NIH Clinical Center
Dept. of Lab Medicine | Dept. of Transfusion Medicine | Anatomic Pathology Test Guide > Lab Test
 Lab Test
 
 Test Description
Panel Name:
Test Name:
Chem 14 Panel
Panel Tests:Sodium (Na), Potassium (K), Chloride (Cl), CO2 (bicarbonate), Creatinine, Glucose, Urea nitrogen (BUN), Albumin, Calcium, Alkaline Phosphatase, ALT/GPT, AST/GOT, Total Bilirubin,Total Protein
LIS Test Code:CH14
Synonyms:
Department:Laboratory Medicine
Lab Area:Chemistry
Telephone:301-496-3386
TAT:Routine: 4hr
Priority: 2hr
STAT: 1hr
 Specimen Collection
Source:

Site:

Container:Red/Yellow Rim 4mL SST

Micro. Container:


Collection Instructions:

Immediately after collecting blood in a tube, gently invert the tube at least 5-8 times. This allows exposure of entire blood specimen to the clot activator that coats the tube’s walls and minimizes instrumentation problems caused by delayed clotting.

Delivery Instructions:Send specimen to 2C324 or Tube Station 321
Specimen Type: Blood
Frequency / Restrictions:
 Expected Values/Results

Ranges and Interpretation:

Chem 14 Panel
Performed at National Institutes of Health, Bethesda MD
Effective 06Jul - 4Apr12:
Sodium                135-144 mmol/L
Potassium             3.3-5.1 mmol/L 
Chloride               99-107 mmol/L 
CO2 (Bicarbonate)       21-31 mmol/L
Creatinine       
    Male:            0.77-1.19 mg/dL
    Female:         0.56-1.16 mg/dL
Glucose                70-115 mg/dL
Urea Nitrogen          8-22 mg/dL
Albumin                3.7-4.7 g/dL
Calcium              2.05-2.5 mmol/L 
    (Includes supine and upright normal subjects)
Alkaline Phosphatase >18Y:  37-116 U/L
ALT/GPT                                  6-41 U/L
AST/GOT                                 9-34 U/L
Total Bilirubin                        0.1-1.0 mg/dL
Total Protein                         6.4-8.2 g/dL
Pediatric Range Effective 06Jul10 - present:
Albumin
1Y-18Y Female: 2.9 - 4.2
1Y-18Y Male:    3.2 - 4.7
Alkaline Phosphatase
Male:
 1Y-3Y      104 - 345
 4Y-6Y       93 - 309
 7Y-9Y       86 - 315
10Y-12Y      42 - 362
13Y-15Y      74 - 390
16Y-18Y      52 - 171
Female:
 1Y-3Y       108 - 317
 4Y-6Y        96 - 297
 7Y-9Y        69 - 325
10Y-12Y       51 - 332
13Y-15Y       50 - 162
16Y-18Y       47 - 119
ALT/GPT
 1Y-18Y:   5 - 30
AST/GOT 
   1Y-6Y:       <60
   7Y-9Y:       <42
10Y-18Y:      <39
*Creatinine
2M-<3Y:   0.16-0.39
3Y-<5Y:   0.26-0.42
5Y-<7Y:   0.29-0.48
7Y-<9Y:   0.34-0.55
9Y-<11Y:  0.32-0.64
11Y-<13Y: 0.42-0.71
13Y-<15Y: 0.46-0.81
*Reference:  Ceriotti F, Boyd JC, Klein G, et al., on behalf of the IFCC Committee on Reference Intervals and Decision Limits (C-RIDL).  Reference Intervals for Serum Creatinine Concentrations:  Assessment of Available Data for Global Application. Clin Chem 2008;54:559-66.
estimated GFR   mL/min/1.73 sq.m
Calculation Performed at National Institutes of Health, Bethesda MD
Effective 06Jul10 - present:  eGFR <60 suggests moderate kidney
dysfunction.  (calculated using IDMS-Traceable MDRD equation)
http://www.nkdep.nih.gov/professionals/gfr_calculators/idms_con.htm

Organisms Reported:

Alert Limits:

Sodium         < 120 or >155 mmol/L
Potassium       < 3.0 or >6.0 mmol/L
Chloride          <75 or >125 mmol/L
Total CO2        <10 or >40 mmol/L 
Creatinine                    >7.0 mg/dL
Glucose         < 40 or >500 mg/dL
Urea nitrogen           > 100  mg/dL
Calcium        < 1.5 or >3.5 mmol/L

 Additional Test Information

Comments:

Includes Acute Care Panel
For plasma sample, collect in a sodium heparin tube.


Methodology:

Run on Siemens Vista analyzer


Cautions:

Samples from patients with Waldenstrom's Macroglobulinemia contain monoclonal IgM that can produce elevated creatinine results (Nephron 2000;86:188-89).

 
Archived Ranges:Historical Reference Ranges



 
 

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