RENTANG NORMAL PEMERIKSAAN LABORATORIUM

PEMERIKSAAN NILAI RANGE USULAN REFERENCE RANGE (BARU) METODE

Darah Lengkap
Hemoglobin L. 13,4-17,7 P. 11,4-15,1 gr/dl L: 13,4-17,7 P: 11,4-15,1 gr/dl 2 Cyanide free hemoglobin

Eritrosit L: 4,0-5,5 P: 3,8-5,2 x 106/µl 2 Elektronic impedance (focused flow impedance)

Lekosit L. 4.300-10.300 P. 4.300-11.300 sel/mmᵌ L: 4,3-10,3 P: 4,3-11,3 x103/µl 2 Laser optical (flowcytometry)

Hematokrit L. 45-50 P. 35-45 % L: 40-47 P:. 38-42 %2 Perhitungan dari MCV

Trombosit 150.000-400.000 sel/lp 150-440 x103/ µl 3 Elektronic impedance (focused flow impedance)

LED L. < 15 P. < 20 mm / jam L: 0-10 P: 0-20 mm/jam 3 Manual (Westergren)

DIFFCOUNT Eos / Bas / Stab / Seg / Lym / Mon Eos / Bas / Stab / Seg / Lym / Mon2 Manual ( mikroskopis )
0 - 4 / 0 - 1 / 3 - 5 / 54 - 62 / 25 -33 / 3 - 5 0 - 4 / 0 - 1 / 3 - 5 / 51 - 67 / 25 -33 / 2 - 5

Hapusan Darah Manual ( mikroskopis )

Malaria Negative Manual ( mikroskopis )

BMA / BMP* Dalam batas normal Aspirasi Sumsum Tulang

Hemostasis
BT Duke 1 - 3 menit 1 - 3 menit 2 Manual ( cara Duke )
CT 3 tabung 6 - 12 menit 5 - 15 menit 2 Manual ( cara Lee & White )
HBsAg Rapid Negative Negative Rapid test ( ICT: Imunokromatografi )

B-20 Test (anti-HIV) Negative Non Reaktif Rapid test ( ICT: Imunokromatografi )

Widal Slide
Sall. Typhi O Negative Negative Aglutinasi Slide
Sall. Typhi H Negative Negative Aglutinasi Slide
Sall. O Paratyphi A Negative Negative Aglutinasi Slide
Sall. O Paratyphi B Negative Negative Aglutinasi Slide

Tes Kehamilan Negative Negative Rapid test ( ICT: Imunokromatografi )

IMUNO SEROLOGI
IgG Anti Dengue* Negative Negative Rapid test ( ICT: Imunokromatografi )
IgM Anti Dengue* Negative Negative Rapid test ( ICT: Imunokromatografi )

Elektrolit
Natrium 135 - 145 mmol/L ( Orang Dewasa ) 135 - 145 mmol/L ( Dewasa ) 1 ISE (Ion Selective Electrode)
135 - 140 mmol/L ( Anak ) 135 - 140 mmol/L ( Anak )
134 - 150 mmol/L ( Bayi ) 138 - 146 mmol/L ( Bayi )

Kalium 3,5 - 5,5 mmol/L ( Orang Dewasa ) 3,5 - 5,1 mmol/L (Dewasa ) 1 ISE (Ion Selective Electrode)
3,6 - 5,8 mmol/L ( Bayi / Anak ) 3,4 – 4,7 mmol/L ( Anak )
3,2 – 6,0 mmol/L ( Neonatus )

Clorida 98 -108 mmol/L ( Orang Dewasa ) 98 - 107 mmol/L ( Dewasa ) 1 ISE (Ion Selective Electrode)
 95 - 110 mmol/L (Bayi / Anak ) 98 - 113 mmol/L (Neonatus )

Gula Darah
Gula Darah Sewaktu < 140 mg/dl < 140 mg/dl 1 Heksokinase / GOD

Bayi baru lahir ( 30-80 mg/dl ) Bayi baru lahir ( 30-80 mg/dl )
Gula Darah
Gula Darah Puasa 75 - 115 mg/dl 60 - 110 mg/dl 2 Heksokinase
Gula Darah 2 Jam PP < 140 mg/dl < 130 mg/dl 2 Heksokinase

