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Blood Tests: Normal Values - Normal Laboratory Values - Merck Manual Professional Version

05/05/15 17:10

PROFESSIONAL VERSION
Normal Laboratory Values: Blood, Plasma, and Serum
Test

Specimen Conventional Units

SI Units

Acetoacetate

Plasma

< 1 mg/dL

< 0.1 mmol/L

Acetylcholinesterase (ACE), RBC Blood

26.749.2 U/g Hb

Acid phosphatase

0.55.5 U/L

00.9 kat/L

Activated partial thromboplastin


Plasma
time (aPTT)

2535 sec

Adrenocorticotropic hormone
(ACTH)

Serum

952 pg/mL

211 pmol/L

Albumin

Serum

3.55.5 g/dL

3555 g/L

Standing

Serum

720 ng/dL

194554 pmol/L

Supine

Serum

25 ng/dL

55138 pmol/L

Alkaline phosphatase (ALP)

Serum

3692 U/L

0.51.5 kat/L

Alpha 1 -antitrypsin (AAT)

Serum

83199 mg/dL

Alpha fetoprotein (AFP)

Serum

020 ng/dL

020 pg/L

-Aminolevulinic acid (ALA)

Serum

1523 g/L

1.141.75 mol/L

Aminotransferase, alanine (ALT) Serum

035 U/L

00.58 pkat/L

Aminotransferase, aspartate
(AST)

Serum

035 U/L

00.58 pkat/L

Ammonia

Plasma

4080 g/dL

2347 mol/L

Amylase

Serum

0130 U/L

02.17 kat/L

Antibodies to extractable
nuclear antigen (AENA)

Serum

< 20.0 units

Anticyclic citrullinated peptide


(anti-CCP) antibodies

Serum

5.0 units

Antidiuretic hormone (ADH;


arginine vasopressin)

Plasma

< 1.7 pg/mL

< 1.57 pmol/L

Antidouble-stranded DNA
(dsDNA) antibodies, IgG

Serum

< 25 IU

Serum

< 0.1 units

Serum

Aldosterone:

Antimitochondrial M2

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antibodies
Antineutrophil cytoplasmic
antibodies (cANCA)

Serum

Antinuclear antibodies (ANA)

Serum

Negative
1.0 units

Antismooth muscle antibodies


Serum
(ASMA) titer

1:80

Antistreptolysin O titer

Serum

< 150 units

Antithyroid microsomal
antibody titer

Serum

< 1:100

1 -Antitrypsin (AAT)

Serum

83199 mg/dL

15.336.6 mol/L

A-I, females

Serum

98210 mg/dL

0.982.1 g/L

A-I, males

Serum

88180 mg/dL

0.881.8 g/L

B-100, females

Serum

44148 mg/dL

0.441.48 g/L

B-100, males

Serum

55151 mg/dL

0.551.51 g/L

Bicarbonate

Serum

2328 mEq/L

2328 mmol/L

Direct

Serum

00.3 mg/dL

05.1 mol/L

Total

Serum

0.31.2 mg/dL

5.120.5 mol/L

Plasma, females

Blood

2843 mL/kg body wt

0.0280.043 L/kg
body wt

Plasma, males

Blood

2544 mL/kg body wt

0.0250.044 L/kg
body wt

RBCs, females

Blood

2030 mL/kg body wt

0.020.03 L/kg body


wt

RBCs, males

Blood

2535 mL/kg body wt

0.0250.035 L/kg
body wt

< 100 pg/mL

Apolipoproteins:

Bilirubin:

Blood volume:

Brain (B-type) natriuretic peptide


Plasma
(BNP)
Calcitonin, age 16 yr:
Females

Serum

< 8 pg/mL

Males

Serum

< 16 pg/mL

Calcium

Serum

910.5 mg/dL

2.22.6 mmol/L

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Blood Tests: Normal Values - Normal Laboratory Values - Merck Manual Professional Version

