Nilai Normal Laboratorium

Determination Normal Reference Value

Conventional units SI units

Blood, Plasma or Serum

Ammonia (NH3) – diffusion 20-120 mcg/dl 12-70 mcmol/L

Ammonia Nitrogen 15-45 µg/dl 11-32 µmol/L

Amylase 35-118 IU/L 0.58-1.97 mckat/L

Anion gap (Na+-[Cl - + HCO3- ]) (P) 7-16 mEq/L 7-16 mmol/L

Antithrombin III (AT III) 80–120 U/dl 800–1200 U/L

Bicarbonate

Arterial 21–28 mEq/L 21–28 mmol/L

Venous 22–29 mEq/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 8.6–10.3 mg/dl 2.2–2.74 mmol/L

Ionized 4.4–5.1 mg/dl 1–1.3 mmol/L

Carbon dioxide content (plasma) 21–32 mmol/L 21–32 mmol/L

Carcinoembryonic antigen < 3 ng/ml < 3 mcg/L

Chloride 95–110 mEq/L 95–110 mmol/L

Coagulation screen

Bleeding time 3–9.5 min 180–570 sec

Prothrombin time 10–13 sec 10–13 sec

Partial thromboplastin time (activated) 22–37 sec 22–37 sec

Protein C 0.7–1.4 µ/ml 700–1400 U/ml

Protein S 0.7–1.4 µ/ml 700–1400 U/ml

Copper, total 70–160 mcg/dl 11–25 mcmol/L

Corticotropin (ACTH adrenocorticotropic hormone) – 0800 hr

< 60 pg/ml < 13.2 pmol/L

Cortisol

0800 hr 5–30 mcg/dl 138–810 nmol/L

1800 hr 2–15 mcg/dl 50–410 nmol/L

2000 hr 50% of 0800 hr 50% of 0800 hr

Creatine kinase

Female 20–170 IU/L 0.33–2.83 mckat/L

Male 30–220 IU/L 0.5–3.67 mckat/L

Creatinine kinase isoenzymes, MB fraction 0–12 IU/L 0–0.2 mckat/L

Creatinine 0.5–1.7 mg/dl 44–150 mcmol/L

Fibrinogen (coagulation factor I) 150–360 mg/dl 1.5–3.6 g/L

Follicle-stimulating hormone (FSH)

Female 2–13 mlU/ml 2–13 IU/L

Midcycle 5–22 mlU/ml 5–22 IU/L

Male 1–8 mlU/ml 1–8 IU/L

Glucose, fasting 65–115 mg/dl 3.6–6.3 mmol/L

Glucose Tolerance Test (Oral)

(mg/dl) (mmol/L)Normal Diabetic Normal Diabetic

Fasting 70–105 > 140 3.9–5.8 > 7.860 min 120–170 200 6.7–9.4 11.190 min 100–140 200 5.6–7.8 11.1120 min 70–120 140 3.9–6.7 7.8

() – Glutamyltransferase (GGT)

Male 9–50 units/L 9–50 units/L

Female 8–40 units/L 8–40 units/L

Haptoglobin 44–303 mg/dl 0.44–3.03 g/L

Hematologic Tests

Fibrinogen 200–400 mg/dl 2–4 g/L

Hematocrit (Hct)

female 36%-44.6% 0.36–0.446 fraction of 1

male 40.7%-50.3% 0.4–0.503 fraction of 1

Hemoglobin A 1C 5.3%-7.5% of total Hgb

0.053–0.075

Hemoglobin (Hb)

female 12.1–15.3 g/dl 121–153 g/L

male 13.8–17.5 g/dl 138–175 g/L

Leukocyte count (WBC) 3800–9800/mcl 3.8–9.8 x 109/L

Erythrocyte count (RBC)

female 3.5–5 x 106/mcl 3.5–5 x 1012/L

male 4.3–5.9 x 106/mcl 4.3–5.9 x 1012/L

Mean corpuscular volume (MCV) 80–97.6 mcm3 80–97.6 fl

Mean corpuscular hemoglobin (MCH) 27–33 pg/cell 1.66–2.09 fmol/cell

Mean corpuscular hemoglobin concentrate (MCHC)