Faal Hati
SGOT L. < 37 P. < 31 U/L L: < 40 P: < 32 U/L 2 IFCC

SGPT L. < 40 P. < 32 U/L L: < 41 P: < 33 U/L 2 IFCC

Bil. Total Dewasa < 1,1 mg/dl Dewasa < 1,1 mg/dl 2 Diazo sulfaniat ( Jendrasik Grof )
Bayi baru lahir 1,0-12 mg/dl Bayi baru lahir 1,0-12 mg/dl

Bil. Direk < 0,25 mg/dl < 0,25 mg/dl 2 Diazo sulfaniat ( Jendrasik Grof )

Bil. Indirek 0,2 – 0,8 mg/dl < 0,75 mg/dl 2 Perhitungan (diazo)

Albumin 3,5 - 5,1 gr/dl 3,5 - 5,1 gr/dl 1 BCG ( Bromcresol Green )

Globulin 1,5 - 3,0 gr/dl 2,5 - 3,5 gr/dl 2 Perhitungan

Total Protein 6,6 - 8,7 gr/dl 6,4 - 8,3 gr/dl 1 Biuret

Faal Ginjal
Urea 10 - 50 mg/dl 16 – 50 mg/dl 1,2 UV colour
Creatinin L. 0,6 - 1,3 P. 0,5 - 0,9 mg/dl L: 0,6 - 1,3 P: 0,6 - 1,2 mg/dl 1 Jaffe dengan deproteinisasi

Uric Acid L. 3,4 – 7,0 P. 2,4 – 5,7 L: 4,4 – 7,6 P: 2,3 – 6,6 1 Uricase peroksidase

Lemak
Cholesterol < 200 mg/dl < 200 mg/dl 2 Cholesterol oxidase-PAP

Trigliserida < 150 mg/dl < 150 mg/dl 2 Tes warna enzimatik (GPO-PAP dg glycerol bl)

HDL L. 40 P. 45 mg/dl > 50 mg/dl 2 Kolorimetri

LDL < 150 mg/dl < 100 mg/dl 2 Perhitungan Friedewald

Urine Lengkap
Makroskopis
Warna Jernih Jernih
pH 5-7 5- 8 2 Carik celup
BJ ( 1,010 - 1,030 ) ( 1,005 - 1,030) 2 Carik celup
Protein Negative Negative Carik celup / manual pemanasan as.asetat 6%
Glukosa Negative Negative Carik celup / reduksi
Urobilin Negative Negative Carik celup
Bilirubin Negative Negative Carik celup
Keton Negative Negative Carik celup
Nitrit Negative Negative Carik celup

Mikroskopis
Sedimen Manual
2
Lekosit 0 - 2 / lp < 5 / lpb
Eritrosit 0 - 3 /lp ≤ 3 /lpb 2
Epithel 1 - 3 /lp ≤ 3 /lpb 2
Silinder* Negative
 Hialin ≤ 2 /lpk 2
Epitel Negative
Eritrosit Negative
Leukosit Negative
Berbutir Negative
Kristal Negative Negative
Bakteri Negative Negative

Faeces Manual
Makroskopis
Warna
Bau
Konsentrasi
Lendir Negative Negative
Darah Negative Negative

Mikroskopis
Amoeba Negative Negative
Cyste Negative Negative
Telur Cacing Negative Negative
Leukosit Negative Negative
Eritrosit Negative Negative
Bakteri Negative Negative
Lain - lain Negative Negative

Benzidine tes Negative Negative Manual

Referensi :

1. Keputusan Menkes RI no 1792 / MENKES / SK / XII / 2010 tentang pedoman pemeriksaan Kimia klinik
2. Nilai normal Laboratorium Patologi Klinik RSUD Saiful Anwar, Malang
3. SI Units “Tabel Konversi Satuan SI-Konvensional & Nilai Rujukan Dewasa-Anak Parameter Laboratorium Klinik, Perhimpunan Dokter Spesialis
Patologi Klinik Indonesia, Jakarta, 2004