blood tests: normal values - normal laboratory values - merck manual professional version

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05/05/15 17:10 Blood Tests: Normal Values - Normal Laboratory Values - Merck Manual Professional Version Página 1 de 11 http://www.merckmanuals.com/professional/appendixes/normal-laboratory-values/blood-tests-normal-values#v8508814 PROFESSIONAL VERSION Normal Laboratory Values: Blood, Plasma, and Serum Test Specimen Conventional Units SI Units Acetoacetate Plasma < 1 mg/dL < 0.1 mmol/L Acetylcholinesterase (ACE), RBC Blood 26.7–49.2 U/g Hb Acid phosphatase Serum 0.5–5.5 U/L 0–0.9 μkat/L Activated partial thromboplastin time (aPTT) Plasma 25–35 sec Adrenocorticotropic hormone (ACTH) Serum 9–52 pg/mL 2–11 pmol/L Albumin Serum 3.5–5.5 g/dL 35–55 g/L Aldosterone: Standing Serum 7–20 ng/dL 194–554 pmol/L Supine Serum 2–5 ng/dL 55–138 pmol/L Alkaline phosphatase (ALP) Serum 36–92 U/L 0.5–1.5 μkat/L Alpha 1 -antitrypsin (AAT) Serum 83–199 mg/dL Alpha fetoprotein (AFP) Serum 0–20 ng/dL 0–20 pg/L δ-Aminolevulinic acid (ALA) Serum 15–23 μg/L 1.14–1.75 μmol/L Aminotransferase, alanine (ALT) Serum 0–35 U/L 0–0.58 pkat/L Aminotransferase, aspartate (AST) Serum 0–35 U/L 0–0.58 pkat/L Ammonia Plasma 40–80 μg/dL 23–47 μmol/L Amylase Serum 0–130 U/L 0–2.17 μkat/L Antibodies to extractable nuclear antigen (AENA) Serum < 20.0 units Anti–cyclic citrullinated peptide (anti-CCP) antibodies Serum 5.0 units Antidiuretic hormone (ADH; arginine vasopressin) Plasma < 1.7 pg/mL < 1.57 pmol/L Anti–double-stranded DNA (dsDNA) antibodies, IgG Serum < 25 IU Antimitochondrial M2 Serum < 0.1 units

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  • 05/05/15 17:10Blood Tests: Normal Values - Normal Laboratory Values - Merck Manual Professional Version

    Pgina 1 de 11http://www.merckmanuals.com/professional/appendixes/normal-laboratory-values/blood-tests-normal-values#v8508814

    PROFESSIONAL VERSION

    Normal Laboratory Values: Blood, Plasma, and Serum

    Test Specimen Conventional Units SI Units

    Acetoacetate Plasma < 1 mg/dL < 0.1 mmol/L

    Acetylcholinesterase (ACE), RBC Blood 26.749.2 U/g Hb

    Acid phosphatase Serum 0.55.5 U/L 00.9 kat/L

    Activated partial thromboplastintime (aPTT)

    Plasma 2535 sec

    Adrenocorticotropic hormone(ACTH)

    Serum 952 pg/mL 211 pmol/L

    Albumin Serum 3.55.5 g/dL 3555 g/L

    Aldosterone:

    Standing Serum 720 ng/dL 194554 pmol/L

    Supine Serum 25 ng/dL 55138 pmol/L

    Alkaline phosphatase (ALP) Serum 3692 U/L 0.51.5 kat/L

    Alpha 1 -antitrypsin (AAT) Serum 83199 mg/dL

    Alpha fetoprotein (AFP) Serum 020 ng/dL 020 pg/L

    -Aminolevulinic acid (ALA) Serum 1523 g/L 1.141.75 mol/L

    Aminotransferase, alanine (ALT) Serum 035 U/L 00.58 pkat/L

    Aminotransferase, aspartate(AST)

    Serum 035 U/L 00.58 pkat/L

    Ammonia Plasma 4080 g/dL 2347 mol/L

    Amylase Serum 0130 U/L 02.17 kat/L

    Antibodies to extractablenuclear antigen (AENA)

    Serum < 20.0 units

    Anticyclic citrullinated peptide(anti-CCP) antibodies

    Serum 5.0 units

    Antidiuretic hormone (ADH;arginine vasopressin)