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Cancer antigen (CA):


CA 125

Serum

< 35 U/mL

CA 15-3

Serum

< 30 U/mL

Carbon dioxide (CO 2 ) content

Serum

2328 mEq/L

2328 mmol/L

Carbon dioxide partial pressure


Blood
(P CO 2 )

3545 mm Hg

Carboxyhemoglobin

0.55%

Carcinoembryonic antigen (CEA) Serum

< 2 ng/mL

< 2 g/L

Carotene

Serum

75300 g/L

1.45.6 mol/L

CD4:CD8 ratio

Blood

14

CD4+ T-cell count

Blood

6401175/L

0.641.18 x 10 9 /L

CD8+ T-cell count

Blood

335875/L

0.340.88 x 10 9 /L

Ceruloplasmin

Serum

2543 mg/dL

250430 mg/L

Chloride

Serum

98106 mEq/L

98106 mmol/L

High-density lipoprotein (HDL-C) Plasma

40 mg/dL

1.04 mmol/L

Low-density lipoprotein (LDL-C)

Plasma

130 mg/dL

3.36 mmol/L

Total (TC)

Plasma

150199 mg/dL

3.885.15 mmol/L

Factor I

Plasma

150300 mg/dL

1.53.5 g/L

Factor II

Plasma

60150% of normal

Factor IX

Plasma

60150% of normal

Factor V

Plasma

60150% of normal

Factor VII

Plasma

60150% of normal

Factor VIII

Plasma

60150% of normal

Factor X

Plasma

60150% of normal

Factor XI

Plasma

60150% of normal

Factor XII

Plasma

60150% of normal

C3

Serum

55120 mg/dL

0.551.20 g/L

C4

Serum

2059 mg/dL

0.200.59 g/L

Total

Serum

3755 U/mL

3755 kU/L

Plasma

Cholesterol, desirable level:

Coagulation factors:

Complement:

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Serum

70155 g/L

1124.3 mol/L

1 h after cosyntropin

Serum

> 18 g/dL and usually 8


g/dL above baseline

> 498 nmol/L and


usually 221 nmol/L
above baseline

At 5 pm

Serum

313 g/dL

83359 nmol/L

At 8 am

Serum

820 g/dL

251552 nmol/L

After overnight suppression test Serum

< 5 g/dL

< 138 nmol/L

C-peptide

Serum

0.94.3 ng/mL

2971419 pmol/L

C-reactive protein (CRP)

Serum

< 0.5 mg/dL

< 0.005 g/L

C-reactive protein, highly


sensitive (hsCRP)

Serum

< 1.1 mg/L

< 0.0011 g/L

Creatine kinase (CK)

Serum

30170 U/L

0.52.83 kat/L

Creatinine

Serum

0.71.3 mg/dL

61.9115 mol/L

d -Dimer

Plasma

300 ng/mL

300 g/L

Females

Plasma

0.63.3 mg/mL

1.68.9 mol/L

Males

Plasma

1.35.5 mg/mL

3.514.9 mol/L

-Aminolevulinic acid (ALA)

Serum

1523 g/L

1.141.75 mol/L

After metyrapone

Plasma

> 7 g/dL

> 203 nmol/L

Basal

Plasma

< 5 g/dL

< 145 nmol/L

d -Xylose level 2 h after


ingestion of 25 g of d -xylose

Serum

> 20 mg/dL

> 1.3 nmol/L

Epinephrine, supine

Plasma

< 75 ng/L

< 410 pmol/L

Females

Blood

020 mm/h

020 mm/h

Males

Blood

015 mm/h

020 mm/h

Erythropoietin

Serum

4.018.5 mIU/mL

4.018.5 IU/L

Day 110 of menstrual cycle

Serum

1427 pg/mL

50100 pmol/L

Day 1120 of menstrual cycle

Serum

1454 pg/mL

50200 pmol/L

Copper
Cortisol:

Dehydroepiandrosterone sulfate
(DHEA-S):

11-Deoxycortisol (DOC):

Erythrocyte sedimentation rate


(ESR):

Estradiol, females:

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Day 2130 of menstrual cycle

Serum

1940 pg/mL

70150 pmol/L

Estradiol, males

Serum

1030 pg/mL

37110 pmol/L

Ferritin

Serum

15200 ng/mL

15200 g/L

-Fetoprotein (AFP)

Serum

020 ng/dL

020 pg/L

Fibrinogen

Plasma

150350 mg/dL

1.53.5 g/L

RBC

Blood

160855 ng/mL

3621937 nmol/L

Serum

Serum

2.520 ng/mL

5.745.3 nmol/L

Follicular or luteal phase

Serum

520 mU/mL

520 U/L

Midcycle peak

Serum

3050 mU/mL

3050 U/L

Postmenopausal

Serum

> 35 mU/mL

> 35 U/L

Follicle-stimulating hormone
(FSH), adult males

Serum

515 mU/mL

515 U/L

Fructosamine

Plasma

200285 mol/L

Gamma-glutamyl
transpeptidase (GGT)

Serum

878 U/L

Gastrin

Serum

0180 pg/mL

0180 ng/L

Globulins:

Serum

2.53.5 g/dL

2535 g/L

1 -Globulins

Serum

0.20.4 g/dL

24 g/L

2 -Globulins

Serum

0.50.9 g/dL

59 g/L

-Globulins

Serum

0.61.1 g/dL

611 g/L

-Globulins

Serum

0.71.7 g/dL

717 g/L

2 -Microglobulin

Serum

0.71.8 g/mL

2-h postprandial

Plasma

< 140 mg/dL

< 7.8 mmol/L

Fasting

Plasma

70105 mg/dL

3.95.8 mmol/L

Glucose-6-phosphate
dehydrogenase (G6PD)

Blood

515 U/g Hb

0.320.97 mU/ mol


Hb

878 U/L

< 2 ng/mL

< 2 g/L

Folate (folic acid):

Follicle-stimulating hormone
(FSH), females:

Glucose:

-Glutamyl transpeptidase (GGT) Serum


Growth hormone:
After oral glucose

Plasma

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In response to provocative
stimuli

Plasma

> 7 ng/mL

> 7 g/L

Haptoglobin

Serum

30200 mg/dL

3002000 mg/L

Females

Blood

3647%

Males

Blood

4151%

Females

Blood

1216 g/dL

120160 g/L

Males

Blood

1417 g/dL

140170 g/L

Hemoglobin A 1c

Blood

4.78.5%

Hb A 1

Blood

9598%

Hb A 2

Blood

23%

Hb C

Blood

0%

Hb F

Blood

0.82.0%

Hb S

Blood

0%

Neonate

Blood

5080%

16 mo

Blood

8%

> 6 mo

Blood

12%

Females

Plasma

0.401.89 mg/L

314 mol/L

Males

Plasma

0.542.16 mg/L

416 mol/L

< 5 mIU/mL

Hematocrit:

Hemoglobin:

Hemoglobin electrophoresis,
adults:

Hemoglobin electrophoresis, Hb
F in children:

Homocysteine:

Human chorionic gonadotropin


Serum
(hCG), quantitative
Immunoglobulins:
IgA

Serum

70300 mg/dL

0.73.0 g/L

IgD

Serum

< 8 mg/dL

< 80 mg/L

IgE

Serum

0.010.04 mg/dL

0.10.4 mg/L

IgG

Serum

6401430 mg/dL

6.414.3 g/L

IgG 1

Serum

2801020 mg/dL

2.810.2 g/L

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IgG 2

Serum

60790 mg/dL

0.67.9 g/L

IgG 3

Serum

14240 mg/dL

0.142.4 g/L

IgG 4

Serum

11330 mg/dL

0.113.3 g/L

IgM

Serum

20140 mg/dL

0.21.4 g/L

Insulin, fasting

Serum

1.414 IU/mL

10104 pmol/L

Plasma

2.03.0

Therapeutic range in patients at


higher risk (eg, patients with
Plasma
prosthetic heart valves)

