Nilai Normal Laboratorium

Setiap laboratorium menentukan nilai ‘normal’, yang ditunjukkan pada kolom ‘Nilai Rujukan’ atau ‘Nilai Normal’ pada laporan laboratorium. Nilai ini tergantung pada alat yang dipakai dan cara pemakaiannya. Tidak ada standar nilai rujukan, Nilai Normal Laboratorium ini saya ambil dari webnya dr arief. nilai laboratorium lain dapat berbeda. Jadi angka pada laporan kita harus dibandingkan dengan nilai rujukan pada laporan, bukan dengan nilai rujukan pada lembaran ini. Bahaslah hasil yang tidak normal dengan dokter.

Determination

Normal Reference Value

Conventional units

SI units

Blood, Plasma or Serum

Ammonia (NH3) – diffusion

20-120 mcg/dl

12-70 mcmol/L

Ammonia Nitrogen

15-45 µg/dl

11-32 µmol/L

Amylase

35-118 IU/L

0.58-1.97 mckat/L

Anion gap (Na+-[Cl - + HCO3- ]) (P)

7-16 mEq/L

7-16 mmol/L

Antithrombin III (AT III)

80–120 U/dl

800–1200 U/L

Bicarbonate

Arterial

21–28 mEq/L

21–28 mmol/L

Venous

22–29 mEq/L

22–29 mmol/L

Bilirubin

Conjugated (direct) Total

£ 0.2 mg/dl
&
0.1–1 mg/dl

£ 4 mcmol/L
&
2–18 mcmol/L

Calcitonin

< 100 pg/ml

< 100 ng/L

Calcium

Total

8.6–10.3 mg/dl

2.2–2.74 mmol/L

Ionized

4.4–5.1 mg/dl

1–1.3 mmol/L

Carbon dioxide content (plasma)

21–32 mmol/L

21–32 mmol/L

Carcinoembryonic antigen

< 3 ng/ml

< 3 mcg/L

Chloride

95–110 mEq/L

95–110 mmol/L

Coagulation screen

Bleeding time

3–9.5 min

180–570 sec

Prothrombin time

10–13 sec

10–13 sec

Partial thromboplastin time (activated)

22–37 sec

22–37 sec

Protein C

0.7–1.4 µ/ml

700–1400 U/ml

Protein S

0.7–1.4 µ/ml

700–1400 U/ml

Copper, total

70–160 mcg/dl

11–25 mcmol/L

Corticotropin (ACTH adrenocorticotropic hormone) – 0800 hr

< 60 pg/ml

< 13.2 pmol/L

Cortisol

0800 hr

5–30 mcg/dl

138–810 nmol/L

1800 hr

2–15 mcg/dl

50–410 nmol/L

2000 hr

£ 50% of 0800 hr

£ 50% of 0800 hr

Creatine kinase

Female

20–170 IU/L

0.33–2.83 mckat/L

Male

30–220 IU/L

0.5–3.67 mckat/L

Creatinine kinase isoenzymes, MB fraction

0–12 IU/L

0–0.2 mckat/L

Creatinine

0.5–1.7 mg/dl

44–150 mcmol/L

Fibrinogen (coagulation factor I)

150–360 mg/dl

1.5–3.6 g/L

Follicle-stimulating hormone (FSH)

Female

2–13 mlU/ml

2–13 IU/L

Midcycle

5–22 mlU/ml

5–22 IU/L

Male

1–8 mlU/ml

1–8 IU/L

Glucose, fasting

65–115 mg/dl

3.6–6.3 mmol/L

Glucose Tolerance Test (Oral)

(mg/dl)

(mmol/L)

Normal

Diabetic

Normal

Diabetic

Fasting

70–105

> 140

3.9–5.8

> 7.8

60 min

120–170

³ 200

6.7–9.4

³ 11.1

90 min

100–140

³ 200

5.6–7.8

³ 11.1

120 min

70–120

³ 140

3.9–6.7

³ 7.8

(g) – Glutamyltransferase (GGT)

