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Nilai Normal Laboratorium

Posted on November 13, 2008


Filed Under Informasi Untuk Pasien, Perlengkapan Praktek | 2 Comments

Determination Normal Reference Value


Conventional units SI units
Blood, Plasma or Serum
Ammonia (NH3) diffusion 20-120 mcg/dl 12-70 mcmol/L
Ammonia Nitrogen 15-45 g/dl 11-32 mol/L
Amylase 35-118 IU/L 0.58-1.97 mckat/L
Anion gap (Na+-[Cl - + HCO3- ]) (P) 7-16 mEq/L 7-16 mmol/L
Antithrombin III (AT III) 80120 U/dl 8001200 U/L
Bicarbonate
Arterial 2128 mEq/L 2128 mmol/L
Venous 2229 mEq/L 2229 mmol/L
Bilirubin
Conjugated (direct) Total 0.2 mg/dl 4 mcmol/L
& &
0.11 mg/dl 218 mcmol/L
Calcitonin < 100 pg/ml < 100 ng/L
Calcium
Total 8.610.3 mg/dl 2.22.74 mmol/L
Ionized 4.45.1 mg/dl 11.3 mmol/L

Carbon dioxide content (plasma) 2132 mmol/L 2132 mmol/L


Carcinoembryonic antigen < 3 ng/ml < 3 mcg/L
Chloride 95110 mEq/L 95110 mmol/L
Coagulation screen
Bleeding time 39.5 min 180570 sec
Prothrombin time 1013 sec 1013 sec
Partial thromboplastin time (activated) 2237 sec 2237 sec
Protein C 0.71.4 /ml 7001400 U/ml
Protein S 0.71.4 /ml 7001400 U/ml
Copper, total 70160 mcg/dl 1125 mcmol/L
Corticotropin (ACTH adrenocorticotropic < 60 pg/ml < 13.2 pmol/L
hormone) 0800 hr
Cortisol
0800 hr 530 mcg/dl 138810 nmol/L
1800 hr 215 mcg/dl 50410 nmol/L
2000 hr 50% of 0800 hr 50% of 0800 hr
Creatine kinase
Female 20170 IU/L 0.332.83 mckat/L
Male 30220 IU/L 0.53.67 mckat/L
Creatinine kinase isoenzymes, MB fraction 012 IU/L 00.2 mckat/L
Creatinine 0.51.7 mg/dl 44150 mcmol/L
Fibrinogen (coagulation factor I) 150360 mg/dl 1.53.6 g/L
Follicle-stimulating hormone (FSH)
Female 213 mlU/ml 213 IU/L
Midcycle 522 mlU/ml 522 IU/L
Male 18 mlU/ml 18 IU/L

Glucose, fasting 65115 mg/dl 3.66.3 mmol/L


Glucose Tolerance Test (Oral)
(mg/dl) (mmol/L)
Normal Diabetic Normal Diabetic
Fasting 70105 > 140 3.95.8 > 7.8
60 min 120170 200 6.79.4 11.1
90 min 100140 200 5.67.8 11.1
120 min 70120 140 3.96.7 7.8
() Glutamyltransferase (GGT)
Male 950 units/L 950 units/L
Female 840 units/L 840 units/L

Haptoglobin 44303 mg/dl 0.443.03 g/L


Hematologic Tests
Fibrinogen 200400 mg/dl 24 g/L
Hematocrit (Hct)
female 36%-44.6% 0.360.446 fraction
of 1
male 40.7%-50.3% 0.40.503 fraction of
1
Hemoglobin A 1C 5.3%-7.5% of total 0.0530.075
Hgb
Hemoglobin (Hb)
female 12.115.3 g/dl 121153 g/L
male 13.817.5 g/dl 138175 g/L
Leukocyte count (WBC) 38009800/mcl 3.89.8 x 109/L
Erythrocyte count (RBC)
female 3.55 x 106/mcl 3.55 x 1012/L
male 4.35.9 x 106/mcl 4.35.9 x 1012/L

