Critical and Alert Values
Chemistry
| Albumin (<18y) | g/dL | <1.7 or >6.8 | |
| ALT | U/L | >500 | |
| Amylase | U/L | >700 | |
| AST | U/L | >500 | |
| BUN | mg/dL | >80 | |
| Calcium | mg/dL | <6.6 or >13.0 | |
| Chloride | mg/dL | <80 or >120 | |
| CK-MB | ng/mL | F >4.31; M >7.71 | |
| CO2 | mEq/L | <10 or >40 | |
| CPK | U/L | >600 | |
| Creatinine | mg/dL | >5.0 | |
| Glucose Fasting | mg/mL | <45 or >400 | |
| Glucose Random | mg/mL | <45 or >500 | >400 |
| Iron | ug/dL | >350 | |
| Magnesium | mg/dL | <1.2 or >5.0 | |
| p02 | mmhg | <40 | |
| pCO2 | mmhg | <20 or >70 | |
| pH | units | <7.20 or >7.60 | |
| Phosphorus | mg/dL | <1.0 or >9.0 | |
| Potassium | mEq/L | <3.0 or >6.1 | |
| Sodium | mEq/L | <120 or >155 | |
| Total bilirubin (<1m) | mg/dL | >18.0 | |
| Total protein | g/dL | <3.2 or >9.5 | |
| Troponin I | ng/mL | >0.2 | |
| Troponin T | ug/mL | >0.01 | |
| TSH (<18y) | mIU/L | >40 | |
| Uric Acid | mg/dL | >13.0 | |
| Analyte | Units | Critical Limits | Alert Limits |
|---|
Hematology
| Blast % | % | >10% | |
| CSF Cell Count | pmns | >5 | |
| HCT (<1m) | % | <21.0 or >81.0 | <24.0 or >75.0 |
| HCT (>1m) | % | <21.0 or >63.0 | <24.0 or >60.0 |
| HGB (<1m) | g/dL | <7.0 or >27.0 | <8.0 or >25.0 |
| HGB (>1m) | g/dL | <7.0 or >21.0 | <8.0 or >20.0 |
| INR | ratio | >5.0 | |
| Platelets | k/uL | <10 or >1500 | <50 or >850 |
| PTT | seconds | >60.0 | |
| WBC (<1m) | k/uL | >40.0 | <2.0 |
| WBC (>1m) | k/uL | >40.0 | <2.0 |
| Analyte | Units | Critical Limits | Alert Limit |
|---|
Microbiology
| Ascites Gram Stain or Culture | Positive | |
| Blood Culture | Positive | |
| C.Difficile | Positive | |
|
Clinically Significant Fungi: Zygomycetes, Coccidiodes, Histoplasma, Blastomyces, Cryptococcus, Pneumocystis |
Positive | |
| CLostridium in Wounds | Positive | |
| CRE: E.Coli, K.pneumoniae, K.oxytoca | Positive | |
| CSF Gram Stain or Culture | Positive | |
| ESBL: E.Coli, K.pneumoniae, K.oxytoca | Positive | |
| MRSA | Positive | |
|
Multi-Drug Resistant: Pseudomonas aeruginosa, Acinetobacter spp. |
Positive | |
|
Mycobacterium species (any type) |
Positive | |
|
Neiseria gonorrhoeae (GC) (any detection method) |
Positive | |
| Ocular and Bone Marrow Cultures or Gram stain | Positive | |
| Pleural Fluid Culture or Gram Stain | Positive | |
| Rapid Influenza A/B assays | Positive | |
| RSV | Positive | |
| Stool Culture | Positive | |
| Synovial Fluid Culture or Gram stain | Positive | |
|
Vancomycin Resistant: Enterococcus faecalis, Enterococcus faecium (excluding Resp Sources: Sputum, Nasal, Throat) |
Positive | |
| Analyte | Critical Limits | Alert Limit |
|---|
Toxicology/TDM
| Carbamazepine (Tegretol) | ug/mL | >20.0 | |
| Digoxin | ng/mL | >2.5 | |
| Lithium | meq/L | >1.5 | |
| Phenobarbital | ug/mL | >60.0 | |
| Phenytoin | ug/mL | >20 | |
| Theophylline | ug/mL | >20 | |
| Valproic Acid | ugm/mL | >200 | |
| Vancomycin | ugm/mL | Trough >20; Peak >44.0 | |
| Analyte | Units | Critical Limits | Alert Limit |
|---|