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 |
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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 |
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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 |
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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 |
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