    Plasma < 1.7 pg/mL < 1.57 pmol/L

    Antidouble-stranded DNA(dsDNA) antibodies, IgG

    Serum < 25 IU

    Antimitochondrial M2Serum < 0.1 units

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    antibodies

    Antineutrophil cytoplasmicantibodies (cANCA)

    Serum Negative

    Antinuclear antibodies (ANA) Serum 1.0 units

    Antismooth muscle antibodies(ASMA) titer

    Serum 1:80

    Antistreptolysin O titer Serum < 150 units

    Antithyroid microsomalantibody titer

    Serum < 1:100

    1 -Antitrypsin (AAT) Serum 83199 mg/dL 15.336.6 mol/L

    Apolipoproteins:

    A-I, females Serum 98210 mg/dL 0.982.1 g/L

    A-I, males Serum 88180 mg/dL 0.881.8 g/L

    B-100, females Serum 44148 mg/dL 0.441.48 g/L

    B-100, males Serum 55151 mg/dL 0.551.51 g/L

    Bicarbonate Serum 2328 mEq/L 2328 mmol/L

    Bilirubin:

    Direct Serum 00.3 mg/dL 05.1 mol/L

    Total Serum 0.31.2 mg/dL 5.120.5 mol/L

    Blood volume:

    Plasma, females Blood 2843 mL/kg body wt0.0280.043 L/kgbody wt

    Plasma, males Blood 2544 mL/kg body wt0.0250.044 L/kgbody wt

    RBCs, females Blood 2030 mL/kg body wt0.020.03 L/kg bodywt

    RBCs, males Blood 2535 mL/kg body wt0.0250.035 L/kgbody wt

    Brain (B-type) natriuretic peptide(BNP)

    Plasma < 100 pg/mL

    Calcitonin, age 16 yr:

    Females Serum < 8 pg/mL

    Males Serum < 16 pg/mL

    Calcium Serum 910.5 mg/dL 2.22.6 mmol/L

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    Cancer antigen (CA):

    CA 125 Serum < 35 U/mL

    CA 15-3 Serum < 30 U/mL

    Carbon dioxide (CO 2 ) content Serum 2328 mEq/L 2328 mmol/L

    Carbon dioxide partial pressure(P CO 2 )

    Blood 3545 mm Hg

    Carboxyhemoglobin Plasma 0.55%

    Carcinoembryonic antigen (CEA) Serum < 2 ng/mL < 2 g/L

    Carotene Serum 75300 g/L 1.45.6 mol/L

    CD4:CD8 ratio Blood 14

    CD4+ T-cell count Blood 6401175/L 0.641.18 x 10 9 /L

    CD8+ T-cell count Blood 335875/L 0.340.88 x 10 9 /L

    Ceruloplasmin Serum 2543 mg/dL 250430 mg/L

    Chloride Serum 98106 mEq/L 98106 mmol/L

    Cholesterol, desirable level:

    High-density lipoprotein (HDL-C) Plasma 40 mg/dL 1.04 mmol/L

    Low-density lipoprotein (LDL-C) Plasma 130 mg/dL 3.36 mmol/L

    Total (TC) Plasma 150199 mg/dL 3.885.15 mmol/L

    Coagulation factors:

    Factor I Plasma 150300 mg/dL 1.53.5 g/L

    Factor II Plasma 60150% of normal

    Factor IX Plasma 60150% of normal

    Factor V Plasma 60150% of normal

    Factor VII Plasma 60150% of normal

    Factor VIII Plasma 60150% of normal

    Factor X Plasma 60150% of normal

    Factor XI Plasma 60150% of normal

    Factor XII Plasma 60150% of normal

    Complement:

    C3 Serum 55120 mg/dL 0.551.20 g/L

    C4 Serum 2059 mg/dL 0.200.59 g/L

    Total Serum 3755 U/mL 3755 kU/L

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    Copper Serum 70155 g/L 1124.3 mol/L

    Cortisol:

    1 h after cosyntropin Serum> 18 g/dL and usually 8g/dL above baseline

    > 498 nmol/L andusually 221 nmol/Labove baseline

    At 5 pm Serum 313 g/dL 83359 nmol/L

    At 8 am Serum 820 g/dL 251552 nmol/L

    After overnight suppression test Serum < 5 g/dL < 138 nmol/L

    C-peptide Serum 0.94.3 ng/mL 2971419 pmol/L

    C-reactive protein (CRP) Serum < 0.5 mg/dL < 0.005 g/L

    C-reactive protein, highlysensitive (hsCRP)