Mean corpuscular volume (MCV) 8097.6 mcm3 8097.6 fl


Mean corpuscular hemoglobin (MCH) 2733 pg/cell 1.662.09 fmol/cell
Mean corpuscular hemoglobin concentrate 3336 g/dl 20.322 mmol/L
(MCHC)
Erythrocyte sedimentation rate (sedrate, ESR) 30 mm/hr 30 mm/hr
Erythrocyte enzymes
Glucose-6 Pphosphate dehydrognase (G-6-PD) 2505000 units/106 2505000
cells mcunits/cell
Determination Reference Value
(Conventional units) (SI units)
Blood, Plasma or Serum: 20120 mcg/dl 1270 mcmol/L

Ammonia (NH3) diffusion

Ammonia Nitrogen 1545 g/dl 1132 mol/L


Amylase 35118 IU/L 0.581.97 mckat/L
Anion gap (Na+-[Cl - + HCO3-]) (P) 716 mEq/L 716 mmol/L
Antithrombin III (AT III) 80120 U/dl 8001200 U/L
Bicarbonate: Arterial 2128 mEq/L 2128 mmol/L
Venous 2229 mEq/L
2229 mmol/L

Bilirubin: Conjugated (direct) Total 0.2 mg/dl 4 mcmol/L


(0.11 mg/dl) (218 mcmol/L)
Calcitonin < 100 pg/ml < 100 ng/L
Calcium: Total 8.610.3 mg/dl 2.22.74 mmol/L
Ionized
4.45.1 mg/dl 11.3 mmol/L

Carbon dioxide content (plasma) 2132 mmol/L 2132 mmol/L


Carcinoembryonic antigen < 3 ng/ml < 3 mcg/L
Chloride 95110 mEq/L 95110 mmol/L
Coagulation screen: 39.5 min 180570 sec
Bleeding time 1013 sec 1013 sec
Prothrombin time
2237 sec 2237 sec
Partial thromboplastin time (activated)
0.71.4 /ml 7001400 U/ml
Protein C
0.71.4 /ml 7001400 U/ml
Protein S

Copper, total 70160 mcg/dl 1125 mcmol/L


Corticotropin
< 60 pg/ml < 13.2 pmol/L
(ACTH adrenocorticotropic hormone) 0800 hr
Cortisol: 0800 hr 530 mcg/dl 138810 nmol/L
1800 hr 215 mcg/dl
2000 hr 50410 nmol/L
50% of 0800 hr
50% of 0800 hr

Creatine kinase: Female 20170 IU/L


Male 0.332.83 mckat/L
30220 IU/L 0.53.67 mckat/L

Creatinine kinase isoenzymes, MB fraction 012 IU/L 00.2 mckat/L


Creatinine 0.51.7 mg/dl 44150 mcmol/L
Fibrinogen (coagulation factor I) 150360 mg/dl 1.53.6 g/L
Follicle-stimulating hormone (FSH): 213 mlU/ml 213 IU/L

Female 522 mlU/ml 522 IU/L


18 mlU/ml
Midcycle 18 IU/L

Male

Glucose, fasting 65115 mg/dl 3.66.3 mmol/L


Glucose Tolerance Test (Oral) (mg/dl) (mmol/L)
Normal Diabetic Normal Diabetic
Fasting 70105 > 140 3.95.8 > 7.8
120170 200 6.79.4 11.1
60 min 100140 200 5.67.8 11.1
90 min
70120 140 3.96.7 7.8
120 min

() -Glutamyltransferase (GGT): 950 units/L 950 units/L


840 units/L
Male 840 units/L

Female

Haptoglobin 44303 mg/dl 0.443.03 g/L

Reference Value
Determination
Conventional units SI units
Hematologic tests: 200400 mg/dl 24 g/L

Fibrinogen 36%-44.6% 0.360.446 fraction of


1
Hematocrit (Hct), 40.7%-50.3%
female 0.40.503 fraction of 1
5.3%-7.5% of total Hgb
male 0.0530.075
12.115.3 g/dl
Hemoglobin A 1C 121153 g/L
13.817.5 g/dl
Hemoglobin (Hb), 138175 g/L
female 38009800/mcl
3.89.8 x 109/L
male 3.55 x 106/mcl
3.55 x 1012/L
Leukocyte count (WBC) 4.35.9 x 106/mcl
Erythrocyte count (RBC): 4.35.9 x 1012/L
female 8097.6 mcm 3

