Carbamezepine >12 mcg/ml
Cortisol <2.0 mcg/dl
Digoxin  >2.0 ng/ml
Gentamicin >2mcg/ml (trough)
Peak: dosing interval dependent
Lithium >2.0 mEq/L
Phenobarbital >50 mcg/ml
Phenytoin (Dilantin) >50 mcg/ml
Salicylate >20 mcg/ml
Theophylline >20 mc g/ml
 
Valproic Acid
>200 mcg/ml (children)
>110 mcg/ml (adult)
Vancomycin >10 mcg/ml (trough)
>35 mcg/ml (peak)


 
 
 
 
 

 


 




 

 
 
 






BLOOD BANK:

Positive DAT and /or Indirect Coombs
Positive DAT in previously transfused patient
Positive DAT in newborn
Positive Prenatal Antibody Screen

MICROBIOLOGY:

Positive Blood Cultures
Positive CSF Gram Stain
Positive Cryptococcal Antigen
Positive AFB Smear
Yeast on an Abdominal Source
Vancomycin Resistant Enterococci
Methicillin Resistant Staph Aureus

 

 


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