Male

9–50 units/L

9–50 units/L

Female

8–40 units/L

8–40 units/L

Haptoglobin

44–303 mg/dl

0.44–3.03 g/L

Hematologic Tests

Fibrinogen

200–400 mg/dl

2–4 g/L

Hematocrit (Hct)

female

36%-44.6%

0.36–0.446 fraction of 1

male

40.7%-50.3%

0.4–0.503 fraction of 1

Hemoglobin A 1C

5.3%-7.5% of total Hgb

0.053–0.075

Hemoglobin (Hb)

female

12.1–15.3 g/dl

121–153 g/L

male

13.8–17.5 g/dl

138–175 g/L

Leukocyte count (WBC)

3800–9800/mcl

3.8–9.8 x 109/L

Erythrocyte count (RBC)

female

3.5–5 x 106/mcl

3.5–5 x 1012/L

male

4.3–5.9 x 106/mcl

4.3–5.9 x 1012/L

Mean corpuscular volume (MCV)

80–97.6 mcm3

80–97.6 fl

Mean corpuscular hemoglobin (MCH)

27–33 pg/cell

1.66–2.09 fmol/cell

Mean corpuscular hemoglobin concentrate (MCHC)

33–36 g/dl

20.3–22 mmol/L

Erythrocyte sedimentation rate (sedrate, ESR)

£30 mm/hr

£30 mm/hr

Erythrocyte enzymes

Glucose-6 – Pphosphate dehydrognase (G-6-PD)

250–5000 units/106 cells

250–5000 mcunits/cell

Determination

Reference Value

(Conventional units)

(SI units)

Blood, Plasma or Serum:

Ammonia (NH3) – diffusion

20–120 mcg/dl

12–70 mcmol/L

Ammonia Nitrogen

15–45 µg/dl

11–32 µmol/L

Amylase

35–118 IU/L

0.58–1.97 mckat/L

Anion gap (Na+-[Cl - + HCO3-]) (P)

7–16 mEq/L

7–16 mmol/L

Antithrombin III (AT III)

80–120 U/dl

800–1200 U/L

Bicarbonate:

Arterial

Venous

21–28 mEq/L
22–29 mEq/L

21–28 mmol/L

22–29 mmol/L

Bilirubin: Conjugated (direct) Total

£ 0.2 mg/dl
(0.1–1 mg/dl)

£ 4 mcmol/L
(2–18 mcmol/L)

Calcitonin

< 100 pg/ml

< 100 ng/L

Calcium:

Total

Ionized

8.6–10.3 mg/dl

4.4–5.1 mg/dl

2.2–2.74 mmol/L

1–1.3 mmol/L

Carbon dioxide content (plasma)

21–32 mmol/L

21–32 mmol/L

Carcinoembryonic antigen

< 3 ng/ml

< 3 mcg/L

Chloride

95–110 mEq/L

95–110 mmol/L

Coagulation screen:

Bleeding time
Prothrombin time

Partial thromboplastin time (activated)

Protein C

Protein S

3–9.5 min

10–13 sec

22–37 sec

0.7–1.4 µ/ml

0.7–1.4 µ/ml

180–570 sec

10–13 sec

22–37 sec

700–1400 U/ml

700–1400 U/ml

Copper, total

70–160 mcg/dl

11–25 mcmol/L

Corticotropin
(ACTH adrenocorticotropic hormone) – 0800 hr

< 60 pg/ml

< 13.2 pmol/L

Cortisol:

0800 hr

1800 hr

2000 hr

5–30 mcg/dl
2–15 mcg/dl

£ 50% of 0800 hr

138–810 nmol/L

50–410 nmol/L

£ 50% of 0800 hr

Creatine kinase:

Female

Male

20–170 IU/L

30–220 IU/L

0.33–2.83 mckat/L
0.5–3.67 mckat/L

Creatinine kinase isoenzymes, MB fraction

0–12 IU/L

0–0.2 mckat/L

Creatinine

0.5–1.7 mg/dl

44–150 mcmol/L

Fibrinogen (coagulation factor I)

