Specialized Testing
Alert Values
This section provides information regarding the lower and upper limits to which Alert values are called to a client.
Alert values will be called to the requesting physician, or their designee, 24 hours a day.
| TEST | Lower Limit | Upper Limit |
|---|---|---|
Acetaminophen |
200 mg/L | |
Alcohol, Blood |
300 mg/dL | |
Amikacin |
||
| Peak | 30 mg/L | |
| Trough | 10 mg/L | |
APTT (PTT) |
130.0 sec. | |
Bicarbonate |
10 mmol/L | 40 mmol/L |
Bilirubin, Total, Newborn |
15 mg/dL | |
Blasts, Manual Differential Count |
> 20% | |
Blood Culture |
Positive | |
Calcium |
6 mg/dL | 12 mg/dL |
Calcium Ionized |
0.75 mmol/L | 1.58 mmol/L |
Carboxyhemoglobin |
20% | |
Coagulation Factors |
||
| Factor 2 | < 40% | |
| Factor 5 | < 10% | |
| Factor 7 | < 05% | |
| Factor 8 | < 10% | |
| Factor 9 | < 10% | |
| Factor 10 | < 10% | |
| Factor 11 | < 30% | |
CSF Gram Stain and Culture |
Positive | |
CSF Glucose |
20 mg/dL | 150 mg/dL |
CSF Protein |
||
| Neonates 0 - 3 months | 300 mg/dL | |
| 3 months to Adult | 200 mg/dL | |
Desipramine & Imipramine |
500 ng/mL | |
Digitoxin |
30 ng/mL | |
Digoxin |
||
| 0 - 1 year | 4.0 ng/mL | |
| 1 - 13 years | 3.0 ng/mL | |
| 13 years - Adult | 2.5 ng/mL | |
Dilantin |
||
| 0 - 3 months | 14 mg/L | |
| 3 months - 1 year | 30 mg/L | |
| 1 year - 150 years | 25 mg/L | |
Glucose |
||
| Newborn | 30 mg/dL | 300 mg/dL |
| Adults | 40 mg/dL | 500 mg/dL |
Hemoglobin |
7.0 gm/dL | |
Lactate |
> 4.0 mmol/L | |
Lidocaine |
10.0ug/mL | |
Lithium |
2.5 meq/L | |
Low Molecular Weight Heparin Level |
> 1.0 IU/mL | |
Magnesium |
1.0 meq/L | 3.0 meq/L |
Malarial Parasites Blood |
Any parasites | |
Methotrexate |
All Levels Called | |
PCO2, arterial or capillary |
||
| 0 - 12 years | 20 mmHg | 60 mmHg |
| Adults | 20 mmHg | 70 mmHg |
PH, arterial or capillary |
7.2 | 7.6 |
Phenobarb |
40 mg/L | |
Platelet count |
20 x 10e9/L | 999 x 10e9/L |
PO2, arterial or capillary |
40 mmHg | |
Potassium, un-hemolyzed |
||
| 0 - 1 month | 3.0 mmol/L | 6.5 mmol/L |
| 1 month - 1 year | 2.5 mmol/L | 6.5 mmol/L |
| 1 year - Adult | 2.5 mmol/L | 6.5 mmol/L |
Potassium* |
||
| (*Specific alert levels for Tulsa Nephrology and Nephrology Associates at all locations.) | 2.5 mmol/L | 6.8 mmol/L |
Primidone |
15 mg/L | |
Procainamide + NAPA |
30 mg/L | |
Protime (INR) |
5 INR | |
Quinidine |
6 mg/L | |
Rh Immune Globulin |
> 1 vial | |
Salicylate |
300 mg/L | |
Sodium |
||
| 0 months -3 months | 125 mmol/L | 150 mmol/L |
| 3 months - 12 years | 120 mmol/L | 150 mmol/L |
| 12 years - Adults | 120 mmol/L | 160 mmol/L |
Tegretol |
> 12.1 mg/L | |
Theophylline |
22 mg/L | |
Troponin |
0.029 ng/mL | |
Unfractionated Heparin by Anti-10a |
> 0.89 IU/mL | |
Valproic Acid, Trough |
200 mg/L | |
Vancomycin |
> 25 mg/L | |
WBC |
> 250 10e9/L |
10/18/19