Normal Laboratory Values - Patient Test Charts

Normal Laboratory Values (Haematology Reference Values)

In the following tables, normal haematology reference values for commonly requested laboratory tests are listed in traditional units and in SI units. The tables are a guideline only. Values are method dependent and normal lab values may vary between laboratories.

Determination
Blood, Plasma or Serum Ammonia (NH3) - diffusion Ammonia Nitrogen Amylase Anion gap (Na -[Cl + HCO3 ]) (P) Antithrombin III (AT III) Bicarbonate Arterial Venous Bilirubin Conjugated (direct) Total
+ -

Normal Reference Value

Conventional units SI units

20-120 mcg/dl 15-45 g/dl 35-118 IU/L 7-16 mEq/L 80120 U/dl

12-70 mcmol/L 11-32 mol/L 0.58-1.97 mckat/L 7-16 mmol/L 8001200 U/L

2128 mEq/L 2229 mEq/L

2128 mmol/L 2229 mmol/L

0.2 mg/dl & 0.11 mg/dl

4 mcmol/L & 218 mcmol/L < 100 ng/L

Calcitonin Calcium Total Ionized

< 100 pg/ml

8.610.3 mg/dl 4.45.1 mg/dl

2.22.74 mmol/L 11.3 mmol/L

Carbon dioxide content (plasma) Carcinoembryonic antigen Chloride Coagulation screen Bleeding time Prothrombin time Partial thromboplastin time (activated) Protein C Protein S Copper, total 0800 hr Cortisol 0800 hr 1800 hr 2000 hr Creatine kinase

2132 mmol/L < 3 ng/ml 95110 mEq/L

2132 mmol/L < 3 mcg/L 95110 mmol/L

39.5 min 1013 sec 2237 sec 0.71.4 /ml 0.71.4 /ml 70160 mcg/dl

180570 sec 1013 sec 2237 sec 7001400 U/ml 7001400 U/ml 1125 mcmol/L < 13.2 pmol/L

Corticotropin (ACTH adrenocorticotropic hormone) - < 60 pg/ml

530 mcg/dl 215 mcg/dl 50% of 0800 hr

138810 nmol/L 50410 nmol/L 50% of 0800 hr

Female Male Creatinine kinase isoenzymes, MB fraction Creatinine Fibrinogen (coagulation factor I) Follicle-stimulating hormone (FSH) Female Midcycle Male

20170 IU/L 30220 IU/L 012 IU/L 0.51.7 mg/dl 150360 mg/dl

0.332.83 mckat/L 0.53.67 mckat/L 00.2 mckat/L 44150 mcmol/L 1.53.6 g/L

213 mlU/ml 522 mlU/ml 18 mlU/ml

213 IU/L 522 IU/L 18 IU/L

Glucose, fasting Glucose Tolerance Test (Oral)

65115 mg/dl (mg/dl) Normal Diabetic > 140 200 200 140 950 units/L 840 units/L

3.66.3 mmol/L (mmol/L) Normal 3.95.8 6.79.4 5.67.8 3.96.7 Diabetic > 7.8 11.1 11.1 7.8

Fasting 60 min 90 min 120 min ( ) - Glutamyltransferase (GGT) Male Female

70105 120170 100140 70120

950 units/L 840 units/L

Haptoglobin Hematologic Tests Fibrinogen Hematocrit (Hct) female male Hemoglobin A

44303 mg/dl

0.443.03 g/L

200400 mg/dl

24 g/L

36%-44.6% 40.7%-50.3% 5.3%-7.5% of total Hgb

0.360.446 fraction of 1 0.40.503 fraction of 1 0.0530.075

1C

Hemoglobin (Hb) female male Leukocyte count (WBC) Erythrocyte count (RBC) female male 3.55 x 106/mcl 4.35.9 x 106/mcl 3.55 x 1012/L 4.35.9 x 1012/L 12.115.3 g/dl 13.817.5 g/dl 38009800/mcl 121153 g/L 138175 g/L 3.89.8 x 109/L

Mean corpuscular volume (MCV) Mean corpuscular hemoglobin (MCH) Mean corpuscular hemoglobin concentrate (MCHC) Erythrocyte sedimentation rate (sedrate, ESR) Erythrocyte enzymes

8097.6 mcm3 2733 pg/cell 3336 g/dl 30 mm/hr

8097.6 fl 1.662.09 fmol/cell 20.322 mmol/L 30 mm/hr

Glucose-6 - Pphosphate dehydrognase (G-6-PD) Determination Blood, Plasma or Serum: Ammonia (NH3) - diffusion

2505000 units/106 cells

2505000 mcunits/cell

Reference Value (Conventional units) (SI units)