8097.6 fl
male 2733 pg/cell
1.662.09 fmol/cell
Mean corpuscular volume (MCV) 3336 g/dl
20.322 mmol/L
Mean corpuscular hemoglobin 30 mm/hr
(MCH) 30 mm/hr

Mean corpuscular hemoglobin

concentrate (MCHC)

Erythrocyte sedimentation rate

(sedrate, ESR)

Erythrocyte enzymes: 2505000 units/106 2505000 mcunits/cell


cells
Glucose-6 - 10383 ng/ml 23862 pmol/L
Pphosphate dehydrognase
>3.112.4 ng/ml 728.1 nmol/L
(G-6-PD)
150450 x 103/mcl 150450 x 109/L
Ferritin
0.5%-1.5% of 0.0050.015
Folic acid: normal erythrocytes
165835 pmol/L
Platelet count 2231132 pg/ml

Reticulocytes

Vitamin B12

Iron: Female 30160 mcg/dl 5.431.3 mcmol/L


Male
45160 mcg/dl 8.131.3 mcmol/L

Iron binding capacity 220420 mcg/dl 39.475.2 mcmol/L


Isocitrate dehydrogenase 1.27 units/L 1.27 units/L
Isoenzymes 14%-26% of total 0.140.26 fraction of
total
Fraction 1 29%-39% of total
0.290.39 fraction of
Fraction 2 20%-26% of total total
0.200.26 fraction of
Fraction 3 8%-16% of total total

Fraction 4 6%-16% of total 0.080.16 fraction of


total
Fraction 5
0.060.16 fraction of
total

Lactate dehydrogenase 100250 IU/L 1.674.17 mckat/L


Lactic acid (lactate) 619 mg/dl 0.72.1 mmol/L
Lead 50 mcg/dl 2.41 mcmol/L
Lipase 10150 units/L 10150 units/L
Lipids: < 200 mg/dl < 5.2 mmol/L

Total Cholesterol 200239 mg/dl < 5.26.2 mmol/L


Desirable > 239 mg/dl > 6.2 mmol/L

Borderline-high < 130 mg/dl < 3.36 mmol/L

High 130159 mg/dl 3.364.11 mmol/L

LDL > 159 mg/dl > 4.11 mmol/L

Desirable < 35 mg/dl < 0.91 mmol/L

Borderline-high < 200 mg/dl < 2.26 mmol/L

High 200400 mg/dl 2.264.52 mmol/L

HDL (low) 4001000 mg/dl 4.5211.3 mmol/L

Triglycerides > 1000 mg/dl > 11.3 mmol/L

Desirable

Borderline-high

High

Very high

Magnesium 1.32.2 mEq/L 0.651.1 mmol/L


Osmolality 280300 mOsm/kg 280300 mmol/kg
Oxygen saturation (arterial) 94%-100% 0.94 fraction of 1
PCO2, arterial 3545 mm Hg 4.76 kPa
pH, arterial 7.357.45 7.357.45

Reference Value
Determination
Conventional units SI units
PO, arterial: Breathing room air 80105 mm Hg 10.614 kPa

On 100% O > 500 mm Hg

Phosphatase (acid), total at 37C 0.130.63 IU/L 2.210.5 IU/L or

2.210.5 mckat/L

Phosphatase alkaline 20130 IU/L 20130 IU/L or


0.332.17 mckat/L

Phosphorus, inorganic, (phosphate) 2.55 mg/dl 0.81.6 mmol/L


Potassium 3.55 mEq/L 3.55 mmol/L
Progesterone 0.11.5 ng/ml 0.324.8 nmol/L

Female 0.11.5 ng/ml 0.324.8 nmol/L


2.528 ng/ml
Follicular phase 889 nmol/L
< 0.5 ng/ml
Luteal phase < 1.6 nmol/L

Male

Prolactin 1.424.2 ng/ml 1.424.2 mcg/L


Prostate specific antigen 04 ng/ml 04 ng/ml
6080 g/L
Protein: Total 68 g/dl
Albumin 3650 g/L
3.65 g/dl
Globulin 2335 g/L
2.33.5 g/dl