    Serum < 1.1 mg/L < 0.0011 g/L

    Creatine kinase (CK) Serum 30170 U/L 0.52.83 kat/L

    Creatinine Serum 0.71.3 mg/dL 61.9115 mol/L

    d -Dimer Plasma 300 ng/mL 300 g/L

    Dehydroepiandrosterone sulfate(DHEA-S):

    Females Plasma 0.63.3 mg/mL 1.68.9 mol/L

    Males Plasma 1.35.5 mg/mL 3.514.9 mol/L

    -Aminolevulinic acid (ALA) Serum 1523 g/L 1.141.75 mol/L

    11-Deoxycortisol (DOC):

    After metyrapone Plasma > 7 g/dL > 203 nmol/L

    Basal Plasma < 5 g/dL < 145 nmol/L

    d -Xylose level 2 h afteringestion of 25 g of d -xylose

    Serum > 20 mg/dL > 1.3 nmol/L

    Epinephrine, supine Plasma < 75 ng/L < 410 pmol/L

    Erythrocyte sedimentation rate(ESR):

    Females Blood 020 mm/h 020 mm/h

    Males Blood 015 mm/h 020 mm/h

    Erythropoietin Serum 4.018.5 mIU/mL 4.018.5 IU/L

    Estradiol, females:

    Day 110 of menstrual cycle Serum 1427 pg/mL 50100 pmol/L

    Day 1120 of menstrual cycle Serum 1454 pg/mL 50200 pmol/L

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    Day 2130 of menstrual cycle Serum 1940 pg/mL 70150 pmol/L

    Estradiol, males Serum 1030 pg/mL 37110 pmol/L

    Ferritin Serum 15200 ng/mL 15200 g/L

    -Fetoprotein (AFP) Serum 020 ng/dL 020 pg/L

    Fibrinogen Plasma 150350 mg/dL 1.53.5 g/L

    Folate (folic acid):

    RBC Blood 160855 ng/mL 3621937 nmol/L

    Serum Serum 2.520 ng/mL 5.745.3 nmol/L

    Follicle-stimulating hormone(FSH), females:

    Follicular or luteal phase Serum 520 mU/mL 520 U/L

    Midcycle peak Serum 3050 mU/mL 3050 U/L

    Postmenopausal Serum > 35 mU/mL > 35 U/L

    Follicle-stimulating hormone(FSH), adult males

    Serum 515 mU/mL 515 U/L

    Fructosamine Plasma 200285 mol/L

    Gamma-glutamyltranspeptidase (GGT)

    Serum 878 U/L

    Gastrin Serum 0180 pg/mL 0180 ng/L

    Globulins: Serum 2.53.5 g/dL 2535 g/L

    1 -Globulins Serum 0.20.4 g/dL 24 g/L

    2 -Globulins Serum 0.50.9 g/dL 59 g/L

    -Globulins Serum 0.61.1 g/dL 611 g/L

    -Globulins Serum 0.71.7 g/dL 717 g/L

    2 -Microglobulin Serum 0.71.8 g/mL

    Glucose:

    2-h postprandial Plasma < 140 mg/dL < 7.8 mmol/L

    Fasting Plasma 70105 mg/dL 3.95.8 mmol/L

    Glucose-6-phosphatedehydrogenase (G6PD)

    Blood 515 U/g Hb0.320.97 mU/ molHb

    -Glutamyl transpeptidase (GGT) Serum 878 U/L

    Growth hormone:

    After oral glucose Plasma < 2 ng/mL < 2 g/L

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    In response to provocativestimuli

    Plasma > 7 ng/mL > 7 g/L

    Haptoglobin Serum 30200 mg/dL 3002000 mg/L

    Hematocrit:

    Females Blood 3647%

    Males Blood 4151%

    Hemoglobin:

    Females Blood 1216 g/dL 120160 g/L

    Males Blood 1417 g/dL 140170 g/L

    Hemoglobin A 1c Blood 4.78.5%

    Hemoglobin electrophoresis,adults:

    Hb A 1 Blood 9598%

    Hb A 2 Blood 23%

    Hb C Blood 0%

    Hb F Blood 0.82.0%

    Hb S Blood 0%

    Hemoglobin electrophoresis, HbF in children:

    Neonate Blood 5080%

    16 mo Blood 8%

    > 6 mo Blood 12%

    Homocysteine:

    Females Plasma 0.401.89 mg/L 314 mol/L

    Males Plasma 0.542.16 mg/L 416 mol/L

    Human chorionic gonadotropin(hCG), quantitative

    Serum < 5 mIU/mL

    Immunoglobulins:

    IgA Serum 70300 mg/dL 0.73.0 g/L

    IgD Serum < 8 mg/dL < 80 mg/L

    IgE Serum 0.010.04 mg/dL 0.10.4 mg/L

    IgG Serum 6401430 mg/dL 6.414.3 g/L

    IgG 1 Serum 2801020 mg/dL 2.810.2 g/L

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    IgG 2 Serum 60790 mg/dL 0.67.9 g/L

    IgG 3 Serum 14240 mg/dL 0.142.4 g/L

    IgG 4 Serum 11330 mg/dL 0.113.3 g/L

    IgM Serum 20140 mg/dL 0.21.4 g/L

    Insulin, fasting Serum 1.414 IU/mL 10104 pmol/L

    International normalized ratio(INR):

    Therapeutic range (standardintensity therapy)

    Plasma 2.03.0

    Therapeutic range in patients athigher risk (eg, patients withprosthetic heart valves)

    Plasma 2.53.5

    Therapeutic range in patientswith lupus anticoagulant

    Plasma 3.03.5

    Iron Serum 60160 g/dL 1129 mol/L

    Iron-binding capacity, total(TIBC)

    Serum 250460 g/dL 4582 mol/L

    Lactate dehydrogenase (LDH) Serum 60160 U/L 11.67 kat/L

    Lactic acid, venous Blood 616 mg/dL 0.671.8 mmol/L

    Lactose tolerance test Plasma> 15 mg/dL increase inplasma glucose level

    > 0.83 mmol/Lincrease in plasmaglucose level

    Lead Blood < 40 g/dL < 1.9 mol/L

    Leukocyte alkaline phosphatase(LAP) score

    Peripheralbloodsmear

    13130/100/polymorphonuclear (PMN)leukocyte neutrophils andbands

    Lipase Serum < 95 U/L < 1.58 kat/L

    Lipoprotein (a) [Lp(a)] Serum 30 mg/dL < 1.1 mol/L

    Luteinizing hormone (LH),females:

    Follicular or luteal phase Serum 522 mU/mL 522 U/L

    Midcycle peak Serum 30250 mU/mL 30250 U/L

    Postmenopausal Serum > 30 mU/mL > 30 U/L

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    Luteinizing hormone, males Serum 315 mU/mL 315 U/L

    Magnesium Serum 1.52.4 mg/dL 0.620.99 mmol/L

    Manganese Serum 0.30.9 ng/mL 5.516.4 nmol/L

    Mean corpuscular hemoglobin(MCH)

    Blood 2832 pg

    Mean corpuscular hemoglobinconcentration (MCHC)

    Blood 3236 g/dL 320360 g/L

    Mean corpuscular volume (MCV) Blood 80100 fL

    Metanephrines, fractionated:

    Metanephrines, free Plasma < 0.50 nmol/L

    Normetanephrines, free Plasma < 0.90 nmol/L

    Methemoglobin Blood < 1.0%

    Methylmalonic acid (MMA) Serum 150370 nmol/L

    Myeloperoxidase (MPO)antibodies

    Serum < 6.0 U/mL

    Myoglobin:

    Females Serum 2558 g/L 1.43.5 nmol/L

    Males Serum 2872 g/L 1.64.1 nmol/L

    Norepinephrine, supine Plasma 50440 pg/mL 0.32.6 nmol/L

    N-Terminal propeptide of BNP(NT-proBNP)

    Plasma < 125 pg/mL

    5'-Nucleotidase (5'NT) Serum 411.5 U/L

    Osmolality Plasma 275295 mOsm/kg H 2 O275295 mmol/ kg H

    2 O

    Osmotic fragility test Blood

    Increased fragility ifhemolysis occurs in > 0.5%NaCl

    Decreased fragility ifhemolysis is incomplete in0.3% NaCl

    Oxygen partial pressure (PO 2 ) Blood 80100 mm Hg

    Parathyroid hormone (PTH) Serum 1065 pg/mL 1065 ng/L

    Parathyroid hormonerelated

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    peptide (PTHrP) Plasma < 2.0 pmol/L

    Partial thromboplastin time,activated (aPTT)