33–36 g/dl 20.3–22 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/106 cells

250–5000 mcunits/cell

Determination Reference Value(Conventional units) (SI units)

Blood, Plasma or Serum:

Ammonia (NH3) – diffusion

20–120 mcg/dl 12–70 mcmol/L

Ammonia Nitrogen 15–45 µg/dl 11–32 µmol/LAmylase 35–118 IU/L 0.58–1.97 mckat/LAnion gap (Na+-[Cl - + HCO3

-]) (P) 7–16 mEq/L 7–16 mmol/LAntithrombin III (AT III) 80–120 U/dl 800–1200 U/LBicarbonate: Arterial

Venous21–28 mEq/L22–29 mEq/L

21–28 mmol/L

22–29 mmol/LBilirubin: 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/LCalcium: Total

Ionized8.6–10.3 mg/dl

4.4–5.1 mg/dl

2.2–2.74 mmol/L

1–1.3 mmol/LCarbon dioxide content (plasma) 21–32 mmol/L 21–32 mmol/LCarcinoembryonic antigen < 3 ng/ml < 3 mcg/LChloride 95–110 mEq/L 95–110 mmol/LCoagulation screen:

Bleeding timeProthrombin 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, total 70–160 mcg/dl 11–25 mcmol/LCorticotropin(ACTH adrenocorticotropic hormone) – 0800 hr

< 60 pg/ml < 13.2 pmol/L

Cortisol: 0800 hr1800 hr2000 hr

5–30 mcg/dl2–15 mcg/dl

50% of 0800 hr

138–810 nmol/L

50–410 nmol/L

50% of 0800 hrCreatine kinase: Female 20–170 IU/L 0.33–2.83 mckat/L

Male30–220 IU/L

0.5–3.67 mckat/L

Creatinine kinase isoenzymes, MB fraction

0–12 IU/L 0–0.2 mckat/L

Creatinine 0.5–1.7 mg/dl 44–150 mcmol/LFibrinogen (coagulation factor I) 150–360 mg/dl 1.5–3.6 g/LFollicle-stimulating hormone (FSH):

Female

Midcycle

Male

2–13 mlU/ml

5–22 mlU/ml1–8 mlU/ml

2–13 IU/L

5–22 IU/L

1–8 IU/L

Glucose, fasting 65–115 mg/dl 3.6–6.3 mmol/LGlucose Tolerance Test (Oral)

Fasting

60 min90 min

120 min

(mg/dl)Normal Diabetic70–105 > 140120–170 200100–140 20070–120 140

(mmol/L)Normal Diabetic3.9–5.8 > 7.86.7–9.4 11.15.6–7.8 11.13.9–6.7 7.8

() -Glutamyltransferase (GGT):

Male

Female

9–50 units/L8–40 units/L

9–50 units/L

8–40 units/L

Haptoglobin 44–303 mg/dl 0.44–3.03 g/LDetermination Reference Value

Conventional units SI unitsHematologic tests:

Fibrinogen

Hematocrit (Hct),female

male

Hemoglobin A 1C

Hemoglobin (Hb),female

male

Leukocyte count (WBC)Erythrocyte count (RBC):female

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

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

male

Mean corpuscular volume (MCV)

Mean corpuscular hemoglobin(MCH)

Mean corpuscular hemoglobin

concentrate (MCHC)

Erythrocyte sedimentation rate

(sedrate, ESR)

80–97.6 mcm3

27–33 pg/cell

33–36 g/dl

30 mm/hr

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/106 cells

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: FemaleMale

30–160 mcg/dl

45–160 mcg/dl

5.4–31.3 mcmol/L

8.1–31.3 mcmol/LIron binding capacity 220–420 mcg/dl 39.4–75.2 mcmol/LIsocitrate dehydrogenase 1.2–7 units/L 1.2–7 units/LIsoenzymes