20120 mcg/dl Ammonia Nitrogen Amylase Anion gap (Na+-[Cl - + HCO3-]) (P) Antithrombin III (AT III) Bicarbonate: Arterial Venous Bilirubin: Conjugated (direct) Total Calcitonin Calcium: Total Ionized Carbon dioxide content (plasma) Carcinoembryonic antigen Chloride Coagulation screen: Bleeding time Prothrombin time Partial thromboplastin time (activated) Protein C Protein S 39.5 min 1013 sec 2237 sec 1545 g/dl 35118 IU/L 716 mEq/L 80120 U/dl 2128 mEq/L 2229 mEq/L 0.2 mg/dl (0.11 mg/dl) < 100 pg/ml 8.610.3 mg/dl 4.45.1 mg/dl 2132 mmol/L < 3 ng/ml 95110 mEq/L

1270 mcmol/L 1132 mol/L 0.581.97 mckat/L 716 mmol/L 8001200 U/L 2128 mmol/L 2229 mmol/L 4 mcmol/L (218 mcmol/L) < 100 ng/L 2.22.74 mmol/L 11.3 mmol/L 2132 mmol/L < 3 mcg/L 95110 mmol/L

180570 sec 1013 sec 2237 sec

0.71.4 /ml 0.71.4 /ml Copper, total Corticotropin (ACTH adrenocorticotropic hormone) - 0800 hr Cortisol: 0800 hr 1800 hr 2000 hr Creatine kinase: Female Male Creatinine kinase isoenzymes, MB fraction Creatinine Fibrinogen (coagulation factor I) Follicle-stimulating hormone (FSH): Female Midcycle Male Glucose, fasting 213 mlU/ml 522 mlU/ml 18 mlU/ml 65115 mg/dl (mg/dl) Normal 70105 Diabetic > 140 70160 mcg/dl < 60 pg/ml 530 mcg/dl 215 mcg/dl 50% of 0800 hr 20170 IU/L 30220 IU/L 012 IU/L 0.51.7 mg/dl 150360 mg/dl

7001400 U/ml 7001400 U/ml 1125 mcmol/L < 13.2 pmol/L 138810 nmol/L 50410 nmol/L 50% of 0800 hr 0.332.83 mckat/L 0.53.67 mckat/L 00.2 mckat/L 44150 mcmol/L 1.53.6 g/L

213 IU/L 522 IU/L 18 IU/L 3.66.3 mmol/L (mmol/L) Normal 3.95.8 Diabetic > 7.8

Glucose Tolerance Test (Oral)

120170 Fasting 60 min 90 min 120 min ( ) -Glutamyltransferase (GGT): Male Female 100140 70120

200 200 140

6.79.4 5.67.8 3.96.7

11.1 11.1 7.8

950 units/L 840 units/L Haptoglobin 44303 mg/dl

950 units/L 840 units/L 0.443.03 g/L

Determination
Hematologic tests: Fibrinogen

Reference Value Conventional units SI units

200400 mg/dl Hematocrit (Hct), female male Hemoglobin A

1C

24 g/L

Hemoglobin (Hb), female male Leukocyte count (WBC)

36%-44.6% 40.7%-50.3%

0.360.446 fraction of 1 0.40.503 fraction of 1

5.3%-7.5% of total Hgb 0.0530.075

12.115.3 g/dl Erythrocyte count (RBC): female male Mean corpuscular volume (MCV) Mean corpuscular hemoglobin (MCH) 3.55 x 106/mcl 4.35.9 x 106/mcl Mean corpuscular hemoglobin concentrate (MCHC) 8097.6 mcm3 2733 pg/cell Erythrocyte sedimentation rate (sedrate, ESR) 3336 g/dl 13.817.5 g/dl 38009800/mcl

121153 g/L 138175 g/L 3.89.8 x 109/L

3.55 x 1012/L 4.35.9 x 1012/L 8097.6 fl 1.662.09 fmol/cell

20.322 mmol/L

30 mm/hr Erythrocyte enzymes:

30 mm/hr

Glucose-6 Pphosphate dehydrognase (G-6-PD) 2505000 units/106cells 2505000 mcunits/cell

Ferritin Folic acid: normal Platelet count

10383 ng/ml Reticulocytes >3.112.4 ng/ml 150450 x 103/mcl

23862 pmol/L 728.1 nmol/L 150450 x 109/L

0.5%-1.5% of erythrocytes Vitamin B12

0.0050.015

2231132 pg/ml 165835 pmol/L Iron: Female Male Iron binding capacity Isocitrate dehydrogenase Isoenzymes 30160 mcg/dl 45160 mcg/dl 220420 mcg/dl 1.27 units/L 14%-26% of total 5.431.3 mcmol/L 8.131.3 mcmol/L 39.475.2 mcmol/L 1.27 units/L 0.140.26 fraction of total 0.290.39 fraction of total 0.200.26 fraction of total Fraction 2 20%-26% of total 0.080.16 fraction of total 0.060.16 fraction of total

