Low High Threshold Special Care Nurseries

Threshold Less Than Greater Than

Chemistry
Blood urea nitrogen, mg/dL
Blood Gases
(mmol/L) — 100 (35.7)
Calcium, mg/dL (mmol/L) pH 7.25 7.65
Total 6.5 (1.6) 13 (3.3) pCO2 30 70
Ionized 3.2 (0.8) 6.2 (1.6) Glucose 50 mg/dL 200

Carbon dioxide, total, mEq/L 10 (10) 40 (40) Hemoglobin 8.0 g/dL 22.0 g/dL
(mmol/L)

Chloride, mEq/L (mmol/L) 75 (75) 125 (125) Ionized Calcium 3.0 mg/dL 6.5 mg/dL

Creatinine, mg/dL (μmol/L) — 6.0 (530.4) Lactate 5.0 mEq/L

Glucose, mg/dL (mmol/L) 45 (2.5) 450 (25.0) Methemoglobin 3%

Glucose, CSF, mg/dL (mmol/L) 40 (2.2) 200 (11.1) Oxygen Saturation 70

Lactate, mg/dL (mmol/L) — 30.6 (3.4) Potassium 3.0 mEq/L 6.5 mEq/L

Magnesium, mg/dL (mmol/L) 1.0 (0.4) 4.9 (2.0) Sodium 130 mEq/L 155 mEq/L

Osmolality, mOsm/kg (mmol/kg) 250 (250) 325 (325) Total Bilirubin >10.0 mg/dL for first 24 hrs

Phosphate, mg/dL (mmol/L) 1.0 (0.3) 9.0 (2.9) >13.0 mg/dL for 1-30 days

PO2, mm Hg (kPa) 40 (5.3) — Less Than or Equal to Greater Than or Equal to

PCO2, mm Hg (kPa) 20 (2.7) 70 (9.3) Fibrinogen 80 mg/dL

pH 7.2 7.6 Hematocrit 18% 55% (adult)
Potassium, mEq/L (mmol/L) 2.8 (2.8) 6.2 (6.2) Hemoglobin 6 gm/dL (<7 outpatients) 22 gm/dL (adult)

Sodium, mEq/L (mmol/L) 120 (120) 160 (160) HIT (Heparin dependent antibody) Results: Positive

Troponin I or T — See comment † INR (venous) 4

Uric acid, mg/dL (μmol/L) — 13 (773) Platelet Count 10 k/mm3 1,000 k/mm3

coagulation Prothrombin time, s PTT (Outpatient only) 50 seconds

— 30‡
Partial thromboplastin time, s — 80 White Blood Count (WBCT) 1.0 k/mm3 50.0 k/mm3

Fibrinogen, mg/dL (μmol/L) 90 (2.6) 800 (23.5)

Hemoglobin, g/dL (g/L) 7 (70) 20 (200) Critical Care
Hematocrit, % (proportion of 1) 20 (0.2) 60 (0.6) Less Than Greater Than

Platelet count, × 103/μL (× 109/L) 40 (40) 1,000 (1,000) Carboxyhemoglobin 10%

WBC count, × 103/μL (× 109/L) 2 (2) 40 (40) Glucose Adults 50 mg/dL 450 mg/dL
Blasts — First observation Peds (0-30 days) 40 mg/dL 300 mg/dL

Urinalysis (pathologic crystals) Hemoglobin 6.0 g/dL 22.0 g/dL

— First observation
WBC count, CSF (cells/μL) — 5 Ionized Calcium 3.2 mg/dL 5.9 mg/dL
Pediatric-specific ranges Lactate 5.0 mmol/L
Ammonia, μg/dL (μmol/L) — 154 (110.0) Methemoglobin 3.00%
Bilirubin, neonatal, mg/dL (μmol/L) — 15 (256.5) Oxygen Saturation (Arterial) 70