2.53.5

Therapeutic range in patients


with lupus anticoagulant

Plasma

3.03.5

Iron

Serum

60160 g/dL

1129 mol/L

Iron-binding capacity, total


(TIBC)

Serum

250460 g/dL

4582 mol/L

Lactate dehydrogenase (LDH)

Serum

60160 U/L

11.67 kat/L

Lactic acid, venous

Blood

616 mg/dL

0.671.8 mmol/L

Lactose tolerance test

Plasma

> 15 mg/dL increase in


plasma glucose level

> 0.83 mmol/L


increase in plasma
glucose level

Lead

Blood

< 40 g/dL

< 1.9 mol/L

International normalized ratio


(INR):
Therapeutic range (standard
intensity therapy)

13130/100/
Peripheral
Leukocyte alkaline phosphatase
polymorphonuclear (PMN)
blood

(LAP) score
leukocyte neutrophils and
smear
bands
Lipase

Serum

< 95 U/L

< 1.58 kat/L

Lipoprotein (a) [Lp(a)]

Serum

30 mg/dL

< 1.1 mol/L

Follicular or luteal phase

Serum

522 mU/mL

522 U/L

Midcycle peak

Serum

30250 mU/mL

30250 U/L

Postmenopausal

Serum

> 30 mU/mL

> 30 U/L

Luteinizing hormone (LH),


females:

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Luteinizing hormone, males

Serum

315 mU/mL

315 U/L

Magnesium

Serum

1.52.4 mg/dL

0.620.99 mmol/L

Manganese

Serum

0.30.9 ng/mL

5.516.4 nmol/L

Mean corpuscular hemoglobin


(MCH)

Blood

2832 pg

Mean corpuscular hemoglobin


concentration (MCHC)

Blood

3236 g/dL

320360 g/L

80100 fL

Mean corpuscular volume (MCV) Blood


Metanephrines, fractionated:
Metanephrines, free

Plasma

< 0.50 nmol/L

Normetanephrines, free

Plasma

< 0.90 nmol/L

Methemoglobin

Blood

< 1.0%

Methylmalonic acid (MMA)

Serum

150370 nmol/L

Myeloperoxidase (MPO)
antibodies

Serum

< 6.0 U/mL

Females

Serum

2558 g/L

1.43.5 nmol/L

Males

Serum

2872 g/L

1.64.1 nmol/L

Norepinephrine, supine

Plasma

50440 pg/mL

0.32.6 nmol/L

N-Terminal propeptide of BNP


(NT-proBNP)

Plasma

< 125 pg/mL

5'-Nucleotidase (5'NT)

Serum

411.5 U/L

Osmolality

Plasma

275295 mOsm/kg H 2 O

275295 mmol/ kg H
2O

Myoglobin:

Increased fragility if
hemolysis occurs in > 0.5%
NaCl

Osmotic fragility test

Blood

Oxygen partial pressure (PO 2 )

Blood

80100 mm Hg

Parathyroid hormone (PTH)

Serum

1065 pg/mL

1065 ng/L

Decreased fragility if
hemolysis is incomplete in
0.3% NaCl

Parathyroid hormonerelated
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peptide (PTHrP)

Plasma

< 2.0 pmol/L

Partial thromboplastin time,


activated (aPTT)

Plasma

2535 sec

pH

Blood

7.387.44

Phosphorus, inorganic

Serum

3.04.5 mg/dL

0.971.45 mmol/L

Platelet count

Blood

150350 x 10 3 /L

150350 x 10 9 /L

812 days

Porphyrins

Plasma

1.0 g/dL

Potassium

Serum

3.55 mEq/L

3.55 mmol/L

Prealbumin (transthyretin)

