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Standardized Values

Lab values
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Fundamentals (NUR155)

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Prepared by: Department of Curriculum & Faculty Development Curriculum Council Approved: 03/12/15; REV: 06/25/15; 10/01/15; REV: 04/28/17; 07/26/17; 04/30/18; 8/22/19; 10/24/19; 5/4/

Standardized Values for Nursing

Laboratory Values, Therapeutic Drug Monitoring, & Vital Signs

Purpose

The purpose of this document is to provide standardized values for nursing related to laboratory values,

therapeutic drug monitoring, and vital signs. Variation in these values often exists between reputable medical

references. The values listed in this document have been agreed upon and approved by the Curriculum

Council to serve as the official ranges for Galen College of Nursing for student instruction and examination to

ensure safety and consistency.

Laboratory Values

The following values are seen on the NCLEXÆ Test Plan:

Test Abbreviation Adult Child

HEMATOLOGIC – COMPLETE BLOOD COUNT (CBC)

Hemoglobin Hgb

Male: 14-18 g/dL Female: 12-16 g/dL Pregnant: > 11 g/dL

1-6 yr: 9-14 g/dL 6-18 yr: 10-15 g/dL

Hematocrit Hct

Male: 42-52% Female: 37-47% Pregnant: > 33%

1-6 yr: 30-40% 6-18 yr: 32-44%

White Blood Cell WBC

Both Sexes: 5-10 mm 3

f2yr: 6-17 mm 3 g2 yr: 5-10 mm 3

Platelet Count PLT

Both Sexes: 150-400 mm 3 Same as adults HEMATOLOGIC – COAGULATION PANEL (COAGS)

Prothrombin Time PT

Both Sexes: 11-12 sec Pregnant: decreased ** 1.5-2 times the normal control (on warfarin)

Same as adults

International Normalized Ratio

INR

Normal is 0.9-1 seconds Desirable therapeutic level is 2- times the normal (on warfarin)

Same as adults

Partial thromboplastin time PTT

Both Sexes: 20-30 sec Pregnant: decreased ** 1.5-2 times the normal control (on heparin)

Same as adults

Activated partial thromboplastin time

APTT

Both Sexes: 30-40 sec ** 1.5-2 times the normal control (on Heparin) Same as adults

Prepared by: Department of Curriculum & Faculty Development Curriculum Council Approved: 03/12/15; REV: 06/25/15; 10/01/15; REV: 04/28/17; 07/26/17; 04/30/18; 8/22/19; 10/24/19; 5/4/

Test Abbreviation Adult Child

BLOOD CHEMISTRY – BASIC METABOLIC PANEL (BMP)

Glucose Glu Both Sexes: 70-110 mg/dL

f 2 yr: 60-100 mg/dL g 2 yr: 70-110 mg/dL Sodium Na Both Sexes: 135-145 mEq/L Same as adults

Potassium K Both Sexes: 3-5 mEq/L 3.4-4 mEq/L

Creatinine n/a

Male: 0.6-1 mg/dL Female: 0.5-1 mg/dL Child: 0.3-0 mg/dL Blood Urea Nitrogen BUN Both Sexes: 10-20 mg/dL 5-18 mg/dL

BLOOD CHEMISTRY – LIPID PROFILE

Cholesterol n/a Both Sexes: < 200 mg/dL 120-200 mg/dL

BLOOD CHEMISTRY – MISCELLANEOUS Glycosylated Hemoglobin

Hgb A1C < 6% Same as adults

ARTERIAL BLOOD CHEMISTRY

pH n/a Both Sexes: 7.35-7 Same as adults Partial Pressure Carbon Dioxide

PCO 2 Both Sexes: 35-45 mm Hg Same as adults

Partial Pressure Oxygen PO 2 Both Sexes: 80-100 mm Hg Same as adults

Bicarbonate HCO 3 Both Sexes: 22-28 mEq/L Same as adults

Oxygen saturation SaO 2 Both Sexes: 95-100% Same as adults

The following values are relevant to nursing education in general:

Test Abbreviation Adult Child

HEMATOLOGIC – COMPLETE BLOOD COUNT (CBC)