Rheumatoid factor < 60 IU/ml < 60 kIU/L


Sodium 135147 mEq/L 135147 mmol/L
Testosterone: 686 ng/dl 0.213 nmol/L
Female
2701070 ng/dl 9.337 nmol/L
Male

Thyroid Hormone Function Tests: 0.356.2 mcU/ml 0.356.2 mU/L

Thyroid-stimulating hormone (TSH) 1026 mcg/dl 100260 mcg/L

Thyroxine-binding globulin capacity 75220 ng/dl 1.23.4 nmol/L

Total triiodothyronine (T3) 411 mcg/dl 51142 nmol/L


25%-38%
Total thyroxine by RIA (T4) 0.250.38 fraction of 1
T3 resin uptake

Transaminase, AST (aspartate aminotransferase, 1147 IU/L 0.180.78 mckat/L


SGOT)
Transaminase, ALT (alanine aminotransferase, 753 IU/L 0.120.88 mckat/L
SGPT)
Transferrin 220400 mg/dL 2.204.00 g/L
Urea nitrogen (BUN) 825 mg/dl 2.98.9 mmol/L
Uric acid 38 mg/dl 179476 mcmol/L
Vitamin A (retinol) 1560 mcg/dl 0.522.09 mcmol/L
Zinc 50150 mcg/dl 7.723 mcmol/L

1
Tergantung pada usia
2
Bayi dan anak sampai 104 U/L
3
Bayi usia 1 tahun sampai 6 mg/dl

Urine
Reference Value
Determination
Conventional units SI units
Calcium 50250 mcg/day 1.256.25 mmol/day
Catecholamines: < 20 mcg/day < 109 nmol/day

Epinephrine < 100 mcg/day < 590 nmol/day

Norepinephrine

Catecholamines, 24-hr < 110 g < 650 nmol


Copper 1560 mcg/day 0.240.95 mcmol/day
Creatinine: 822 mg/kg 71195 mol/kg
71265 mol/kg
Child 830 mg/kg
5.313.3 mmol/day
Adolescent 0.61.5 g/day
7.115.9 mmol/day
Female 0.81.8 g/day
Male

pH 4.58 4.58
Phosphate 0.91.3 g/day 2942 mmol/day
Potassium 25100 mEq/day 25100 mmol/day
Protein 114 mg/dL 10140 mg/L

Total 5080 mg/day 5080 mg/day

At rest

Protein, quantitative < 150 mg/day < 0.15 g/day


Sodium 100250 mEq/day 100250 mmol/day
Specific gravity, random 1.0021.030 1.0021.030
Uric acid, 24-hr 250750 mg 1.484.43 mmol

1
Tergantung pada diet.

Drug Levels*
Reference Value
Drug Determination
Conventional units SI units
Amikacin

