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Kamis, 10 Mei 2012

Nilai Normal Laboratorium



DeterminationNormal Reference Value
Conventional unitsSI units
Blood, Plasma or Serum
Ammonia (NH3) – diffusion20-120 mcg/dl12-70 mcmol/L
Ammonia Nitrogen15-45 µg/dl11-32 µmol/L
Amylase35-118 IU/L0.58-1.97 mckat/L
Anion gap (Na+-[Cl - + HCO3- ]) (P)7-16 mEq/L7-16 mmol/L
Antithrombin III (AT III)80–120 U/dl800–1200 U/L
Bicarbonate
Arterial21–28 mEq/L21–28 mmol/L
Venous22–29 mEq/L22–29 mmol/L
Bilirubin
Conjugated (direct) Total£ 0.2 mg/dl
&
0.1–1 mg/dl
£ 4 mcmol/L
&
2–18 mcmol/L
Calcitonin< 100 pg/ml< 100 ng/L
Calcium
Total8.6–10.3 mg/dl2.2–2.74 mmol/L
Ionized4.4–5.1 mg/dl1–1.3 mmol/L
Carbon dioxide content (plasma)21–32 mmol/L21–32 mmol/L
Carcinoembryonic antigen< 3 ng/ml< 3 mcg/L
Chloride95–110 mEq/L95–110 mmol/L
Coagulation screen
Bleeding time3–9.5 min180–570 sec
Prothrombin time10–13 sec10–13 sec
Partial thromboplastin time (activated)22–37 sec22–37 sec
Protein C0.7–1.4 µ/ml700–1400 U/ml
Protein S0.7–1.4 µ/ml700–1400 U/ml
Copper, total70–160 mcg/dl11–25 mcmol/L
Corticotropin (ACTH adrenocorticotropic hormone) – 0800 hr< 60 pg/ml< 13.2 pmol/L
Cortisol
0800 hr5–30 mcg/dl138–810 nmol/L
1800 hr2–15 mcg/dl50–410 nmol/L
2000 hr£ 50% of 0800 hr£ 50% of 0800 hr
Creatine kinase
Female20–170 IU/L0.33–2.83 mckat/L
Male30–220 IU/L0.5–3.67 mckat/L
Creatinine kinase isoenzymes, MB fraction0–12 IU/L0–0.2 mckat/L
Creatinine0.5–1.7 mg/dl44–150 mcmol/L
Fibrinogen (coagulation factor I)150–360 mg/dl1.5–3.6 g/L
Follicle-stimulating hormone (FSH)
Female2–13 mlU/ml2–13 IU/L
Midcycle5–22 mlU/ml5–22 IU/L
Male1–8 mlU/ml1–8 IU/L
Glucose, fasting65–115 mg/dl3.6–6.3 mmol/L
Glucose Tolerance Test (Oral)
(mg/dl)(mmol/L)
NormalDiabeticNormalDiabetic
Fasting70–105> 1403.9–5.8> 7.8
60 min120–170³ 2006.7–9.4³ 11.1
90 min100–140³ 2005.6–7.8³ 11.1
120 min70–120³ 1403.9–6.7³ 7.8
(g) – Glutamyltransferase (GGT)
Male9–50 units/L9–50 units/L
Female8–40 units/L8–40 units/L
Haptoglobin44–303 mg/dl0.44–3.03 g/L
Hematologic Tests
Fibrinogen200–400 mg/dl2–4 g/L
Hematocrit (Hct)
female36%-44.6%0.36–0.446 fraction of 1
male40.7%-50.3%0.4–0.503 fraction of 1
Hemoglobin A 1C5.3%-7.5% of total Hgb0.053–0.075
Hemoglobin (Hb)
female12.1–15.3 g/dl121–153 g/L
male13.8–17.5 g/dl138–175 g/L
