What is the normal Hemoglobin (Hgb) range? โ Males: 13.5โ17.5 g/dL. Females: 12.0โ15.5 g/dL. Low = anemia. High = polycythemia or dehydration.
What is the normal Hematocrit (Hct) range? โ Males: 41โ53%. Females: 36โ46%. Hct is approximately 3x the hemoglobin value. Low = anemia or bleeding.
What is the normal Red Blood Cell (RBC) count? โ Males: 4.5โ5.5 million/ยตL. Females: 4.0โ5.0 million/ยตL. Low = anemia. High = polycythemia.
What is the normal White Blood Cell (WBC) count? โ 4,500โ11,000 cells/ยตL (4.5โ11 x10ยณ/ยตL). Low (leukopenia) = infection risk. High (leukocytosis) = infection, inflammation, or leukemia.
What is the normal Platelet count? โ 150,000โ400,000/ยตL (150โ400 x10ยณ/ยตL). Low (thrombocytopenia) = bleeding risk. High (thrombocytosis) = clotting risk.
What is the normal Sodium (Na+) level? โ 136โ145 mEq/L. Low (hyponatremia) = confusion, seizures. High (hypernatremia) = thirst, dry mucous membranes, confusion.
What is the normal Potassium (K+) level? โ 3.5โ5.0 mEq/L. Low (hypokalemia) = muscle weakness, cardiac arrhythmias. High (hyperkalemia) = peaked T waves, cardiac arrest risk.
What is the normal Calcium (Caยฒ+) level? โ 8.5โ10.5 mg/dL. Low (hypocalcemia) = Trousseau's/Chvostek's signs, tetany. High (hypercalcemia) = "bones, stones, groans, psychic moans."
What is the normal Magnesium (Mgยฒ+) level? โ 1.5โ2.5 mEq/L. Low (hypomagnesemia) = tremors, seizures, cardiac arrhythmias. High (hypermagnesemia) = respiratory depression, loss of deep tendon reflexes.
What is the normal Phosphorus (PO4) level? โ 2.5โ4.5 mg/dL. Has an inverse relationship with calcium โ when Ca is high, phosphorus is low.
What is the normal Blood Glucose level (fasting)? โ 70โ100 mg/dL (fasting). 2-hour postprandial: < 140 mg/dL. Hypoglycemia < 70. Hyperglycemia > 126 (fasting, on two occasions = diabetes).
What is the normal Blood Urea Nitrogen (BUN) level? โ 10โ20 mg/dL. Elevated BUN indicates impaired kidney function, dehydration, or high protein intake.
What is the normal Creatinine level? โ Males: 0.7โ1.3 mg/dL. Females: 0.6โ1.1 mg/dL. Elevated creatinine = impaired kidney function. More specific for renal disease than BUN.
What is the normal BUN:Creatinine ratio and what does it indicate? โ Normal ratio: 10:1 to 20:1. Ratio > 20:1 suggests pre-renal causes (dehydration). Ratio < 10:1 suggests intrinsic renal disease.
What is normal eGFR (estimated Glomerular Filtration Rate)? โ > 60 mL/min/1.73mยฒ. eGFR < 60 for > 3 months indicates chronic kidney disease (CKD). < 15 = kidney failure.
What is the normal Prothrombin Time (PT)? โ 11โ13.5 seconds. Measures the extrinsic clotting pathway. Elevated in warfarin therapy, liver disease, Vitamin K deficiency.
What is the normal INR and therapeutic range for warfarin? โ Normal INR: 0.8โ1.2. Therapeutic range for warfarin (most indications): 2.0โ3.0. Mechanical heart valves: 2.5โ3.5.
What is the normal aPTT and therapeutic range for heparin? โ Normal aPTT: 25โ35 seconds. Therapeutic heparin range: 60โ100 seconds (1.5โ2.5 times normal).
What is the normal pH of arterial blood (ABG)? โ 7.35โ7.45. < 7.35 = acidosis. > 7.45 = alkalosis.
What is the normal PaCO2 (ABG)? โ 35โ45 mmHg. Controlled by the lungs (respiratory). High CO2 = respiratory acidosis. Low CO2 = respiratory alkalosis.
What is the normal HCO3 (bicarbonate) (ABG)? โ 22โ26 mEq/L. Controlled by the kidneys (metabolic). Low HCO3 = metabolic acidosis. High HCO3 = metabolic alkalosis.
What is the normal PaO2 (ABG)? โ 80โ100 mmHg. < 60 mmHg = respiratory failure. Used to assess oxygenation, not acid-base balance.
What is the normal Oxygen Saturation (SpO2)? โ 95โ100%. SpO2 < 90% is a medical emergency. Target for COPD patients: 88โ92% (to avoid suppressing hypoxic drive).
What are the normal Liver Function Tests (LFTs)? โ ALT: 7โ56 U/L. AST: 10โ40 U/L. Alkaline Phosphatase: 44โ147 U/L. Total Bilirubin: 0.2โ1.2 mg/dL. Elevated = liver disease or damage.
What are the normal Thyroid Function Tests? โ TSH: 0.4โ4.0 mIU/L (most sensitive test). Free T4: 0.8โ1.8 ng/dL. High TSH + Low T4 = hypothyroidism. Low TSH + High T4 = hyperthyroidism.
What is a critical potassium value that requires immediate action? โ K+ < 2.5 mEq/L or > 6.0 mEq/L are critical values requiring immediate notification of the provider due to life-threatening cardiac arrhythmia risk.
What is a critical glucose value requiring immediate action? โ Blood glucose < 50 mg/dL (severe hypoglycemia) or > 500 mg/dL (DKA/HHS risk) requires immediate intervention.
What is the normal Hemoglobin A1c (HbA1c)? โ < 5.7% = normal. 5.7โ6.4% = prediabetes. โฅ 6.5% = diabetes. Reflects average blood sugar over the past 2โ3 months.
What is the normal Serum Albumin level and clinical significance? โ 3.5โ5.0 g/dL. Low albumin = malnutrition, liver disease, chronic illness. Also affects drug binding (many medications are albumin-bound).
What are normal Troponin levels and their significance? โ Troponin I: < 0.04 ng/mL. Troponin T: < 0.01 ng/mL. Elevated troponin = myocardial infarction (heart attack). The gold standard cardiac biomarker. Rises within 3โ4 hours of MI.
Nursing Lab Values Reference
Medical & Nursing Studies
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