Red Blood Cell RBC

Male: 4.7-6 mm 3 Female: 4.2-5 mm 3

1-6 yr: 4-5 mm 3 6-18 yr: 4-5 mm 3 HEMATOLOGIC – COAGULATION PANEL (COAGS)

Bleeding Time n/a 1-9 minutes Same as adults

D-Dimer n/a 500 ng/mL Same as adults

HEMATOLOGIC – MISCELLANEOUS

Erythrocyte Sedimentation Rate

ESR

Male: 15 mm/hr Female: up to 20 mm/hr Pregnant: increased

Up to 10 mm/hr

C-Reactive Protein CRP 6 mg/mL Same as adults

Prepared by: Department of Curriculum & Faculty Development Curriculum Council Approved: 03/12/15; REV: 06/25/15; 10/01/15; REV: 04/28/17; 07/26/17; 04/30/18; 8/22/19; 10/24/19; 5/4/

Test Abbreviation Adult Child

BLOOD CHEMISTRY – MISCELLANEOUS

Iron n/a

Male: 80-180 mcg/dL Female: 60-160 mcg/dL

50-120 mcg/dL

Total iron binding capacity TIBC Both Sexes: 250-460 mcg/dL Same as adults

Magnesium Mg

Serum: Both Sexes: 1.5-2 mEq/L Therapeutic: (on Mg therapy): 3.3-6 mEq/L

N/A

Phosphorus Phos Both Sexes: 2-4 mEq/L N/A

Serum Osmolality n/a 285-295 mOsm/kg H 2 O Same as adults

Glomerular Filtration Rate GFR 90-120 mL/min Same as adults

CARDIAC

Creatinine phosphokinase CPK

Male: 55-170 IU/L Female: 30-135 IU/L

Same as adults

Cardiac Cell Isoenzyme CPK-MB 0% Same as adults Brain and Lung Cell Isoenzyme CPK-BB 0% Same as adults

Myoglobin n/a

Male: 10-95 ng/mL (onset: 1-3 hrs, peak: 6-10 hrs, return to normal: 12-24 hrs) Female: 10-65 ng/mL (onset: 1-3 hrs, peak: 6-10 hrs, return to normal: 12-24 hrs)

Same as adults

Troponin I TI

0-0 ng/mL (onset: 4-6 hrs, peak: 12-24 hrs, return to normal: 4-7 days)

Same as adults

Troponin T TT

0-0 ng/mL (onset: 3-4 hrs; peak: 10-24 hrs; return to normal: 10-14 days)

Same as adults

B-Type Natriuretic Peptide Hormone

BNP

< 100 pg/mL: no heart failure (HF) 100-300 pg/mL: HF present > 300 pg/mL: mild HF > 600 pg/mL: moderate HF > 900 pg/mL: severe HF

Same as adults

URINE STUDIES

Specific Gravity n/a 1.005-1 Same as adults

Albumin, Protein n/a

50-80 mg / 24 hrs at rest < 250 / 24 hrs after exercise

Same as adults

pH n/a 4-8 Same as adults

Prepared by: Department of Curriculum & Faculty Development Curriculum Council Approved: 03/12/15; REV: 06/25/15; 10/01/15; REV: 04/28/17; 07/26/17; 04/30/18; 8/22/19; 10/24/19; 5/4/

Test Abbreviation Adult Child

White Blood Cells WBC 0-4 Same as adults

ARTERIAL BLOOD CHEMISTRY

O2 Content n/a 15-20 vol % N/A

Base Excess n/a 0 ± 2 mEq/L N/A

Prepared by: Department of Curriculum & Faculty Development Curriculum Council Approved: 03/12/15; REV: 06/25/15; 10/01/15; REV: 04/28/17; 07/26/17; 04/30/18; 8/22/19; 10/24/19; 5/4/

Vital Signs

Population Pulse Blood Pressure Temperature Respirations

Newborn 110-170 60-85/40-55 mm Hg Axillary: 97.6-99∞ F 30-

Infant 90-160 65-100/55-65 mm Hg Axillary: 97.6-99∞ F 30-

Toddler 80-140 90-105/55-70 mm Hg Axillary: 97.6-99∞ F 22-

Preschooler 75-120 95-110/60-75 mm Hg Axillary: 97.6-99∞ F 20-

School-age 70-100 100-120/60-75 mm Hg Axillary: 97.6-99∞ F 18-

Adolescents 60-100 110-125/65-85 mm Hg Axillary: 97.6-99∞ F 12-

Adults 60-100 < 120/80 mm Hg 18-65 yrs: 97.6-99∞ F > 65 yrs: < 98∞ F

12-

Prepared by: Department of Curriculum & Faculty Development Curriculum Council Approved: 03/12/15; REV: 06/25/15; 10/01/15; REV: 04/28/17; 07/26/17; 04/30/18; 8/22/19; 10/24/19; 5/4/