Leukocyte count (WBC)3800–9800/mcl3.8–9.8 x 109/L
Erythrocyte count (RBC)
female3.5–5 x 106/mcl3.5–5 x 1012/L
male4.3–5.9 x 106/mcl4.3–5.9 x 1012/L
Mean corpuscular volume (MCV)80–97.6 mcm380–97.6 fl
Mean corpuscular hemoglobin (MCH)27–33 pg/cell1.66–2.09 fmol/cell
Mean corpuscular hemoglobin concentrate (MCHC)33–36 g/dl20.3–22 mmol/L
Erythrocyte sedimentation rate (sedrate, ESR)£30 mm/hr£30 mm/hr
Erythrocyte enzymes
Glucose-6 – Pphosphate dehydrognase (G-6-PD)250–5000 units/106cells250–5000 mcunits/cell

DeterminationReference Value
(Conventional units)(SI units)
Blood, Plasma or Serum:
Ammonia (NH3) – diffusion
20–120 mcg/dl12–70 mcmol/L
Ammonia Nitrogen15–45 µg/dl11–32 µmol/L
Amylase35–118 IU/L0.58–1.97 mckat/L
Anion gap (Na+-[Cl - + HCO3-]) (P)7–16 mEq/L7–16 mmol/L
Antithrombin III (AT III)80–120 U/dl800–1200 U/L
Bicarbonate:Arterial
Venous
21–28 mEq/L
22–29 mEq/L
21–28 mmol/L
22–29 mmol/L
Bilirubin: Conjugated (direct) Total£ 0.2 mg/dl
(0.1–1 mg/dl)
£ 4 mcmol/L
(2–18 mcmol/L)
Calcitonin< 100 pg/ml< 100 ng/L
Calcium:Total
Ionized
8.6–10.3 mg/dl
4.4–5.1 mg/dl
2.2–2.74 mmol/L
1–1.3 mmol/L
Carbon dioxide content (plasma)21–32 mmol/L21–32 mmol/L
Carcinoembryonic antigen< 3 ng/ml< 3 mcg/L
Chloride95–110 mEq/L95–110 mmol/L
Coagulation screen:
Bleeding time
Prothrombin time
Partial thromboplastin time (activated)
Protein C
Protein S
3–9.5 min
10–13 sec
22–37 sec
0.7–1.4 µ/ml
0.7–1.4 µ/ml
180–570 sec
10–13 sec
22–37 sec
700–1400 U/ml
700–1400 U/ml
Copper, total70–160 mcg/dl11–25 mcmol/L
Corticotropin
(ACTH adrenocorticotropic hormone) – 0800 hr
< 60 pg/ml< 13.2 pmol/L
Cortisol:0800 hr
1800 hr
2000 hr
5–30 mcg/dl
2–15 mcg/dl
£ 50% of 0800 hr
138–810 nmol/L
50–410 nmol/L
£ 50% of 0800 hr
Creatine kinase:Female
Male
20–170 IU/L
30–220 IU/L
0.33–2.83 mckat/L
0.5–3.67 mckat/L
Creatinine kinase isoenzymes, MB fraction0–12 IU/L0–0.2 mckat/L
Creatinine0.5–1.7 mg/dl44–150 mcmol/L
Fibrinogen (coagulation factor I)150–360 mg/dl1.5–3.6 g/L
Follicle-stimulating hormone (FSH):
Female
Midcycle
Male
2–13 mlU/ml
5–22 mlU/ml
1–8 mlU/ml
2–13 IU/L
5–22 IU/L
1–8 IU/L
Glucose, fasting65–115 mg/dl3.6–6.3 mmol/L
Glucose Tolerance Test (Oral)
Fasting
60 min
90 min
120 min
(mg/dl)
NormalDiabetic
70–105> 140
120–170³ 200
100–140³ 200
70–120³ 140
