Reference Values For Laboratory Tests
Reference Values For Laboratory Tests
Reference Values For Laboratory Tests
Provided by:
Harrison's Hematology and Oncology, 2e
APPENDIX: LABORATORY VALUES OF CLINICAL IMPORTANCE
REFERENCE VALUES FOR LABORATORY TESTS
TABLE 1
HEMATOLOGY AND COAGULATION
Antiphospholipid antibody panel
Anticardiolipin antibody S
Antithrombin III P
AntiXa assay (heparin assay) P
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein
Unfractionated heparin 0.3–0.7 kIU/L 0.3–0.7 IU/mL Page 1 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Lowmolecularweight heparin 0.5–1.0 kIU/L 0.5–1.0 IU/mL
Access Provided by:
Antigenic 220–390 mg/L 22–39 mg/dL
AntiXa assay (heparin assay) P
Bone marrow: See Table 7
Differential blood count WB
Relative counts:
Absolute counts:
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Erythrocyte count WB
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 2 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Adult males 4.30–5.60 × 1012/L 4.30–5.60 × 106/mm3
12 6 3
Access Provided by:
Eosinophils 0–0.54 × 109/L 0–540/mm3
Erythrocyte count WB
Erythrocyte life span WB
Erythrocyte sedimentation rate WB
Hematocrit WB
Hematocrit WB
Hemoglobin
Whole blood: WB
Hemoglobin electrophoresis WB
Leukocytes
Osmotic fragility of erythrocytes WB
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein
Direct 0.0035–0.0045 0.35–0.45% Page 4 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Indirect 0.0030–0.0065 0.30–0.65%
Mean corpuscular volume (MCV) WB 79–93.3 fL 79–93.3 μm3
Access Provided by:
Osmotic fragility of erythrocytes WB
Plasminogen P
Prekallikrein screen P No deficiency detected
Protein C P
Protein S P
Reticulocyte count WB
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Adult males 0.008–0.023 red cells 0.8–2.3% red cells
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 5 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Adult females 0.008–0.020 red cells 0.8–2.0% red cells
Red cell distribution width WB <0.145 <14.5%
Access Provided by:
Reticulocyte count WB
Ristocetin cofactor (functional von P
Willebrand factor)
Viscosity
von Willebrand factor (vWF) antigen
(factor VIII:R antigen)
White blood cells: see "Leukocytes"
Abbreviations: JF, joint fluid; P, plasma; PRP, plateletrich plasma; S, serum; WB, whole blood.
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein
TABLE 2 Page 6 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
CLINICAL CHEMISTRY AND IMMUNOLOGY
von Willebrand factor multimers P Normal distribution Normal distribution
Access Provided by:
White blood cells: see "Leukocytes"
Abbreviations: JF, joint fluid; P, plasma; PRP, plateletrich plasma; S, serum; WB, whole blood.
TABLE 2
CLINICAL CHEMISTRY AND IMMUNOLOGY
Aldosterone (adult)
Androstendione (adult) S
Females
Apolipoprotein A1 S
Apolipoprotein B S
Arterial blood gases WB
Autoantibodies S
Antiglomerular basement
membrane antibodies
Bence Jones protein, serum S
quantitative
Bilirubin S
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
CA 199 S <37 kU/L <37 U/mL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 9 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
CA 153 S <33 kU/L <33 U/mL
C peptide S 0.27–1.19 nmol/L 0.8–3.5 ng/mL
Access Provided by:
Calcitonin S
Carboxyhemoglobin (carbon WB
monoxide content)
Carcinoembryonic antigen S
(CEA)
Cholesterol: see Table 5
Complement S
Complement total 60–144 CAE units
Downloaded 2023227 6:2 P Your IP is 172.58.89.101 60–144 CAE units
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 10 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Cortisol
Cortisol
Creatine kinase (total) S
Creatine kinaseMB S
Creatinine S
Dehydroepiandrosterone
(DHEA) (adult)
Dehydroepiandrosterone S
(DHEA) sulfate
Dihydrotestosterone
Epinephrine P
Estradiol S, P
Female
Menstruating:
Estrone S, P
Female
Menstruating:
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Postmenopausal 11–118 pmol/L 3–32 pg/mL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 12 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Male 33–133 pmol/L 9–36 pg/mL
Menstruating:
Access Provided by:
Ferritin S
Folliclestimulating hormone S, P
(FSH)
Female
Menstruating
Glucose (fasting) P
Hemoglobin A1c WB
suggested by the American Diabetes Association by the American Diabetes Association
Highdensity lipoprotein (HDL)
(see Table 5)
Human chorionic S
gonadotropin (HCG)
17Hydroxyprogesterone S
(adult)
Female
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Luteal phase 1.05–8.7 nmol/L 35–290 ng/dL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 14 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Immunofixation S Not applicable No bands detected
Immunoglobulin, quantitation
Male <4.17 nmol/L <139 ng/dL
Access Provided by:
Female
Immunoglobulin, quantitation
(adult)
Lipids: see Table 5
Lowdensity lipoprotein (LDL)
(see Table 5)
Luteinizing hormone (LH) S, P
Female
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein
Menstruating Page 15 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Follicular phase 2.0–15.0 U/L 2.0–15.0 mIU/mL
Ovulatory phase 22.0–105.0 U/L 22.0–105.0 mIU/mL
(see Table 5) Access Provided by:
Luteinizing hormone (LH) S, P
Female
Menstruating
Myoglobin S
Norepinephrine P
Ntelopeptide (crosslinked), S
NTx
Oxygen content WB
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Phosphatase, alkaline S 0.56–1.63 μkat/L 33–96 U/L
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 16 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Phosphorus, inorganic S 0.81–1.4 mmol/L 2.5–4.3 mg/dL
Progesterone S, P
Prolactin S
Protein fractions: S
Sex hormone–binding globulin S
(adult)
SomatomedinC (IGF1) (adult) S
Access Provided by:
Sex hormone–binding globulin S
(adult)
SomatomedinC (IGF1) (adult) S
Testosterone, free
Testosterone, total, S
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Triglycerides (see Table 5) S 0.34–2.26 mmol/L 30–200 mg/dL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 18 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Triiodothyronine, free (fT3) S 3.7–6.5 pmol/L 2.4–4.2 pg/mL
Thyroxine, total (T4) S 70–151 nmol/L 5.4–11.7 μg/dL
Access Provided by:
Troponin I (method S, P
dependent)
Troponin T S, P
Uric acid S
Abbreviations: BCE, bone collagen equivalent; IGF, insulinlike growth factor; P, plasma; S, serum; WB, whole blood.
