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Lab values
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COMMON LAB VALUES FOR KAPLAN 2013
Potassium 3.5-5.0 mEq/LSodium 135-145 mEq/LIonized Calcium 4.5-5.2 mg/dLTotal Serum Calcium 8.5-10.5 mg/dLMagnesium 1.5-3.0 mEq/LPhosphorus 2.7-4.5 mg/dLpH 7.35-7.45Pco2 35-45 mm HgHco2 22-27 mEq/LPo2 80-100 mm HgChloride 90-107 mEq/LBicarbonate (Venous) 22-29 mEq/LHgb Male 14-16.5g/dLHgb Female 12-15g/dLHCT Male 42-52%HCT Female 35-47%Iron Male 65-175mcg/dLIron Female 50-170mcg/dLRBC Male 4.5-6.2 million/microLRBC Female 4.5-5 million/microLCK 26-174 units/LLactate 140-280 units/LTroponin I <0.6ng/mL (>1.5ng/mL indicates MI)Troponin T >0.1-0.2ng/mL (indicates MI)Myoglobin <90mcg/L (elevation could indicate MI)Albumin 3.4-5g/dLAlk. Phos. 4.5-13 units/dLAmmonia 10-80 mcg/dLALT 4-6 international units/LAST 0-35 units/LAmylase 25-151 units/LLipase 10-140 units/LBilirubin (Direct) 0-0.3mg/dLBilirubin (Indirect) 0.1-1mg/dLCholesterol 140-199mg/dLLDL <130mg/dLHDL 30-70mg/dLTriglycerides <200mg/dLProtein 6-8g/dLUric Acid Male 4.5-8mg/dLUric Acid Female 2.5-6.2mg/dLBlood Glucose Fasting 70-110mg/dLBlood GlucoseGlucometer 60-110mg/dL
HbA1C (expressed % lower than Hgb): Fasting not required for test
-7% or lower (Good control of diabetes)
-7-8% (Fair control)-8% or higher (Poor control)
Fluctosamine 1.5-2.7mmol/L or 2-5mmol/L for Diabetic Creatinine 0.6-1.3mg/dLUrea 8-25mg/dLWBC 4500-11000 cells/mm3Neutrophils 1800-7800 cells/mm3Lymphocytes 1000-4800 cells/mm3Eosinophils 0-450 cells/mm3Monocytes 0-800 cells/mm3
COMMON MEDICATION
THERAPEUTIC RANGE INFO
Following are some of the drugs that are commonly checked, followed by the normal target levels:
Acetaminophen: varies with use Amikacin: 15 to 25 mcg/mL Aminophylline: 10 to 20 mcg/mL Amitriptyline: 120 to 150 ng/mL Carbamazepine: 5 to 12 mcg/mL Chloramphenicol: 10 to 20 mcg/mL Desipramine: 150 to 300 ng/mL Digoxin: 0.8 to 2.0 ng/mL Disopyramide: 2 to 5 mcg/mL Ethosuximide: 40 to 100 mcg/mL Flecainide: 0.2 to 1.0 mcg/mL Gentamicin: 5 to 10 mcg/mL Imipramine: 150 to 300 ng/mL Kanamycin: 20 to 25 mcg/mL Lidocaine: 1.5 to 5.0 mcg/mL Lithium: 0.8 to 1.2 mEq/L Methotrexate: greater than 0.01
mcmol Nortriptyline: 50 to 150 ng/mL Phenobarbital: 10 to 30 mcg/mL Phenytoin: 10 to 20 mcg/mL
Primidone: 5 to 12 mcg/mL Procainamide: 4 to 10 mcg/mL Propranolol: 50 to 100 ng/mL Quinidine: 2 to 5 mcg/mL Salicylate: 100 to 250 mcg/mL Theophylline: 10 to 20 mcg/mL Tobramycin: 5 to 10 mcg/mL Valproic acid: 50 to 100 mcg/mL
Values outside the target range may be due to minor fluctuations or may be a sign that you need to adjust the dose of the medicine. A dose may need to be skipped if the value measured exceeds the following levels.
Following are toxic levels for some of the drugs that are commonly checked:
Acetaminophen: greater than 250 mcg/mL
Amikacin: greater than 25 mcg/mL Aminophylline: greater than 20
mcg/mL Amitriptyline: greater than 500
ng/mL Carbamazepine: greater than 12
mcg/mL Chloramphenicol: greater than 25
mcg/mL Desipramine: greater than 500
ng/mL Digoxin: greater than 2.4 ng/mL Disopyramide: greater than 5
mcg/mL Ethosuximide: greater than 100
mcg/mL Flecainide: greater than 1.0 mcg/mL Gentamicin: greater than 12
mcg/mL Imipramine: greater than 500 ng/mL Kanamycin: greater than 35
mcg/mL Lidocaine: greater than 5 mcg/mL Lithium: greater than 2.0 mEq/L
Methotrexate: greater than 10 mcmol over 24-hours
Nortriptyline: greater than 500 ng/mL
Phenobarbital: greater than 40 mcg/mL
Phenytoin: greater than 30 mcg/mL Primidone: greater than 15 mcg/mL Procainamide: greater than 16
mcg/mL Propranolol: greater than 150 ng/mL Quinidine: greater than 10 mcg/mL Salicylate: greater than 300 mcg/mL Theophylline: greater than 20
mcg/mL Yobramycin: greater than 12
mcg/mL Valproic acid: greater than 100
mcg/mL