(mmol/L)
NormalDiabetic
3.9–5.8> 7.8
6.7–9.4³ 11.1
5.6–7.8³ 11.1
3.9–6.7³ 7.8
(g) -Glutamyltransferase (GGT):
Male
Female
9–50 units/L
8–40 units/L
9–50 units/L
8–40 units/L
Haptoglobin44–303 mg/dl0.44–3.03 g/L
DeterminationReference Value
Conventional unitsSI units
Hematologic tests:
Fibrinogen
Hematocrit (Hct),
female
male
Hemoglobin A 1C
Hemoglobin (Hb),
female
male
Leukocyte count (WBC)
Erythrocyte count (RBC):
female
male
Mean corpuscular volume (MCV)
Mean corpuscular hemoglobin
(MCH)
Mean corpuscular hemoglobin
concentrate (MCHC)
Erythrocyte sedimentation rate
(sedrate, ESR)
200–400 mg/dl
36%-44.6%
40.7%-50.3%
5.3%-7.5% of total Hgb
12.1–15.3 g/dl
13.8–17.5 g/dl
3800–9800/mcl
3.5–5 x 106/mcl
4.3–5.9 x 106/mcl
80–97.6 mcm3
27–33 pg/cell
33–36 g/dl
£30 mm/hr
2–4 g/L
0.36–0.446 fraction of 1
0.4–0.503 fraction of 1
0.053–0.075
121–153 g/L
138–175 g/L
3.8–9.8 x 109/L
3.5–5 x 1012/L
4.3–5.9 x 1012/L
80–97.6 fl
1.66–2.09 fmol/cell
20.3–22 mmol/L
£ 30 mm/hr
Erythrocyte enzymes:
Glucose-6 -
Pphosphate dehydrognase
(G-6-PD)
Ferritin
Folic acid: normal
Platelet count
Reticulocytes
Vitamin B12
250–5000 units/106cells
10–383 ng/ml
>3.1–12.4 ng/ml
150–450 x 103/mcl
0.5%-1.5% of erythrocytes
223–1132 pg/ml
250–5000 mcunits/cell
23–862 pmol/L
7–28.1 nmol/L
150–450 x 109/L
0.005–0.015
165–835 pmol/L
Iron:Female
Male
30–160 mcg/dl
45–160 mcg/dl
5.4–31.3 mcmol/L
8.1–31.3 mcmol/L
Iron binding capacity220–420 mcg/dl39.4–75.2 mcmol/L
Isocitrate dehydrogenase1.2–7 units/L1.2–7 units/L
Isoenzymes
Fraction 1
Fraction 2
Fraction 3
Fraction 4
Fraction 5
14%-26% of total
29%-39% of total
20%-26% of total
8%-16% of total
6%-16% of total
0.14–0.26 fraction of total
0.29–0.39 fraction of total
0.20–0.26 fraction of total
0.08–0.16 fraction of total
0.06–0.16 fraction of total
Lactate dehydrogenase100–250 IU/L1.67–4.17 mckat/L
Lactic acid (lactate)6–19 mg/dl0.7–2.1 mmol/L
Lead£ 50 mcg/dl£ 2.41 mcmol/L
Lipase10–150 units/L10–150 units/L
Lipids:
Total Cholesterol
Desirable
Borderline-high
High
LDL
Desirable
Borderline-high
High
HDL (low)
Triglycerides
Desirable
Borderline-high
High
Very high
< 200 mg/dl
200–239 mg/dl
> 239 mg/dl
< 130 mg/dl
130–159 mg/dl
> 159 mg/dl
< 35 mg/dl
< 200 mg/dl
200–400 mg/dl
400–1000 mg/dl
> 1000 mg/dl
< 5.2 mmol/L
< 5.2–6.2 mmol/L
