CRITICAL LAB VALUES - MEDLAB

1 TEST CRITICAL value (S) UNITSB ilirubin,Total mg/dLBNP 200 pg/mLNT-Pro-BNP not established pg/mLBUN 100 mg/dLCalcium 13 mg/dLCO2 10 >40 mEq/LCPK 501 U/LCreatinine > mg/dLD-Dimer ug/mLGlucose 40 500 mg/dLMagnesium < > mg/dLPhosphorus mg/dLPotassium mEq/LSodium 120 160 mEq/LTroponin I ng/mLUric acid mg/dLLactic acid mmol/LLactic acid mg/dLTEST CRITICAL value (S) UNITSH emoglobin (Hgb) g/dLPlatelet Count 20 1000 K/cmmWBC /cmmINR > PTT >100 secondsCHEMISTRYHEMATOLOGY / COAGULATIONCRITICAL LAB VALUESTEST CRITICAL value (S) UNITSB acillus anthracis, culture, nucleic acid Positive or antigen test AFB culture, smear Positive Blood Cultures Positive Brucella sp.

2 , culture, nucleic acid Positive or antigen test C-Diff Ag/PCR Both Positive C-Diff Ag/Toxin Both Positive Cryptococcus antigen, serum or CSF Detected CSF Culture Positive CSF Gram Stain Positive CSF WBC 21 / LCulture: blood, CSF, any tissue or Prelim: Positive any organism sterile body fluid (excluding urine) Francisella tularensis, culture, nucleic acid , Positive or antigen test GC Culture Positive Gram or other stain of direct specimen or Positive for any micro-organism antigen detection (blood, CSF, sterile body fluid) Group A Strep Positive Group B Strep Vag Positive Malaria parasites or other organisms Positive for verified or (Babesia, Ehrlichia, Trypanosomes) unidentified Plasmodium species MRSA Culture Positive Mycobacteria all sp.

3 , stain or Direct specimen nucleic acid test Positive for M tuberculosis, initial detection Nucleic acid detection (blood, CSF, sterile body fluid), Positive for any micro-organism qualitative FIRST DETECTION ONLY except HBV, HCV, HIV RSV antigen Positive Stool Pathogen, Any Positive Ureaplasma urealyticum, culture, respiratory Positive (<1 year of age) Viral PCR for Enterovirus or HSV, Quant, CSF Detected VRE Culture Positive Yersinia pestis, culture, nucleic acid , Positive or antigen test MICROBIOLOGYCRITICAL LAB VALUESTEST CRITICAL value (S) UNITSA cetone > 50 mg/dLAmitriptyline + Nortriptyline total > 1000 ug/LAmobarbital > mg/LButalbital > mg/LCadmium, 24hr Urine > ug/LCadmium, Blood > ug/LCaffeine > mg/LCarbamazepine (Tegretol)

4 > ug/mLCarboxyhemoglobin > 20 % of total HgbChlorpromazine > 750 ng/mLClomipramine and Metabolite, total > 600 ng/mLCobalt, Blood > 400 ug/LCyanide > mg/LCyclosporine, Trough > 600 ug/LDesethylamiodarone > ug/mLDesipramine > 600 ug/LDiazepam and Nordiazepam, total > mg/LDigitoxin > 45 ug/LDigoxin ng/mLDilantin ug/mLDisopyramide > mg/LDoxepin + Nordoxepin, total > 600 ug/LEthanol > 250 mg/dLEthosuximide > 150 mg/LEthylene glycol > 100 mg/LFlecainide > mg/LFluphenazine > 50 ug/LGentamicin, Peak ug/dLGentamicin, Trough ug/dLIbuprofen > 100 mg/LImipramine or Desipramine, total > 600 ug/LIsopropanol > 50 mg/dLLead, blood > 45 (<18 years of age) ug/dLLidocaine > mg/LLithium > mEq/LTOXICOLOGYCRITICAL LAB VALUESTEST CRITICAL value (S) UNITSM ephobarbital > mg/LMercury, Urine, 24 hr > 150 ug/LMercury, Urine, Random > 150 ug/g creatinineMethanol > 5 mg/dLMethemoglobin > % of total HgbMethotrexate at 24 h > umol/LMethsuximide (Normethsuximide)

5 > mg/LMexiletine > mg/LMycophenolic acid < ug/mLNortriptyline > 500 ug/LPhenobarbital 15 ug/mLProcainamide > mg/LProcainamide + NAPA total > mg/LPropafenone > mg/LProtriptyline > 500 ug/LQuinidine > mg/LSalicylate mg/dLSirolimus (Rapamycin) < ug/LTacrolimus (FK 506) < ug/LThallium, Blood > 80 ug/LThallium, Urine, 24 hr > 200 ug/LTheophylline ug/mLTobramycin, Peak ug/mLTobramycin, Trough ug/mLValproic acid 125 ug/mLVancomycin, Peak ug/mLVancomycin, Trough ug/mLTOXICOLOGYCRITICAL LAB VALUES