Serum

1845 mg/dL

Follicular phase

Serum

< 1 ng/mL

< 0.03 nmol/L

Luteal phase

Serum

330 ng/mL

0.10.95 nmol/L

Females

Serum

< 20 g/L

< 870 pmol/L

Males

Serum

< 15 g/L

< 652 pmol/L

Prostate-specic antigen, total


(PSA-T)

Serum

04 ng/mL

Prostate-specic antigen, ratio


of free to total (PSA-F:PSA-T)

Serum

> 0.25

Protein C activity

Plasma

67131%

Protein C resistance, activated


ratio (APC-R)

Plasma

2.22.6

Protein S activity

Plasma

82144%

Protein, total

Serum

67.8 g/dL

6078 g/L

Prothrombin time (PT)

Plasma

1113 sec

Pyruvate

Blood

0.080.16 mmol/L

RBC count

Blood

4.25.9 x 10 6 cells/L

4.25.9 x 10 12
cells/L

RBC survival rate, using 51 Cr

Blood

T 1/2 = 28 days

Platelet life span, using


chromium-51 ( 51 Cr)

Progesterone:

Prolactin:

Renin activity, plasma (PRA),


upright, in males and females
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aged 1839 yr:


Sodium-depleted

Plasma

2.924 ng/mL/h

Sodium-repleted

Plasma

0.6 (or lower)4.3 ng/mL/h

Percentage

Blood

0.51.5%

Absolute

Blood

2390 x 10 3 /L

2390 x 10 9 /L

Rheumatoid factor (RF)

Serum

< 40 U/mL

< 40 kU/L

Sodium

Serum

136145 mEq/L

136145 mmol/L

Females

Serum

2075 ng/dL

0.72.6 nmol/L

Males

Serum

3001200 ng/dL

1042 nmol/L

Thrombin time

Plasma

18.524 sec

Thyroid iodine-123 ( 123 I) uptake

530% of administered
dose at 24 h

Thyroid-stimulating hormone
(TSH)

Serum

0.55.0 IU/mL

0.55.0 mIU/L

Free

Serum

0.92.4 ng/dL

1231 pmol/L

Free index

411 g/dL

Total

Serum

512 g/dL

64155 nmol/L

Transferrin

Serum

212360 mg/dL

2.13.6 g/L

Transferrin saturation

Serum

2050%

Triglycerides (desirable level)

Serum

< 250 mg/dL

< 2.82 mmol/L

Uptake

Serum

2535%

Total

Serum

70195 ng/dL

1.13.0 nmol/L

Troponin I

Plasma

< 0.1 ng/mL

< 0.1 g/L

Troponin T

Serum

0.03 ng/mL

0.03 g/L

Urea nitrogen (BUN)

Serum

820 mg/dL

2.97.1 mmol/L

Uric acid

Serum

2.58 mg/dL

0.150.47 mmol/L

Vitamin B 12

Serum

200800 pg/mL

148590 pmol/L

Blood

< 20 mg/dL

< 1136 mol/L

Reticulocyte count:

Testosterone, adults:

Thyroxine (T 4 ):

Triiodothyronine (T 3 ):

Vitamin C (ascorbic acid):


Leukocyte

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Blood

0.41.5 mg/dL

2385 mol/L

1,25-Dihydroxycholecalciferol
(calcitriol)

Serum

2565 pg/mL

65169 pmol/L

25-Hydroxycholecalciferol

Serum

1580 ng/mL

37200 nmol/L

WBC count

Blood

3.910.7 x 10 3 cells/L

3.910.7 x 10 9
cells/L

Zinc

Serum

66110 g/dL

10.116.8 mol/L

Total
Vitamin D:

kat = microkatal; pkat = picokatal.

2015 Merck Sharp & Dohme Corp., a subsidary of Merck & Co., Inc., Whitehouse Station, NJ., USA

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