(trough) 18 mcg/ml

(peak) 1.713.7 mcmol/L 2030 mcg/ml


3451 mcmol/L
Gentamicin

(trough) 0.52 mcg/ml 14.2 mcmol/L

(peak) 610 mcg/ml 12.520.9 mcmol/L

Kanamycin

(trough) nd

(peak) 510 mcg/ml nd


2025 mcg/ml
Aminoglycosides
Netilimicin

(trough) nd

(peak) 0.52 mcg/ml nd


610 mcg/ml
Streptomycin

(trough) nd

(peak) < 5 mcg/ml nd


520 mcg/ml
Tobramycin

(trough) 1.14.3 mcmol/L

(peak) 0.52 mcg/ml 12.821.8 mcmol/L


520 mcg/ml

Drug Determination Reference Value


Conventional units SI units
Amiodarone 0.52.5 mcg/ml 1.54 mcmol/L
Bretylium 0.51.5 mcg/ml nd
Digitoxin 925 mcg/L 11.832.8 nmol/L
Digoxin 0.82 ng/ml 0.92.5 nmol/L
Disopyramide 28 mcg/ml 618 mcmol/L
Flecainide 0.21 mcg/ml nd
Antiarrhythmics Lidocaine 1.56 mcg/ml 4.521.5 mcmol/L
Mexiletine 0.52 mcg/ml nd
Procainamide 48 mcg/ml 1734 mcmol/ml
Propranolol 50200 ng/ml 190770 nmol/L
Quinidine 26 mcg/ml 4.69.2 mcmol/L
Tocainide 410 mcg/ml nd
Verapamil 0.080.3 mcg/ml nd
Carbamazepine 412 mcg/ml 1751 mcmol/L
Phenobarbital 1040 mcg/ml 43172 mcmol/L
Anticonvulsants Phenytoin 1020 mcg/ml 4080 mcmol/L
Primidone 412 mcg/ml 1855 mcmol/L
Valproic Acid 40100 mcg/ml 280700 mcmol/L
Amitriptyline 110250 ng/ml 500900 nmol/L
Amoxapine 200500 ng/ml nd
Bupropion 25100 ng/ml nd
Clomipramine 80100 ng/ml nd
Desipramine 115300 ng/ml nd
Antidepressants Doxepin 110250 ng/ml nd
Imipramine 225350 ng/ml nd
Maprotiline 200300 ng/ml nd
Nortriptyline 50150 ng/ml nd
Protriptyline 70250 ng/ml nd
Trazodone 8001600 ng/ml nd
Chlorpromazine 50300 ng/ml 150950 nmol/L
Fluphenazine 0.132.8 ng/ml nd
Antipsychotics Haloperidol 520 ng/ml nd
Perphenazine 0.81.2 ng/ml nd
Thiothixene 257 ng/ml nd

Reference Value
Drug Determination
Conventional units SI units
Miscellaneous Amantadine 300 ng/ml nd

Amrinone 3.7 mcg/ml nd

Chloramphenicol 1020 mcg/ml 3162 mcmol/L


Cyclosporine 250800 ng/ml nd
(whole blood, RIA) nd
50300 ng/ml (plasma, RIA)

Ethanol 0 mg/dl 0 mmol/L


Hydralazine 100 ng/ml nd
Lithium 0.61.2 mEq/L 0.61.2 mmol/L
Salicylate 100300 mg/L 7242172 mcmol/L
Sulfonamide 515 mg/dl nd
Terbutaline 0.54.1 ng/ml nd
Theophylline 1020 mcg/ml 55110 mcmol/L
Vancomycin

(trough) nd

(peak) 515 ng/ml nd


2040 mcg/ml

* Nilai yang diberikan secara umum dapat digunakan untuk terapi tanpa terjadi efek toksik pada
kebanyakan pasien, Namun pengecualian juga tidak jarang terjadi.
1
nd = data tidak tersedia.
2
Metabolit N-desmethyl beserta turunannya.
3
Nilai 24 jam.
4
Toksik: 50100 mg/dl (10.921.7 mmol/L).

Diambil dari The Joint National Committee on Prevention, Detection, Evaluation, and
Treatment of High Blood Pressure, National Institutes of Health.

Classification of Blood Pressure *


Reference value
Category
Systolic (mm Hg) Diastolic (mm Hg)
Optimal < 120 and < 80
Normal < 130 and < 85
High-normal 130139 or 8589
Hypertension 140159 or 9099
160179 100109
Stage 1 or
180 110
Stage 2 or
Stage 3

* Untuk dewasa berusia 18 atau lebih yang tidak dalam pengobatan anti hipertensi dan tidak
dalam kondisi akut. Ketika tekanan sistole dan diastole masuk ke dalam kategori lain, maka
kategori di atasnya harus dipilih untuk menentukan klasifikasi status tekanan darah penderita.
Sebagai tambahan dalam menentukan stadium hipertensi, seorang praktisi medis harus
menentukan ada atau tidaknya penyakit pada target organ serta faktor resiko lainnya.
1
Tekanan darah yang optimal terhadap resiko kardiovaskular adalah dibawah 120/88 m Hg.
Namun demikian, nilai rendah yang tidak wajar harus dievaluasi untuk menemukan kelainan
klinis yang signifikan.
2
Berdasarkan atas pembacaan sebanyak 2 kali atau lebih pada pemeriksaan awal.

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