CPF Lab Values Form

Patient Labs – CPF Lab Normal Reference Range* Trend Labs Here [Use Electronic Medical Record (EMR)]: Date: 1/20 Date: 1/21 Date: Date: Date: Analysis of trend: Complete Blood Count (CBC): Red Blood Cell Count (RBC) Male: 4.7-6.1 trillion cells/L Female: 4.2-5.4 trillion cells/L 4.76 4.11 Sepsis Hemoglobin (Hgb) Male: 14-18 g/dL Female: 12-16 g/dL 8.9 7.9 Sepsis Hematocrit (Hct) Male: 42-52% Female: 37-47% 30.6% 26% Sepsis Platelet Count 150,000-400,000/mm 3 618,000 505,000 sepsis White Blood Cell Count (WBC) 5,000-10,000 mm 3 13,390 7,570 Sepsis/infection Comprehensive Metabolic Panel (CMP): Sodium 136-145 mEq/L 147 139 Potassium 3.5-5.0 mEq/L 4.5 3.7 Glucose 74-106 mg/dL 98 110 Blood Urea Nitrogen (BUN) 10-20 mg/dL 14 13 Creatinine Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL 0.87 0.63 Alanine aminotransferase (ALT) 4-36 units/L 41 41 Aspartate aminotransferase (AST) 0-35 units/L 39 39 Other Labs: Ammonia 10-80 mcg/dL Brain Natriuretic Peptide (BNP) <100 pg/mL Digoxin Level Therapeutic: 0.8-2.0 ng/mL Toxic: >2.4 ng/mL Hemoglobin A1C Non-Diabetic: 4-5.9% Diabetic, Controlled <7% Magnesium 1.3-2.1 mEq/L 2.2 1.6 Phosphorous 3-4.5 mg/dL 3.6 2.7 *Lab values are based on Pagana, K. D., Pagana, T. J., & Pagana, T. N. (2021) Mosby’s diagnostic & laboratory test reference (15 th ed.). Elsevier. You may notice slight differences in lab reference ranges at different facilities.