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 total0.20–0.26 fraction of total

0.08–0.16 fraction of total

0.06–0.16 fraction of total

Lactate dehydrogenase 100–250 IU/L 1.67–4.17 mckat/L

Lactic acid (lactate) 6–19 mg/dl 0.7–2.1 mmol/LLead 50 mcg/dl 2.41 mcmol/LLipase 10–150 units/L 10–150 units/LLipids:

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

Magnesium 1.3–2.2 mEq/L 0.65–1.1 mmol/LOsmolality 280–300 mOsm/kg 280–300 mmol/kgOxygen saturation (arterial) 94%-100% 0.94 – fraction of 1PCO2, arterial 35–45 mm Hg 4.7–6 kPapH, arterial 7.35–7.45 7.35–7.45

Determination Reference ValueConventional units SI 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°C 0.13–0.63 IU/L 2.2–10.5 IU/L or

2.2–10.5 mckat/LPhosphatase alkaline 20–130 IU/L 20–130 IU/L or

0.33–2.17 mckat/LPhosphorus, inorganic, (phosphate) 2.5–5 mg/dl 0.8–1.6 mmol/LPotassium 3.5–5 mEq/L 3.5–5 mmol/L

Progesterone

Female

Follicular phase

Luteal phase

Male

0.1–1.5 ng/ml

0.1–1.5 ng/ml2.5–28 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

Prolactin 1.4–24.2 ng/ml 1.4–24.2 mcg/LProstate specific antigen

Protein: TotalAlbumin

Globulin

0–4 ng/ml

6–8 g/dl

3.6–5 g/dl

2.3–3.5 g/dl

0–4 ng/ml60–80 g/L

36–50 g/L

23–35 g/L

Rheumatoid factor < 60 IU/ml < 60 kIU/LSodium 135–147 mEq/L 135–147 mmol/LTestosterone: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/dl25%-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/L 0.18–0.78 mckat/L

Transaminase, ALT (alanine aminotransferase, SGPT)

7–53 IU/L 0.12–0.88 mckat/L

Transferrin 220–400 mg/dL 2.20–4.00 g/LUrea nitrogen (BUN) 8–25 mg/dl 2.9–8.9 mmol/LUric acid 3–8 mg/dl 179–476 mcmol/LVitamin A (retinol) 15–60 mcg/dl 0.52–2.09 mcmol/LZinc 50–150 mcg/dl 7.7–23 mcmol/L

1 Tergantung pada usia

2 Bayi dan anak sampai 104 U/L

3 Bayi usia 1 tahun sampai 6 mg/dl

Urine

Determination Reference ValueConventional units SI units

Calcium 50–250 mcg/day 1.25–6.25 mmol/dayCatecholamines:

Epinephrine

Norepinephrine

< 20 mcg/day

< 100 mcg/day

< 109 nmol/day

< 590 nmol/day

Catecholamines, 24-hr < 110 µg < 650 nmolCopper 15–60 mcg/day 0.24–0.95 mcmol/dayCreatinine:

Child

Adolescent

FemaleMale

8–22 mg/kg

8–30 mg/kg

0.6–1.5 g/day

0.8–1.8 g/day

71–195 µmol/kg71–265 µmol/kg

5.3–13.3 mmol/day

7.1–15.9 mmol/day

pH 4.5–8 4.5–8Phosphate 0.9–1.3 g/day 29–42 mmol/dayPotassium 25–100 mEq/day 25–100 mmol/dayProtein

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/daySodium 100–250 mEq/day 100–250 mmol/daySpecific gravity, random 1.002–1.030 1.002–1.030Uric acid, 24-hr 250–750 mg 1.48–4.43 mmol

1 Tergantung pada diet.

Drug Levels*Drug Determination Reference Value

Conventional units SI unitsAminoglycosides Amikacin

(trough)

