Lab tests & possible reasons for abnormal results:

(Critical values in parenthesis.)

1. CK: >200 (>351-2000 critical) = Muscle damage (nonspecific)
2. CKMB: >2.5-3.0 (>5.5) = Heart muscle damage
3. Troponin: >0.1 (>0.4) = Heart muscle damage (most specific)
4. ALK: >136 = Liver or bone damage
5. ALP: >150 = Liver or bone damage
6. AST: >37 (>200 critical) = Liver tissue damage (nonspecific)
7. ALT: >65 = Liver tissue damage (Specific for Hepatitis)
8. Biliruben: >1.0 = Liver cell damage (best indicator of liver function)
9. Albumin: >5.0 = Dehydration (best indicator of liver function)
<3.5 (<1.5) = Liver disease, shock, malnutrition
10. Gamma-Gt: >51 = CHF, liver damage
11. BNP: >100 = CHF (300=mild, 600=mod, 900 severe)
OK = 125-450, <75 YO = 125, >75 YO = 450
12. Glucose: >120 (>350) = Diabetes (>150 = insulin protocol)
<90 (<40)= Liver failure if not on Insulen (sepsis?)
13. GFR: <60 (<29 critical) <15=Kidney failure
14. BUN: >18 (>45 critical) = Kidney problems, CHF, shock, stress
MI, dehydration, GI bleed
<07 = Severe liver disease, malnutrition, over-hydrated
15. Creatinin: >1.7 (3.0 critical) = Kidney probs, dehydration, CHF, shock
16. Sodium: >145 (>160 critical) = Dehydration
<136 (<120) Kidney disease, over-hydrated (edema), not
eating well, CHF, effects of Lasix, diarrhea, vomiting
sweating. (<126=critical, confusion, lethargy, seizures)
17. Potassium: >5.1 (>6 critical) Kidney failure, massive tissue trauma,
(post op), metabolic acidosis (diabetes), dehydration.
<3.5 (<2.8) = Not enough in diet, gastro-intestinal disorder,
vomiting. Due to Insulen, Lasix, dig, steroids?
18. Magnesium: >2.4(>2.7) = Kidney failure, dehydration, diabetic acidosis
<1.3 (<1.0 critical) Malnourished (low intake), elderly,
alcoholism, long-term diuretic use, diarrhea.
19. Chloride: >107 = Dehydration, met acidosis, hypoventilation (alkalosis)
<98) = When Sodium low
20. Calcium: >10.1 (>13) = Bone breaks, prolonged bed rest, etc.
<8.5 (<6) = Bone disease, malnutrition, alcoholism
21. PTT/ PT: >33/ >12.7(>60/>40) = transfusion, therapeutic, DIC.
PTT is one of the best measures of liver function.
<24/<10 = Impaired clotting ability
22. INR: >1.2 (>6) = Acute bleed, DIC or therapeutic.
23. Fibrinogen: >450 = Risk for heart disease (checked often)
<160 (<70) = Acute bleed, liver disease, malnutrition, DIC
24. D-Dimer: >500 = DVT, PE, DIC, acute bleed, surgery, trauma
25. Platelets: <80,000 = bleeding problems, Heparin, DIC alcoholic,
leukemia (Vitamin K increases clotting)
26. Phosphorus: >4.1 (>8) = Liver disease, Kidney failure, bone mets.
<3.0 (<1.1) = Diabetic Keto-acidosis
27. Uric Acid: >7.0 = Acidosis, alcoholism, diabetes, Kidney failure
28. Folic Acid: <2.0 = Malnutrition
29. Lactic Acid: >19.8 = Hypoxia, O2 deprivation, shock, CHF, tissue death
Increases when organs failing/dying (sepsis?)
30. LDH: >136 (>350 critical) = Nonspecific Tissue damage or death
31. Osmology >300 = Dehydration
32. Hematocrit: >47 = Dehydration
33. Keytones: Positive test = Diabetes, starvation, vomiting, increased
metabolism (fever, severe illness).
34. Neutrophils: >48-73% = increased levels of bacterial infection (acute)
a. Segs >60 if new infection
b. Bands >2% = worsening infection
35. Eisinophils: >2% with allergic reaction (associated with asthma).
36. Lymphocytes: >18-48% = may indicate viral infection (mono, measles, pox)
37. Basophils: >2% = allergic reaction