|   |  | Lab Test |  |
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 |  |  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 |
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 |  |  Specimen Collection |
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Site: |
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 |  | Container: | Red/Yellow Rim 4mL SST |
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Micro. Container: |
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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 |
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 |  |  Expected Values/Results |
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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: |  |
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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 |
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 |  |  Additional Test Information |
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Comments: |
Includes Acute Care Panel For plasma sample, collect in a sodium heparin tube. |
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Methodology: |
Run on Siemens Vista analyzer |
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Cautions: |
Samples from patients with Waldenstrom's Macroglobulinemia contain monoclonal IgM that can produce elevated creatinine results (Nephron 2000;86:188-89). |
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 |  | Archived Ranges: | Historical Reference Ranges |