Fraction 1

29%-39% of total

Fraction 3

8%-16% of total

Fraction 4

6%-16% of total

Fraction 5 Lactate dehydrogenase Lactic acid (lactate) Lead Lipase Lipids: Total Cholesterol Desirable < 200 mg/dl 200239 mg/dl < 5.2 mmol/L < 5.26.2 mmol/L 100250 IU/L 619 mg/dl 50 mcg/dl 10150 units/L 1.674.17 mckat/L 0.72.1 mmol/L 2.41 mcmol/L 10150 units/L

Borderline-high

High LDL Desirable > 239 mg/dl < 130 mg/dl 130159 mg/dl Borderline-high High HDL (low) Triglycerides Desirable > 159 mg/dl < 35 mg/dl Borderline-high High Very high < 200 mg/dl 200400 mg/dl > 4.11 mmol/L < 0.91 mmol/L < 2.26 mmol/L 2.264.52 mmol/L > 6.2 mmol/L < 3.36 mmol/L 3.364.11 mmol/L

4001000 mg/dl > 1000 mg/dl Magnesium Osmolality Oxygen saturation (arterial) PCO2, arterial pH, arterial 1.32.2 mEq/L 280300 mOsm/kg 94%-100% 3545 mm Hg 7.357.45

4.5211.3 mmol/L > 11.3 mmol/L 0.651.1 mmol/L 280300 mmol/kg 0.94 - fraction of 1 4.76 kPa 7.357.45

Determination
PO, arterial: Breathing room air On 100% O Phosphatase (acid), total at 37C Phosphatase alkaline Phosphorus, inorganic, (phosphate) Potassium

Reference Value Conventional units SI units

80105 mm Hg > 500 mm Hg 0.130.63 IU/L 20130 IU/L 2.55 mg/dl 3.55 mEq/L 10.614 kPa 2.210.5 IU/L or 2.210.5 mckat/L 20130 IU/L or 0.332.17 mckat/L 0.81.6 mmol/L 3.55 mmol/L

Progesterone
Female Follicular phase Luteal phase Male Prolactin Prostate specific antigen Protein: Total Albumin Globulin Rheumatoid factor Sodium Testosterone: Female Male 686 ng/dl 2701070 ng/dl 0.213 nmol/L 9.337 nmol/L 0.11.5 ng/ml 0.11.5 ng/ml 2.528 ng/ml < 0.5 ng/ml 1.424.2 ng/ml 04 ng/ml 68 g/dl 3.65 g/dl 2.33.5 g/dl < 60 IU/ml 135147 mEq/L 0.324.8 nmol/L 0.324.8 nmol/L 889 nmol/L < 1.6 nmol/L 1.424.2 mcg/L 04 ng/ml 6080 g/L 3650 g/L 2335 g/L < 60 kIU/L 135147 mmol/L

Thyroid Hormone Function Tests: Thyroid-stimulating hormone (TSH) Thyroxine-binding globulin capacity Total triiodothyronine (T3) Total thyroxine by RIA (T4) T3 resin uptake

0.356.2 mcU/ml 1026 mcg/dl 75220 ng/dl 411 mcg/dl 25%-38%

0.356.2 mU/L 100260 mcg/L 1.23.4 nmol/L 51142 nmol/L 0.250.38 fraction of 1 0.180.78 mckat/L 0.120.88 mckat/L 2.204.00 g/L 2.98.9 mmol/L 179476 mcmol/L 0.522.09 mcmol/L 7.723 mcmol/L

Transaminase, AST (aspartate aminotransferase, 1147 IU/L SGOT) Transaminase, ALT (alanine aminotransferase, SGPT) Transferrin Urea nitrogen (BUN) Uric acid Vitamin A (retinol) Zinc
1 2 3

753 IU/L 220400 mg/dL 825 mg/dl 38 mg/dl 1560 mcg/dl 50150 mcg/dl

Age dependent Infants and adolescents up to 104 U/L Infants in the first year up to 6 mg/dl

Urine Determination
Calcium Catecholamines: Epinephrine Norepinephrine Catecholamines, 24-hr Copper Creatinine: Child Adolescent Female Male pH Phosphate Potassium Protein Total At rest 114 mg/dL 5080 mg/day Protein, quantitative Sodium Specific gravity, random Uric acid, 24-hr < 150 mg/day 100250 mEq/day 1.0021.030 250750 mg 10140 mg/L 5080 mg/day < 0.15 g/day 100250 mmol/day 1.0021.030 1.484.43 mmol < 20 mcg/day < 100 mcg/day < 110 g 1560 mcg/day < 109 nmol/day < 590 nmol/day < 650 nmol 0.240.95 mcmol/day

Reference Value Conventional units SI units

50250 mcg/day 1.256.25 mmol/day

822 mg/kg 830 mg/kg 0.61.5 g/day 0.81.8 g/day 4.58 0.91.3 g/day 25100 mEq/day

71195 mol/kg 71265 mol/kg 5.313.3 mmol/day 7.115.9 mmol/day 4.58 2942 mmol/day 25100 mmol/day

Diet dependent.

