Biochemistry Critical Ranges
Revision as of 03:49, 19 August 2022 by Cgreenwo (talk | contribs) (Created page with "=== '''GP Patient critical limits''' === {| class="wikitable" | colspan="2" | ===== TEST ===== | ===== ADULT REFERENCE INTERVAL ===== | ===== FAX/EMAIL ===== |'''FAX/EMAIL & PHONE''' |- |Sodium |3511 |135 – 145 mmol/L |<130 or >147 |<125 or >150 |- |Potassium |3512 |3.5 – 5.2 mmol/L |<3.0 or >5.5 |<2.8 or >6.2 |- |Urea |3517 |3.2 – 7.7 mmol/L |>30 (>10.0 up to age 18) If not previously known. |>45 even if previously know...")
GP Patient critical limits
TEST |
ADULT REFERENCE INTERVAL |
FAX/EMAIL |
FAX/EMAIL & PHONE | |
| Sodium | 3511 | 135 – 145 mmol/L | <130 or >147 | <125 or >150 |
| Potassium | 3512 | 3.5 – 5.2 mmol/L | <3.0 or >5.5 | <2.8 or >6.2 |
| Urea | 3517 | 3.2 – 7.7 mmol/L | >30 (>10.0 up to age 18)
If not previously known. |
>45 even if previously known. |
| Creatinine | 5422 | Male: 50 – 110 umol/L
Female: 45 – 90 umol/L |
>300 (>150 up to age 18)
- if not previously known. Fax if increase >50 in one week. |
>350 (or x3 baseline)
>200 up to age 18 Don’t phone if decreasing, or renal patient, or <200 higher than previously. |
| Urate | 3520 | Male: 0.20 - 0.42 mmol/L
Female: 0.15 - 0.36 mmol/L |
>0.70 | Phone >0.36 in pregnancy. |
| Calcium | 3521 | 2.2 – 2.6 mmol/L | <1.90 or >2.80 | <1.80 or >3.00 |
| Phosphate | 3522 | Adult: 0.8 – 1.5 mmol/L | <0.60 or >1.80 | <0.5 or >3.0 |
| Glucose | 3516 | Fasting: 3.5-6.0 mmol/L
Random: 3.5-7.7 mmol/L |
<3.0 | <2.8
>15.0 if new (>25.0 if known diabetic) |
| Bilirubin | 3525 | Adult: 2 – 20 umol/L | >300 | All neonates (<1 month old) |
| GGT | 3528 | Male: 10 – 50 IU/L
Female: 10 – 35 IU/L |
>2500 | |
| Lipase | 10 – 70 IU/L | >80 | ||
| ALP | 3527 | Adult: 30 –150 IU/L | >2500 | |
| ALT | 3530 | Male: 0 – 40 IU/L
Female: 0 – 30 IU/L |
>2000 | >30 in pregnancy |
| AST | 3529 | 10 – 50 IU/L | >2000 | >50 in pregnancy |
| Total protein | 3523 | 64 – 83 g/L | <45 or >100 | |
| Albumin | 3524 | 35 –50 g/L | <21 | |
| CK | 4100 | Male: 60 – 220 IU/L
Female:30 - 180 IU/L |
>2000 | >5000 |
| LD | 3135 | 110 – 220 IU/L | >400 | |
| Digoxin | 3565 | 0.6 – 2.0 nmol/L | >2.0 if 12 h or later post dose | >3 at any time post dose |
| Phenytoin | 4760 | 40 – 80 umol/L | >90 (trough) | >100 |
| Carbamazepine | 4648 | 16 – 40 umol/L | >55 (trough) | >70 |
| Valproate | 4810 | 350 - 700 umol/L | >800 (trough) | >1000 |
| Theophylline | 4781 | 55 – 110 umol/L | >110 (trough) | >120 |
| Lithium | 4716 | 0.4 – 0.8 mmol/L | >0.8 if >12hr post dose
>1.6 at any time |
>2.0 at any time |
| CRP | 3206 | <5 mg/L | >100 | |
| hs TnI | 8674 | Women <16 ng/L
Men <34 |
All results (should auto-fax) | Women >16
Men >34 |
| HCG | 3552 | <5 IU/L | All results (should auto-fax) | |
| Magnesium | 3532 | 0.6 – 1.2 mmol/L | <0.5 or >1.6 | <0.4 or >2.5 |
| Iron | 3531 | 10 – 30 umol/L | All ?toxic ingestions | |
| Triglyceride | 4151 | <1.7 mmol/L | >20 | |
| Cortisol | 8621 | 170 – 540 nmol/L | <100 if taken before 10am and not dexamethasone suppression test | |
| Prot/Creat ratio | 993 | <23 | >30 in pregnancy |