(peak)

1–8 mcg/ml

1.7–13.7 mcmol/L

20–30 mcg/ml34–51 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)

5–10 mcg/ml20–25 mcg/ml

nd

nd

(peak)Netilimicin

(trough)

(peak)

0.5–2 mcg/ml6–10 mcg/ml

nd

nd

Streptomycin

(trough)

(peak)

< 5 mcg/ml5–20 mcg/ml

nd

nd

Tobramycin

(trough)

(peak)

0.5–2 mcg/ml5–20 mcg/ml

1.1–4.3 mcmol/L

12.8–21.8 mcmol/L

Drug Determination Reference ValueConventional units SI units

Antiarrhythmics Amiodarone 0.5–2.5 mcg/ml 1.5–4 mcmol/LBretylium 0.5–1.5 mcg/ml ndDigitoxin 9–25 mcg/L 11.8–32.8 nmol/LDigoxin 0.8–2 ng/ml 0.9–2.5 nmol/LDisopyramide 2–8 mcg/ml 6–18 mcmol/LFlecainide 0.2–1 mcg/ml ndLidocaine 1.5–6 mcg/ml 4.5–21.5 mcmol/LMexiletine 0.5–2 mcg/ml ndProcainamide 4–8 mcg/ml 17–34 mcmol/mlPropranolol 50–200 ng/ml 190–770 nmol/LQuinidine 2–6 mcg/ml 4.6–9.2 mcmol/LTocainide 4–10 mcg/ml ndVerapamil 0.08–0.3 mcg/ml nd

Anticonvulsants Carbamazepine 4–12 mcg/ml 17–51 mcmol/LPhenobarbital 10–40 mcg/ml 43–172 mcmol/LPhenytoin 10–20 mcg/ml 40–80 mcmol/LPrimidone 4–12 mcg/ml 18–55 mcmol/LValproic Acid 40–100 mcg/ml 280–700 mcmol/L

Antidepressants Amitriptyline 110–250 ng/ml 500–900 nmol/LAmoxapine 200–500 ng/ml ndBupropion 25–100 ng/ml ndClomipramine 80–100 ng/ml ndDesipramine 115–300 ng/ml ndDoxepin 110–250 ng/ml ndImipramine 225–350 ng/ml ndMaprotiline 200–300 ng/ml ndNortriptyline 50–150 ng/ml ndProtriptyline 70–250 ng/ml ndTrazodone 800–1600 ng/ml nd

Antipsychotics Chlorpromazine 50–300 ng/ml 150–950 nmol/LFluphenazine 0.13–2.8 ng/ml nd

Haloperidol 5–20 ng/ml ndPerphenazine 0.8–1.2 ng/ml ndThiothixene 2–57 ng/ml nd

Drug Determination Reference ValueConventional units SI units

Miscellaneous Amantadine

Amrinone

300 ng/ml

3.7 mcg/ml

nd

ndChloramphenicol 10–20 mcg/ml 31–62 mcmol/LCyclosporine 250–800 ng/ml

(whole blood, RIA)50–300 ng/ml (plasma, RIA)

nd

nd

Ethanol 0 mg/dl 0 mmol/LHydralazine 100 ng/ml ndLithium 0.6–1.2 mEq/L 0.6–1.2 mmol/LSalicylate 100–300 mg/L 724–2172 mcmol/LSulfonamide 5–15 mg/dl ndTerbutaline 0.5–4.1 ng/ml ndTheophylline 10–20 mcg/ml 55–110 mcmol/LVancomycin

(trough)

(peak)

5–15 ng/ml20–40 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 *Category Reference value

Systolic (mm Hg) Diastolic (mm Hg)Optimal < 120 and < 80Normal < 130 and < 85High-normal 130–139 or 85–89Hypertension

Stage 1

140–159160–179

180

or

or

90–99100–109

110

Stage 2

Stage 3

or