    Plasma 2535 sec

    pH Blood 7.387.44

    Phosphorus, inorganic Serum 3.04.5 mg/dL 0.971.45 mmol/L

    Platelet count Blood 150350 x 10 3 /L 150350 x 10 9 /L

    Platelet life span, using

    chromium-51 ( 51 Cr) 812 days

    Porphyrins Plasma 1.0 g/dL

    Potassium Serum 3.55 mEq/L 3.55 mmol/L

    Prealbumin (transthyretin) Serum 1845 mg/dL

    Progesterone:

    Follicular phase Serum < 1 ng/mL < 0.03 nmol/L

    Luteal phase Serum 330 ng/mL 0.10.95 nmol/L

    Prolactin:

    Females Serum < 20 g/L < 870 pmol/L

    Males Serum < 15 g/L < 652 pmol/L

    Prostate-specic antigen, total(PSA-T)

    Serum 04 ng/mL

    Prostate-specic antigen, ratioof free to total (PSA-F:PSA-T)

    Serum > 0.25

    Protein C activity Plasma 67131%

    Protein C resistance, activatedratio (APC-R)

    Plasma 2.22.6

    Protein S activity Plasma 82144%

    Protein, total Serum 67.8 g/dL 6078 g/L

    Prothrombin time (PT) Plasma 1113 sec

    Pyruvate Blood 0.080.16 mmol/L

    RBC count Blood 4.25.9 x 10 6 cells/L4.25.9 x 10 12

    cells/L

    RBC survival rate, using 51 Cr Blood T 1/2 = 28 days

    Renin activity, plasma (PRA),upright, in males and females

  • 05/05/15 17:10Blood Tests: Normal Values - Normal Laboratory Values - Merck Manual Professional Version

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    aged 1839 yr:

    Sodium-depleted Plasma 2.924 ng/mL/h

    Sodium-repleted Plasma 0.6 (or lower)4.3 ng/mL/h

    Reticulocyte count:

    Percentage Blood 0.51.5%

    Absolute Blood 2390 x 10 3 /L 2390 x 10 9 /L

    Rheumatoid factor (RF) Serum < 40 U/mL < 40 kU/L

    Sodium Serum 136145 mEq/L 136145 mmol/L

    Testosterone, adults:

    Females Serum 2075 ng/dL 0.72.6 nmol/L

    Males Serum 3001200 ng/dL 1042 nmol/L

    Thrombin time Plasma 18.524 sec

    Thyroid iodine-123 ( 123 I) uptake 530% of administereddose at 24 h

    Thyroid-stimulating hormone(TSH)

    Serum 0.55.0 IU/mL 0.55.0 mIU/L

    Thyroxine (T 4 ):

    Free Serum 0.92.4 ng/dL 1231 pmol/L

    Free index 411 g/dL

    Total Serum 512 g/dL 64155 nmol/L

    Transferrin Serum 212360 mg/dL 2.13.6 g/L

    Transferrin saturation Serum 2050%

    Triglycerides (desirable level) Serum < 250 mg/dL < 2.82 mmol/L

    Triiodothyronine (T 3 ):

    Uptake Serum 2535%

    Total Serum 70195 ng/dL 1.13.0 nmol/L

    Troponin I Plasma < 0.1 ng/mL < 0.1 g/L

    Troponin T Serum 0.03 ng/mL 0.03 g/L

    Urea nitrogen (BUN) Serum 820 mg/dL 2.97.1 mmol/L

    Uric acid Serum 2.58 mg/dL 0.150.47 mmol/L

    Vitamin B 12 Serum 200800 pg/mL 148590 pmol/L

    Vitamin C (ascorbic acid):

    Leukocyte Blood < 20 mg/dL < 1136 mol/L

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    Total Blood 0.41.5 mg/dL 2385 mol/L

    Vitamin D:

    1,25-Dihydroxycholecalciferol(calcitriol)

    Serum 2565 pg/mL 65169 pmol/L

    25-Hydroxycholecalciferol Serum 1580 ng/mL 37200 nmol/L

    WBC count Blood 3.910.7 x 10 3 cells/L3.910.7 x 10 9

    cells/L

    Zinc Serum 66110 g/dL 10.116.8 mol/L

    kat = microkatal; pkat = picokatal.

    2015 Merck Sharp & Dohme Corp., a subsidary of Merck & Co., Inc., Whitehouse Station, NJ., USA