Drug Levels* Drug Determination

Amikacin (trough) (peak) Gentamicin (trough) (peak) Kanamycin (trough) (peak) Netilimicin (trough) (peak) Streptomycin (trough) (peak) Tobramycin (trough) (peak) < 5 mcg/ml 520 mcg/ml 0.52 mcg/ml 520 mcg/ml nd nd 1.14.3 mcmol/L 12.821.8 mcmol/L 510 mcg/ml 2025 mcg/ml 0.52 mcg/ml 610 mcg/ml nd nd nd nd 18 mcg/ml 1.713.7 mcmol/L 0.52 mcg/ml 610 mcg/ml 2030 mcg/ml 3451 mcmol/L 14.2 mcmol/L 12.520.9 mcmol/L

Reference Value Conventional units

SI units

Aminoglycosides

Drug Determination
Amiodarone Bretylium Digitoxin Digoxin Disopyramide Flecainide Antiarrhythmics Lidocaine Mexiletine Procainamide Propranolol Quinidine Tocainide Verapamil Carbamazepine Phenobarbital Anticonvulsants Phenytoin Primidone Valproic Acid Antidepressants Amitriptyline Amoxapine Bupropion Clomipramine Desipramine Doxepin Imipramine Maprotiline Nortriptyline

Reference Value Conventional units

0.52.5 mcg/ml 0.51.5 mcg/ml 925 mcg/L 0.82 ng/ml 28 mcg/ml 0.21 mcg/ml 1.56 mcg/ml 0.52 mcg/ml 48 mcg/ml 50200 ng/ml 26 mcg/ml 410 mcg/ml 0.080.3 mcg/ml 412 mcg/ml 1040 mcg/ml 1020 mcg/ml 412 mcg/ml 40100 mcg/ml 110250 ng/ml 200500 ng/ml 25100 ng/ml 80100 ng/ml 115300 ng/ml 110250 ng/ml 225350 ng/ml 200300 ng/ml 50150 ng/ml nd

SI units

1.54 mcmol/L 11.832.8 nmol/L 0.92.5 nmol/L 618 mcmol/L nd 4.521.5 mcmol/L nd 1734 mcmol/ml 190770 nmol/L 4.69.2 mcmol/L nd nd 1751 mcmol/L 43172 mcmol/L 4080 mcmol/L 1855 mcmol/L 280700 mcmol/L 500900 nmol/L nd nd nd nd nd nd nd nd

Protriptyline Trazodone Chlorpromazine Fluphenazine Antipsychotics Haloperidol Perphenazine Thiothixene

70250 ng/ml 8001600 ng/ml 50300 ng/ml 0.132.8 ng/ml 520 ng/ml 0.81.2 ng/ml 257 ng/ml

nd nd 150950 nmol/L nd nd nd nd

Drug Determination
Amantadine Amrinone Chloramphenicol Cyclosporine

Reference Value Conventional units

300 ng/ml 3.7 mcg/ml 1020 mcg/ml 250800 ng/ml (whole blood, RIA) 50300 ng/ml (plasma, RIA) nd nd

SI units

3162 mcmol/L nd nd 0 mmol/L nd 0.61.2 mmol/L 7242172 mcmol/L nd nd 55110 mcmol/L

Ethanol Miscellaneous Hydralazine Lithium Salicylate Sulfonamide Terbutaline Theophylline Vancomycin

0 mg/dl 100 ng/ml 0.61.2 mEq/L 100300 mg/L 515 mg/dl 0.54.1 ng/ml 1020 mcg/ml

(trough) 515 ng/ml nd (peak) 2040 mcg/ml nd * The values given are generally accepted as desirable for treatment without toxicity for most patients. However, exceptions are not uncommon.
1 2 3 4

nd = No data available. Parent drug plus N-desmethyl metabolite. 24hour trough values. Toxic: 50100 mg/dl (10.921.7 mmol/L).

The following table is adopted from the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, National Institutes of Health.

Classification of Blood Pressure *

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

For adults age 18 and older who are not taking antihypertensive drugs and not acutely ill. * When systolic and diastolic blood pressures fall into different categories, the higher category should be selected to classify the individual's blood pressure status. In addition to classifying stages of hypertension on the basis of average blood pressure levels, clinicians should specify

.presence or absence of target organ disease and additional risk factors

Optimal blood pressure with respect to cardiovascular risk is below 120/88 m Hg. However,

.unusually low readings should be evaluated for clinical significance

Based on the average of two or more readings taken at each of two or more visits after an
2

.initial screening