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Nursing Fundamentals - Lab Values

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WBCs help fight infection; values <2,000 or >40,000 are critical and may indicate severe infection, bone marrow issues, or immune disorders.

Will normal lab values be provided on the Next Generation NCLEX exam?

Yes!

It is still a good idea to memorize the values of common labs.

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Definition

Will normal lab values be provided on the Next Generation NCLEX exam?

Yes!

It is still a good idea to memorize the values of common labs.

Lab value:

sodium

135 - 145 (mEq/L)

Critical: < 120 or > 160

Lab value:

chloride

98 - 106 (mEq/L)

Lab value:

potassium

3.5 - 5 (mmol/L)

Critical: < 3 or > 6

Lab value:

magnesium

1.6 - 2.6 (mg/dL)

Lab value:

calcium

8.5 - 10.5 (mg/dL)

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TermDefinition

Will normal lab values be provided on the Next Generation NCLEX exam?

Yes!

It is still a good idea to memorize the values of common labs.

Lab value:

sodium

135 - 145 (mEq/L)

Critical: < 120 or > 160

Lab value:

chloride

98 - 106 (mEq/L)

Lab value:

potassium

3.5 - 5 (mmol/L)

Critical: < 3 or > 6

Lab value:

magnesium

1.6 - 2.6 (mg/dL)

Lab value:

calcium

8.5 - 10.5 (mg/dL)

Lab value:

phosphorus

2.5 - 4.5 (mg/dL)

Lab value:

WBC

(white blood cell)

5,000 - 10,000 (million/µL)

Critical value: < 2,000 or > 40,000

Lab value:

RBC: male and female

(red blood cell)

male: 4.7 - 6.6 (million/µL)

female: 4.2 - 5.4 (million/µL)

Lab value:

Hgb: male, female, pregnant

(hemoglobin)

male: 14-18 (g/dL)

female: 12-16 (g/dL)

pregnant: >11 (g/dL)

Lab value:

Hct: male, female, pregnant

(hematocrit)

male: 42 - 52%

female: 37 - 47%

pregnant: >33%

Lab value:

platelets

150,000 - 400,000 (million/µL)

Critical value: < 50,000 or > 1 million

Lab value:

blood urea nitrogen

(BUN)

10 - 20 (mg/dL)

critical BUN: > 100

Lab value:

creatinine

0.6 - 1.2 (mg/dL)

Critical: > 4

Lab value:

glomerular filtration rate

(GFR)

> 90 (mL/min)

Average is 125 (mL/min)

Lab value:

bilirubin in newborn

< 14 (mg/dL), newborn is managed at home with sunlight and increased feedings

> 14 (mg/dL), newborn is hospitalized

> 20 (mg/dL), is considered toxic

Adult bilirubin is about 1-2, newborn bilirubin is always a bit high around 10.

Lab value:

(ALT) alanine aminotransferase

(AST) aspartate aminotransferase

(ALP) alkaline phosphatase

ALT: 4 - 36 (U/L)

AST: 0 - 25 (U/L)

ALP: 20 - 140 (U/L)

A mild elevation will be 2 - 3 times higher than normal

A severe elevation can be in the hundreds or thousands

Lab value:

total cholesterol

< 200 (mg/dL)

Lab value:

HDL: male, female

(High-density lipoproteins)

male: >40 (1.0 mmol/L)

female: >50 (1.3 mmol/L)

>60 (1.6 mmol/L) is ideal

Lab value:

LDL

(Low-density lipoproteins)

< 100 (mg/dL)

Lab value:

protein

6 - 8.3 (g/dL)

Lab value:

ammonia

15 - 56 (µmol/L)

Lab value:

albumin

3.5 - 5 (g/dL)

Lab value:

PT normal/control

(prothrombin time)

PT normal/control: 11 - 12.5 seconds

Lab value:

PT therapeutic

| (prothrombin time)

1.5 - 2 times the control/normal value

Example 11 x 1.5 = 16.5

12.5 x 2 = 25

Therapeutic level: 16.5 - 25 seconds

Labs are different and may have a different control. If there is not a control number indicated use 11 - 12.5. The higher the number the less risk that a blood clot will form. But it also puts the client at risk for bleeding.

Lab value:

INR: normal, therapeutic

| (international normalized ratio)

normal: 0.8 - 1.1

therapeutic: 2 - 3

Therapeutic: the higher the number the less risk that a blood clot will form. But it also puts the client at risk for bleeding.

Lab value:

aPTT: (normal/control)

| (activated partial thromboplastin time)

aPTT normal/control: 25 - 35 seconds

Lab value:

aPTT: therapeutic

| (activated partial thromboplastin time)

aPTT: 1.5 - 2.5 times the control/normal value

Example: 25 x 1.5 = 37.5 second
35 x 2.5 = 87.5 seconds

Therapeutic level: 37.5 - 87.5 seconds

Labs are different and may have a different control. Some labs use 20-30 and some use 30-40. If there is not a control number indicated use 25-35 seconds. The higher the number the less risk that a blood clot will form. ​But it also puts the client at risk for bleeding.

Lab value:

amylase and lipase

0 - 160 (U/L)

Lab value:

HbA1c

| (glycated hemoglobin)

non-diabetic: 4 - 5.7%

good diabetes control: \< 7%

poor diabetes control: > 9%

Lab value:

Blood sugar: fasting, random, critical

fasting: 70 - 110 mg/dL (3.9 - 6.1 mmol/L) - no food for at least 8 hours before the test

random: ≤ 200 mg/dL (≤ 11.1 mmol/L)- may have eaten before the test

critical: \< 50 or > 400 mg/dL (\< 2.8 - > 22.2 mmol/L)

Lab value:

BNP

| (B-type natriuretic peptide or brain natriuretic peptide)

0 - 100 (pg/mL)

Lab value:

troponin

0 - 0.04 (ng/mL)

Lab value:

CK

| (creatine kinase)

22 - 198 (U/L)

Lab value:

uric acid

2.4 - 7 (mg/dL)

Therapeutic drug level:

digoxin

1 - 2 (ng/mL)
2 or greater is considered toxicity

Therapeutic drug level:

lithium

0.6 - 1.2 (mmol/L)
2 or greater is considered toxicity.

Therapeutic drug level:

phenytoin

10 - 20 (mcg/mL)

Greater than 20 is considered toxic.

What is the normal respiration rate for an adult?

12 - 20 breaths per minute

What is a normal pulse oximetry/oxygen (O2) saturation?

95% - 100%

What is a normal heart rate for an adult?

60 - 100 beats per minute

strong and regular

What is a normal blood pressure (BP)?

90/60 to 120/80 (mmHg)

systolic is the first number

diastolic is the second number

What is a normal body temperature?

96.8° - 100.4° F

| (36° - 38° C)

What labs are included in a CBC (complete blood count)?

Red blood cell count

Hemoglobin

Hematocrit

White blood cell count

What labs are included in a BMP (basic metabolic panel)?

glucose

calcium

potassium

bicarbonate

chloride

BUN

creatinine

What labs are included in a CMP (complete metabolic panel)?

glucose

calcium

potassium

bicarbonate

chloride

BUN

creatinine

albumin

total protein

ALP and AST

bilirubin