Pt. Initials ______PlateletsPt. Initials ______ Lab Results (Page 1 of 4)(Updated 4/6/09)TEST NORMAL DATE DATE DATE DATE INTERPRETATIONHEMATOLOGY WBC 4.8 - 10.8 THOUS RBC M=4.6 - 6.10 M/UL HGB M=14 - 18 g/dL HCT 40 - 52% MCV 80 - 98 fL MCH 27.5 - 33 pg MCHC 32 – 36 g/dL RDW 10.4 - 14.4% Platelets 145 - 400 K/uL MPV 6.6 - 10.2 f/L Neut 40 - 74% Lymphs 15 - 47%Mono 0 - 12%EOS 0 - 6%Basos 0 - 3 % BandsPT 10.7 – 13.5 Sec PTT 25 – 38 Sec INR 0.84 – 1.29Pt. Initials: _______ Lab Results (Page 2 of 4)TEST NORMAL DATE DATE DATE DATE INTERPRETATIONCHEMISTRY Glucose 72 -112mg/dl BUN 7 – 18 mg/dl Creatinine 0.5 – 1.2 mg/dl Sodium 136 – 146 mmol/l Potassium 3.7 – 5.2 mmol/l Chloride 98 – 108 mmol/l CO2 21-32 mmol/l Anion Gap 0 to 12 meq/l Calcium 8.5 – 10.5 mg/dl Ca++ Ionized 1.13 – 1.32 mg/dl Total Protein 6.1 – 8.0 g/dl AST 15 – 37 g/dlALT 19 – 55 u/LALK Phosphatase 50 – 136 u/LBilirubin Total 0.0 – 1.0 mg/dL Conj Bilirubin 0.1-0.3 mg/dLUnconj. Bilirubin 0.2-0.8 mg/dLAlbumin 3.5 – 4.8 g/dl Magnesium 1.6 – 2.4 mg/dl Total Cholesterol 0 – 200 mg/dL Triglycerides 30 – 200 mg/dLHDL 29 – 83 mg/dLLDL <130 mg/dLDigoxin 0.9 – 2.0 ng/mLFree T4 0.89 – 1.80 ng/dLT3 70 – 205 ng/dLTSH 0.350 – 5.500 uIU/mLCKMB 0.0 – 3.6 ng/mLTroponin 0.0 – 0.05 ng/mLLDH 100 – 190 U/L Pt. Initials: ________ Lab Results (Page 3 of 4)TEST NORMAL DATE DATE DATE DATE INTERPRETATIONCHEMISTRYCK/CPK 55-170U/LAmmonia 11-32 UMol/LHgA1C 4.8 – 6.0%BNP <100Amylase 24 – 115 U/LLipase 114 – 286 U/LABGs PH 7.35 –7.45 PCO2 35 – 45 mm/Hg PO2 80 - 100 mm/Hg HC03 22 – 26 meq/L TC02 22 – 29 meq/L O2 Administered BE Positive BE Negative OTHER LABS CULTURES MRSA NEGATIVE VRE NEGATIVE WOUND CULTURE OTHERPt. Initials: _______ Lab Results (Page 4 of 4)TEST NORMAL DATE DATE DATE DATE INTERPRETATIONURINALYSIS Color Straw/Amber Clarity Clear Glucose Neg Bilirubin Neg Urine Ketones Neg SPGR 1.001 - 1.035 Blood Neg Urine pH 4.5 to 8.0 Urine Protein Less than 30 Urobilnogen 0.2 - 1.0 Nitrites Neg Leukocytes NegWBC’s 0 - 3 RBC’s 0 - 3 Epithelial Cells Bacteria Specimen type Mucous Hyline Casts Squamous Cell Transitional Culture &
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