Blood urea nitrogen, mg/dL — 55 (19.6) pCO2 Adults >18 years 20 mmHg 70 mmHg
(mmol/L)
Creatinine, mg/dL (μmol/L) — 3.8 (335.9) Peds (0-18 years) 20 mmHg 55 mmHg
Glucose, neonatal, mg/dL (mmol/L) 30 (1.7) 325 (18.0) pO2 40 mmHg (Arterial)
PO2, neonatal, mm Hg (kPa) 40 (5.3) 100 (13.3) 20 mmHg (Venous)
PCO2, neonatal, mm Hg (kPa) 20 (2.7) 63 (8.4) pH 7.2 7.6
Potassium, neonatal, mEq/L 2.8 (2.8) 7.8 (7.8) Potassium Adults > 16 years 2.8 mEq/L 6.2 mEq/L
(mmol/L)
Sodium, pediatric, mEq/L (mmol/L) 121 (121) 156 (156) Peds (0-15 years) 3.0 mEq/L 6.5 mEq/L
Hemoglobin, neonatal, g/dL (g/L) 10 (100) 22 (220) Sodium 120 mEq/L 160 mEq/L
Hematocrit, neonatal, 33 (0.33) 71 (0.71) Troponin T >10 ng/mL (outpatient
excluding Emergency
Department)
Platelet count, × 103/μL (× 109/L) 50 (50) 900 (900) Carboxyhemoglobin 10%
CSF Glucose Adults 50 mg/dL 450 mg/dL

Peds (0-30 days) 40 mg/dL 300 mg/dL

Glucose, mg/dL (mmol/L) 30 (1.7) 200 (11.1)
Protein, mg/dL (g/L) — 190 (1.9) Hemoglobin 6.0 g/dL 22.0 g/dL
WBC count, cells/μL Ionized Calcium 3.2 mg/dL 5.9 mg/dL

0–1 y — 30 Lactate 5.0 mmol/L

1–4 y — 20 Methemoglobin 3.00%

5–17 y — 10 Oxygen Saturation (Arterial) 70

pCO2 Adults >18 years 20 mmHg 70 mmHg

Peds (0-18 years) 20 mmHg 55 mmHg
pO2 40 mmHg (Arterial)
20 mmHg (Venous)
pH 7.2 7.6
Potassium Adults > 16 years 2.8 mEq/L 6.2 mEq/L
Peds (0-15 years) 3.0 mEq/L 6.5 mEq/L
Sodium 120 mEq/L 160 mEq/L
Troponin T >10 ng/mL (outpatient
excluding Emergency
Department)

Chemistry and Toxicology

Less Than Greater Than Results Called on these Critical Therapeutic Drug Levels:

Ammonia (*see below) 150 (<18 Test Name Greater Than

years old)
Bilirubin, Total 10.0 mg/dL Acetaminophen 40 μg/mL
for first 24 hrs

13.0 mg/dL Amikacin 35 μg/mL

for 1-30 days
Calcium 6.0 mg/dL 13.0 mg/dL Carbamazepine 12 μg/mL
Carbon Dioxide 10 mEq/L 50 mEq/L Digoxin 2.0 ng/mL for adults
Cortisol (*see below) 2.0 mcg/dL Gentamicin 15 μg/mL

Ethanol 300 mg/dL Lidocaine 5 μg/mL

Ethylene Glycol 10 mg/dL Lithium 1.4 mEq/L
Glucose **Adults 50 mg/dL 450 mg/dL Phenobarbital 60 μg/mL
Peds 40 mg/dL 300 mg/dL Phenytoin 40 μg/mL
Isopropanol 10 mg/dL Salicylate 40 mg/dL
Magnesium 1.0 mg/dL 4.7 mg/dL Theophylline 20.0 μg/mL
Methanol 10 mg/dL Tobramycin 10 μg/mL
Phosphorus, Inorganic (*see 1.0 mg/dL Valproic Acid 150 μg/mL
below)
Potassium Adults > 16 years 2.8 mEq/L 6.2 mEq/L Vancomycin 30 μg/mL

Peds (0-15 years) 3.0 mEq/L 6.5 mEq/L

Propylene Glycol 100 mg/dL
Salicylate 50 mg/dL
Sodium 120 mEq/L 160 mEq/L

Troponin T >100 ng/L

(outpatient
excluding
Emergency
Department)