Lab Values

Patient Name Location

MRU #
Collect Date / Time: Phoned Date / Time:
Phoned by: Taken by:
Results CBC NORMAL VALUES Results ELECTROLYTE
WBC M 4.0 - 11.0 Sodium 135 - 145 mmol / L
x 103 F 4.0 - 11.0 Potassium 3.5 - 5.0 mmol / L
RBC M 4.4 - 5.8 Chloride 98-107 mmol / L
x 106 F 3.9 - 5.3 CO2 23 - 32 mmol / L
HGB M 12.5 - 16.4
CHEMISTRY
gm / dl F 12.0 - 14.7
HCT M 38 - 49 Calcium 8.8 - 10.2 mg / dl
% F 34 - 44 Phosphorus 2.5 - 4.5 mg / dl
MCV M Cholesterol < 200 mg / dll
78 - 97
FL F Glucose 65 - 115 mg / dl
MCH M BUN 10 - 20 mg / dl
26 - 34
ppg F
MCHC M Creatinine M = 0.7-1.3 F = 0.6-1.1 mg / dl
32 - 36 Uric Acid M = 3.5-8.5 F = 2.5-7.0 mg / dl
% F
PLTS Bilirubin, Total 0.2 - 1.3 mg / dl
140 - 400
x 103 LDH 313 - 618 U/L
Results DIFFERENTIAL MORPHOLOGY FEW MOD Many Alk Phos 38 - 126 U/L
Segs % 45-80 Polychromasia GOT / AST 15 - 46 U/L
Bands % Hypochromia GPT / ALT 11 - 66 U/L
Lymphs % 15-45 Microcytes T. Protein 6.0 - 8.2 g / dl
Monos % 0-11 Macrocytes Albumin 3.5 - 5.0 g / dl
Eos % 0-6 Ovalocytes Globulin 2.0 - 4.0 g / dl
Basos % 0-2 Target Cells MISCELLANEOUS CHEMISTRY
Metamyelocytes % Burr Cells CPK M = 55-170 F = 30-135 U/L
Myelocytes % Baso Stippling Amylase 30 - 110 U/L
Blast Cells % Schisocytes Lipase 23 - 300 U/L
NRBC / 100 WBC Toxic Gran Theophylline 5 - 20 ug / ml
Digoxin 0.8 - 2.1 ng / ml
ARTERIAL BLOOD GASES
URINALYSIS pH 7.35 - 7.45 mmHG
Macroscopic Results pCO2 35 - 45 mmHG
Appearance Color pO2 75 - 100 mmHG
Glucose mg / dl Billirubin HCO3 22 - 26 mmol / L
Ketones mg / dl Spec. Gr. O2 Sat. 95 - 98 %
Occult Blood pH FiO2
Protein mg / dl Urobilinogen mg / dl COAGULATION
Nitrite Leukocytes PTT Seconds
Protime Seconds
Microscopic Protime INR
RBC / HPF EPIs / HPF OTHER TESTS AND REMARKS
WBC / HPF Other: CK-MB < 5.1 ng / mL
Casts / LPF Myoglobin 0 - 110 ng / mL
Bact Troponin I < 0.7 ng / mL

Urine Pregnancy POS Neg Sp. Gr

Serum Pregnancy POS Neg

TEMPORARY CHART COPY AHC 05934100.j (Rev. 11/10)