> 6.2 mmol/L
< 3.36 mmol/L
3.36–4.11 mmol/L
> 4.11 mmol/L
< 0.91 mmol/L
< 2.26 mmol/L
2.26–4.52 mmol/L
4.52–11.3 mmol/L
> 11.3 mmol/L
Magnesium1.3–2.2 mEq/L0.65–1.1 mmol/L
Osmolality280–300 mOsm/kg280–300 mmol/kg
Oxygen saturation (arterial)94%-100%0.94 – fraction of 1
PCO2, arterial35–45 mm Hg4.7–6 kPa
pH, arterial7.35–7.457.35–7.45
DeterminationReference Value
Conventional unitsSI units
PO, arterial: Breathing room air
On 100% O
80–105 mm Hg
> 500 mm Hg
10.6–14 kPa
Phosphatase (acid), total at 37°C0.13–0.63 IU/L2.2–10.5 IU/L or
2.2–10.5 mckat/L
Phosphatase alkaline20–130 IU/L20–130 IU/L or
0.33–2.17 mckat/L
Phosphorus, inorganic, (phosphate)2.5–5 mg/dl0.8–1.6 mmol/L
Potassium3.5–5 mEq/L3.5–5 mmol/L
Progesterone
Female
Follicular phase
Luteal phase
Male
0.1–1.5 ng/ml
0.1–1.5 ng/ml
2.5–28 ng/ml
< 0.5 ng/ml
0.32–4.8 nmol/L
0.32–4.8 nmol/L
8–89 nmol/L
< 1.6 nmol/L
Prolactin1.4–24.2 ng/ml1.4–24.2 mcg/L
Prostate specific antigen
Protein: Total
Albumin
Globulin
0–4 ng/ml
6–8 g/dl
3.6–5 g/dl
2.3–3.5 g/dl
0–4 ng/ml
60–80 g/L
36–50 g/L
23–35 g/L
Rheumatoid factor< 60 IU/ml< 60 kIU/L
Sodium135–147 mEq/L135–147 mmol/L
Testosterone:
Female
Male
6–86 ng/dl
270–1070 ng/dl
0.21–3 nmol/L
9.3–37 nmol/L
Thyroid Hormone Function Tests:
Thyroid-stimulating hormone (TSH)
Thyroxine-binding globulin capacity
Total triiodothyronine (T3)
Total thyroxine by RIA (T4)
T3 resin uptake
0.35–6.2 mcU/ml
10–26 mcg/dl
75–220 ng/dl
4–11 mcg/dl
25%-38%
0.35–6.2 mU/L
100–260 mcg/L
1.2–3.4 nmol/L
51–142 nmol/L
0.25–0.38 fraction of 1
Transaminase, AST (aspartate aminotransferase, SGOT)11–47 IU/L0.18–0.78 mckat/L
Transaminase, ALT (alanine aminotransferase, SGPT)7–53 IU/L0.12–0.88 mckat/L
Transferrin220–400 mg/dL2.20–4.00 g/L
Urea nitrogen (BUN)8–25 mg/dl2.9–8.9 mmol/L
Uric acid3–8 mg/dl179–476 mcmol/L
Vitamin A (retinol)15–60 mcg/dl0.52–2.09 mcmol/L
Zinc50–150 mcg/dl7.7–23 mcmol/L
1 Tergantung pada usia
2 Bayi dan anak sampai 104 U/L
3 Bayi usia 1 tahun sampai 6 mg/dl
Urine
DeterminationReference Value
Conventional unitsSI units
Calcium50–250 mcg/day1.25–6.25 mmol/day
Catecholamines:
Epinephrine
Norepinephrine
< 20 mcg/day
< 100 mcg/day
< 109 nmol/day
< 590 nmol/day
Catecholamines, 24-hr< 110 µg< 650 nmol
Copper15–60 mcg/day0.24–0.95 mcmol/day
Creatinine:
Child
Adolescent
Female
Male
8–22 mg/kg
8–30 mg/kg
0.6–1.5 g/day
0.8–1.8 g/day
71–195 µmol/kg
71–265 µmol/kg
5.3–13.3 mmol/day
7.1–15.9 mmol/day
pH4.5–84.5–8
Phosphate0.9–1.3 g/day29–42 mmol/day
Potassium25–100 mEq/day25–100 mmol/day
Protein
Total
At rest
1–14 mg/dL
50–80 mg/day
10–140 mg/L
50–80 mg/day
Protein, quantitative< 150 mg/day< 0.15 g/day
Sodium100–250 mEq/day100–250 mmol/day
Specific gravity, random1.002–1.0301.002–1.030
Uric acid, 24-hr250–750 mg1.48–4.43 mmol
1 Tergantung pada diet.
Drug Levels*
Drug DeterminationReference Value
Conventional unitsSI units
AminoglycosidesAmikacin
(trough)
(peak)
1–8 mcg/ml
1.7–13.7 mcmol/L
20–30 mcg/ml
34–51 mcmol/L
Gentamicin
(trough)
(peak)
0.5–2 mcg/ml
6–10 mcg/ml
1–4.2 mcmol/L
12.5–20.9 mcmol/L
Kanamycin
(trough)
(peak)
5–10 mcg/ml
20–25 mcg/ml
nd
nd
Netilimicin
(trough)
(peak)
0.5–2 mcg/ml
6–10 mcg/ml
nd
nd
Streptomycin
(trough)
(peak)
< 5 mcg/ml
5–20 mcg/ml
nd
nd
Tobramycin
(trough)
(peak)
0.5–2 mcg/ml
5–20 mcg/ml
1.1–4.3 mcmol/L
12.8–21.8 mcmol/L
Drug DeterminationReference Value
Conventional unitsSI units
AntiarrhythmicsAmiodarone0.5–2.5 mcg/ml1.5–4 mcmol/L
Bretylium0.5–1.5 mcg/mlnd
Digitoxin9–25 mcg/L11.8–32.8 nmol/L
Digoxin0.8–2 ng/ml0.9–2.5 nmol/L
Disopyramide2–8 mcg/ml6–18 mcmol/L
Flecainide0.2–1 mcg/mlnd
Lidocaine1.5–6 mcg/ml4.5–21.5 mcmol/L
Mexiletine0.5–2 mcg/mlnd
Procainamide4–8 mcg/ml17–34 mcmol/ml
Propranolol50–200 ng/ml190–770 nmol/L
Quinidine2–6 mcg/ml4.6–9.2 mcmol/L
Tocainide4–10 mcg/mlnd
Verapamil0.08–0.3 mcg/mlnd
AnticonvulsantsCarbamazepine4–12 mcg/ml17–51 mcmol/L
Phenobarbital10–40 mcg/ml43–172 mcmol/L
Phenytoin10–20 mcg/ml40–80 mcmol/L
Primidone4–12 mcg/ml18–55 mcmol/L
Valproic Acid40–100 mcg/ml280–700 mcmol/L
AntidepressantsAmitriptyline110–250 ng/ml500–900 nmol/L
Amoxapine200–500 ng/mlnd
Bupropion25–100 ng/mlnd
Clomipramine80–100 ng/mlnd
Desipramine115–300 ng/mlnd
Doxepin110–250 ng/mlnd
Imipramine225–350 ng/mlnd
Maprotiline200–300 ng/mlnd
Nortriptyline50–150 ng/mlnd
Protriptyline70–250 ng/mlnd
Trazodone800–1600 ng/mlnd
AntipsychoticsChlorpromazine50–300 ng/ml150–950 nmol/L
Fluphenazine0.13–2.8 ng/mlnd
Haloperidol5–20 ng/mlnd
Perphenazine0.8–1.2 ng/mlnd
Thiothixene2–57 ng/mlnd
Drug DeterminationReference Value
Conventional unitsSI units
MiscellaneousAmantadine
Amrinone
300 ng/ml
3.7 mcg/ml
nd
nd
Chloramphenicol10–20 mcg/ml31–62 mcmol/L
Cyclosporine250–800 ng/ml
(whole blood, RIA)
50–300 ng/ml (plasma, RIA)
nd
nd
Ethanol0 mg/dl0 mmol/L
Hydralazine100 ng/mlnd
Lithium0.6–1.2 mEq/L0.6–1.2 mmol/L
Salicylate100–300 mg/L724–2172 mcmol/L
Sulfonamide5–15 mg/dlnd
Terbutaline0.5–4.1 ng/mlnd
Theophylline10–20 mcg/ml55–110 mcmol/L
Vancomycin
(trough)
(peak)
5–15 ng/ml
20–40 mcg/ml
nd
nd
* Nilai yang diberikan secara umum dapat digunakan untuk terapi tanpa terjadi efek toksik pada kebanyakan pasien, Namun pengecualian juga tidak jarang terjadi.
1 nd = data tidak tersedia.
2 Metabolit N-desmethyl beserta turunannya.
3 Nilai 24 jam.
4 Toksik: 50–100 mg/dl (10.9–21.7 mmol/L).
Diambil dari The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, National Institutes of Health.
Classification of Blood Pressure *
CategoryReference value
Systolic (mm Hg)Diastolic (mm Hg)
Optimal< 120and< 80
Normal< 130and< 85
High-normal130–139or85–89
Hypertension
Stage 1
Stage 2
Stage 3
140–159
160–179
³ 180
or
or
or
90–99
100–109
³ 110
* Untuk dewasa berusia 18 atau lebih yang tidak dalam pengobatan anti hipertensi dan tidak dalam kondisi akut. Ketika tekanan sistole dan diastole masuk ke dalam kategori lain, maka kategori di atasnya harus dipilih untuk menentukan klasifikasi status tekanan darah penderita. Sebagai tambahan dalam menentukan stadium hipertensi, seorang praktisi medis harus menentukan ada atau tidaknya penyakit pada target organ serta faktor resiko lainnya.
1 Tekanan darah yang optimal terhadap resiko kardiovaskular adalah dibawah 120/88 m Hg. Namun demikian, nilai rendah yang tidak wajar harus dievaluasi untuk menemukan kelainan klinis yang signifikan.
2 Berdasarkan atas pembacaan sebanyak 2 kali atau lebih pada pemeriksaan awal.

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