References

American Heart Association (n.). PALS digital reference card. Author. Retrieved from shopcpr.heart/pals- digital-reference-card

American Heart Association. (n.). PEARS digital reference card. Author. Retrieved from shopcpr.heart/pears-digital-reference-card

Berman, A. T., Snyder, S., & Frandsen, G. (2016) Kozier & Erb's fundamentals of nursing: Concepts, process, and practice (10th ed.). Upper Saddle River, NJ: Pearson.

deWit, S. C., Stromberg, H., & Dallred, C. (2017). Medical-surgical nursing: Concepts & practice (3rd ed.). St. Louis, MO: Saunders/Elsevier, Inc.

Hinkle, Janice L. (2018). Brunner and Suddarth's Textbook of Medical-Surgical Nursing (14th ed.). Philadelphia, PA: Wolters Kluwer Health.

Ignatavicius, D. D., Workman, L. M., & Rebar, C. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care, single volume (9th ed.). St. Louis, MO: Elsevier.

Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., Wilson, D., Alden, K. R., & Cashion, M. C. (2018). Maternal child nursing care (6th ed.). St. Louis, MO: Elsevier.

Ward, S. & Hisley, S. (2016). Maternal-child nursing care (2nd ed.). Philadelphia, PA: F. Davis.

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Standardized Values

Course: Fundamentals (NUR155)

38 Documents
Students shared 38 documents in this course
Was this document helpful?
Prepared by: Department of Curriculum & Faculty Development
Curriculum Council Approved: 03/12/15; REV: 06/25/15; 10/01/15; REV: 04/28/17; 07/26/17; 04/30/18; 8/22/19; 10/24/19; 5/4/2020
Page 1 of 8
Standardized Values for Nursing
Laboratory Values, Therapeutic Drug Monitoring, & Vital Signs
Purpose
The purpose of this document is to provide standardized values for nursing related to laboratory values,
therapeutic drug monitoring, and vital signs. Variation in these values often exists between reputable medical
references. The values listed in this document have been agreed upon and approved by the Curriculum
Council to serve as the official ranges for Galen College of Nursing for student instruction and examination to
ensure safety and consistency.
Laboratory Values
The following values are seen on the NCLEX® Test Plan:
Test
Abbreviation
Adult
Child
HEMATOLOGIC COMPLETE BLOOD COUNT (CBC)
Hemoglobin
Hgb
Male: 14-18 g/dL
Female: 12-16 g/dL
Pregnant: > 11 g/dL
1-6 yr: 9.5-14 g/dL
6-18 yr: 10-15.5 g/dL
Hematocrit
Hct
Male: 42-52%
Female: 37-47%
Pregnant: > 33%
1-6 yr: 30-40%
6-18 yr: 32-44%
White Blood Cell
WBC
Both Sexes:
5-10 mm3
f2yr: 6.2-17 mm3
g2 yr: 5-10 mm3
Platelet Count
PLT
Both Sexes:
150-400 mm3
Same as adults
HEMATOLOGIC COAGULATION PANEL (COAGS)
Prothrombin Time
PT
Both Sexes: 11-12.5 sec
Pregnant: decreased
** 1.5-2.5 times the normal
control (on warfarin)
Same as adults
International Normalized
Ratio
INR
Normal is 0.9-1.2 seconds
Desirable therapeutic level is 2-3
times the normal (on warfarin)
Same as adults
Partial thromboplastin time
PTT
Both Sexes: 20-30 sec
Pregnant: decreased
** 1.5-2.5 times the normal
control (on heparin)
Same as adults
Activated partial
thromboplastin time
APTT
Both Sexes: 30-40 sec
** 1.5-2.5 times the normal
control (on Heparin)
Same as adults