TABLE 3
TOXICOLOGY AND THERAPEUTIC DRUG MONITORING
THERAPEUTIC RANGE TOXIC LEVEL
Amikacin
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Amphetamine 150–220 nmol/L 20–30 ng/mL >1500 nmol/L >200 ng/mL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 19 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Bromide 9.4–18.7 mmol/L 75–150 mg/dL >18.8 mmol/L >150 mg/dL
Peak 34–51 μmol/L 20–30 μg/mL >60 μmol/L >35 μg/mL Access Provided by:
Chloramphenicol
Cyclosporine
Renal transplant
Cardiac transplant
Lung transplant
Liver transplant
Desipramine 375–1130 nmol/L
Downloaded 2023227 6:2 P Your IP is 172.58.89.101 100–300 ng/mL >1880 nmol/L >500 ng/mL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 20 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Diazepam (and metabolite)
Diazepam (and metabolite)
Doxepin and nordoxepin
Ethanol
Ethylene glycol
Gentamicin
Imipramine (and metabolite)
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Methadone 1.0–3.2 μmol/L 0.3–1.0 μg/mL >6.5 μmol/L >2 μg/mL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 21 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Methamphetamine 0.07–0.34 μmol/L 0.01–0.05 μg/mL >3.35 μmol/L >0.5 μg/mL
Lamotrigine 11.7–54.7 μmol/L 3–14 μg/mL >58.7 μmol/L >15 μg/mL
Access Provided by:
Methotrexate
Primidone and metabolite
Procainamide
Sirolimus (trough level)
Tacrolimus (FK506) (trough)
Initiation
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Maintenance 6–12 nmol/L 5–10 ng/mL >25 nmol/L >20 ng/mL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 22 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Heart
Tacrolimus (FK506) (trough)
Access Provided by:
Initiation
Heart
Thiocyanate
Tobramycin
Vancomycin
TABLE 4
VITAMINS
AND SELECTED TRACE MINERALS
REFERENCE RANGE
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
Folic acid S 12.2–40.8 nmol/L 5.4–18.0 ng/mL
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 23 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
Lead (adult) S <0.5 μmol/L <10 μg/dL
REFERENCE RANGE
Abbreviations: P, plasma; RC, red cells; S, serum; WB, whole blood.
TABLE 5
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein
CLASSIFICATION OF LDL, TOTAL, AND HDL CHOLESTEROL Page 24 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility
LDL Cholesterol
Access Provided by:
Zinc S 11.5–18.4 μmol/L 75–120 μg/dL
Abbreviations: P, plasma; RC, red cells; S, serum; WB, whole blood.
TABLE 5
CLASSIFICATION OF LDL, TOTAL, AND HDL CHOLESTEROL
LDL Cholesterol
<70 mg/dL Therapeutic option for very high risk patients
<100 mg/dL Optimal
100–129 mg/dL Near optimal/above optimal
130–159 mg/dL Borderline high
160–189 mg/dL High
≥190 mg/dL Very high
Total Cholesterol
<200 mg/dL Desirable
200–239 mg/dL Borderline high
≥240 mg/dL High
HDL Cholesterol
<40 mg/dL Low
≥60 mg/dL High
Abbreviations: LDL, lowdensity lipoprotein; HDL, highdensity lipoprotein.
Source: Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high
blood cholesterol in adults (adult treatment panel III). JAMA 2001; 285:2486–97. Implications of Recent Clinical Trials for the National Cholesterol Education
Program Adult Treatment Panel III Guidelines. SM Grundy et al for the Coordinating Committee of the National Cholesterol Education Program: Circulation 110:227,
2004.
Downloaded 2023227 6:2 P Your IP is 172.58.89.101
REFERENCE VALUES FOR LABORATORY TESTS, Alexander Kratz; Michael A. Pesce; Robert C. Basner; Andrew J. Einstein Page 25 / 25
©2023 McGraw Hill. All Rights Reserved. Terms of Use • Privacy Policy • Notice • Accessibility