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Wednesday, December 15, 2010

More Blood Tests for the Liver Transplant Candidate and What they Mean.


More blood tests for the liver transplant candidate and what they mean. 
These values presented represent expected normal data. 
Blood Gases

Arterial
Venous
pH
7.35–7.45
7.32–7.42
pCO2: millimeters of mercury, mmHg
35–45 mmHg
38–52 mmHg
pO2
70–100 mmHg
28–48 mmHg
HCO3
19–25 mmol/L
19–25 mmol/L
O2 Sat %
90–95
40–70

CBC: Complete blood count, Adults

Male
Female
Hemoglobin (g/dl)
13.5–16.5
12.0–15.0
Hematocrit (%)
41–50
36–44
RBC's ( x 106 /ml)
4.5–5.5
4.0–4.9
RDW (RBC distribution width)
11.5%–14.6%
MCV: mean corpuscular volume
82–98 femtoliters (fl)
MCH: mean corpuscular hemoglobin
26–34 picograms (pg)
MCHC%: mean corpuscular hemoglobin content
31–38 gm/dL or 31%–38%
Platelet count
100,000 to 450,000

WBC: White blood cell differential
WBC total: adults and children >2 years
4,500–10,000 or 4.5–10 x 109/liter (SI units)
WBC total: children <2 years
6,200–17,000 or 6.2–17 x 109/liter (SI units)
WBC total: neonates
9,00–30,000 or 9–30 x 109/liter (SI units)
Neutrophils
55%–70%
2500–8000 per ml
Band neutrophils (immature or stab neutrophils)
0%–3%
0–400 per ml
Lymphocytes
20%–40
1000–4000 per ml
Monocytes
2%–8%
100–700 per ml
Eosinophils
1%–4%
50–500 per ml
Basophils (also called mast cells)
0.1%–1%
25–100 per ml

Red blood cell (RBC) count
Men
4.7–6.1 x 106 RBCs per microliter (mcL, μL) or 4.7–6.1 x 1012/liter (L) (2nd value is in SI units)
Women
4.2–5.4 x 106 RBCs/µL or 4.2–5.4 x 1012/L
Children
4.0–5.5 x 106 RBCs/µL or 4.6–4.8 x 1012/L
Newborn
4.8–7.1 x 106 RBCs/µL or 4.8–7.1 x 1012/L

Platelet (thrombocyte) count
Children
150,000–450,000 platelets per mm3 or 150–450 x 109/L (SI units)
Adults
150,000–400,000 platelets per mm3 or 150–400 x 109/L (SI units)

Mean platelet volume (MPV)
Children
7.4–10.4 mcm3 or 7.4–10.4 fL
Adults
7.4–10.4 mcm3 or 7.4–10.4 fL

Blood coagulation time
partial thromboplastin time (PTT)
60–70 seconds
activated partial thromboplastin time (aPTT)
30–40 seconds
prothrombin time (PT)
11.0–12.5 seconds; 85%–100%

Hematocrit (HCT)
Men
42%–52% or 0.42–0.52 volume fraction (SI units)
Women
37%–47% or 0.37–0.47 volume fraction
Pregnant women
1st trimester: 35%–46%
2nd trimester: 30%–42%
3rd trimester: 34%–44%
Postpartum: 30%–44%
Children
32%–44%
Newborns
44%–64%

Hemoglobin (Hgb)
in general, a normal hemoglobin level is about one-third the value of the hematocrit
Men
14–18 grams per deciliter (g/dL) or 8.7–11.2 millimoles per liter (mmol/L) (SI units)
Women
12–16 g/dL or 7.4–9.9 mmol/L
Pregnant women
1st trimester: 11.4–15.0 g/dL or 7.1–9.3 mmol/L
2nd trimester: 10.0–14.3 g/dL or 6.2–8.9 mmol/L
3rd trimester: 10.2–14.4 g/dL or 6.3–8.9 mmol/L
Postpartum: 10.4–18.0 g/dL or 6.4–9.3 mmol/L
Children
9.5–15.5 g/dL
Newborn
14–24 g/dL

Electrolytes and blood chemistry
BUN: blood urea nitrogen
7–20 mg/dL or 3.6–7.1mM (mmol/L)
Calcium
8.8–10.3 mg/dL
Calcium, ionized
2.2–2.6mM
Chloride
95–107mM
Magnesium
1.6–2.4mM
Phosphate
2.5–4.5 mg/dL or 1.0–1.4mM
Potassium
3.5–5.2mM
Sodium
135–147mM
Ferritin  (ng/ml)
13–300
Folate  (ng/dl)
3.6–20
Glucose, fasting  (mg/dl)
60–110
Glucose (2 hours postprandial)  (mg/dl)
Up to 140
Hemoglobin A1c
6–8
Iron  (mcg/dl)
65–150
Lactic acid  (milliequivalents/liter, meq/L)
0.7–2.1
LDH (lactate dehydrogenase), international units/liter: IU/L
56–194 IU/L
Osmolality
289–308 mOsm/kg
SGOT (AST)
< 35 IU/L  (20–48)
SGPT (ALT)
<35 IU/L
Total iron binding capacity (TIBC)
250–420  μ/dl
Transferrin
> 200 mg/dl
Uric acid    (male)
2.0–8.0 mg/dl
Uric acid    (female)
2.0–7.5 mg/dl

Creatinine kinase (CK) isoenzymes
CK-BB
0%
CK-MB (cardiac)
0%–3.9%
CK-MM
96%–100%
creatine phosphokinase (CPK)
8–150 IU/L
creatinine (mg/dl)
0.5–1.4 or <133mM (mmol/L)

Serum Protein
Total protein
6–8.5g/dL

Albumin
3.2–5g/dL

Globulin
2.2–4.2g/dL

Albumin/Globulin ratio
1.1–2.4 (calculated)


Thyroid Function tests
Free T3
2.3–4.2 pg/ml
Serum T3
70–200 ng/dl
Free T4
0.5–2.1 ng/dl
Serum T4
4.0–12.0 μ/dl
TSH
0.25–4.30 microunits/ml


In the next blog I will include an alphabetical listing of numerous clinical values and a partial glossary.  Please try and stay awake.

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