150–360 mg/dl

1.5–3.6 g/L

Follicle-stimulating hormone (FSH):

Female

Midcycle

Male

2–13 mlU/ml

5–22 mlU/ml
1–8 mlU/ml

2–13 IU/L

5–22 IU/L

1–8 IU/L

Glucose, fasting

65–115 mg/dl

3.6–6.3 mmol/L

Glucose Tolerance Test (Oral)

Fasting

60 min
90 min

120 min

(mg/dl)

Normal

Diabetic

70–105

> 140

120–170

³ 200

100–140

³ 200

70–120

³ 140

(mmol/L)

Normal

Diabetic

3.9–5.8

> 7.8

6.7–9.4

³ 11.1

5.6–7.8

³ 11.1

3.9–6.7

³ 7.8

(g) -Glutamyltransferase (GGT):

Male

Female

9–50 units/L
8–40 units/L

9–50 units/L

8–40 units/L

Haptoglobin

44–303 mg/dl

0.44–3.03 g/L

Determination

Reference Value

Conventional units

SI units

Hematologic tests:

Fibrinogen

Hematocrit (Hct),
female

male

Hemoglobin A 1C

Hemoglobin (Hb),
female

male

Leukocyte count (WBC)
Erythrocyte count (RBC):
female

male

Mean corpuscular volume (MCV)

Mean corpuscular hemoglobin
(MCH)

Mean corpuscular hemoglobin

concentrate (MCHC)

Erythrocyte sedimentation rate

(sedrate, ESR)

200–400 mg/dl

36%-44.6%

40.7%-50.3%

5.3%-7.5% of total Hgb

12.1–15.3 g/dl

13.8–17.5 g/dl

3800–9800/mcl

3.5–5 x 106/mcl

4.3–5.9 x 106/mcl

80–97.6 mcm3

27–33 pg/cell

33–36 g/dl

£30 mm/hr

2–4 g/L

0.36–0.446 fraction of 1

0.4–0.503 fraction of 1

0.053–0.075

121–153 g/L

138–175 g/L

3.8–9.8 x 109/L

3.5–5 x 1012/L

4.3–5.9 x 1012/L

80–97.6 fl

1.66–2.09 fmol/cell

20.3–22 mmol/L

£ 30 mm/hr

Erythrocyte enzymes:

Glucose-6 -
Pphosphate dehydrognase

(G-6-PD)

Ferritin

Folic acid: normal

Platelet count

Reticulocytes

Vitamin B12

250–5000 units/106 cells

10–383 ng/ml

>3.1–12.4 ng/ml

150–450 x 103/mcl

0.5%-1.5% of erythrocytes

223–1132 pg/ml

250–5000 mcunits/cell

23–862 pmol/L

7–28.1 nmol/L

150–450 x 109/L

0.005–0.015

165–835 pmol/L

Iron:

Female

Male

30–160 mcg/dl

45–160 mcg/dl

5.4–31.3 mcmol/L

8.1–31.3 mcmol/L

Iron binding capacity

220–420 mcg/dl

39.4–75.2 mcmol/L

Isocitrate dehydrogenase

1.2–7 units/L

1.2–7 units/L

Isoenzymes

Fraction 1

Fraction 2

Fraction 3

Fraction 4

Fraction 5

14%-26% of total

29%-39% of total

20%-26% of total

8%-16% of total

6%-16% of total

0.14–0.26 fraction of total

0.29–0.39 fraction of total
0.20–0.26 fraction of total

0.08–0.16 fraction of total

0.06–0.16 fraction of total

Lactate dehydrogenase

100–250 IU/L

1.67–4.17 mckat/L

Lactic acid (lactate)

6–19 mg/dl

0.7–2.1 mmol/L

Lead

£ 50 mcg/dl

£ 2.41 mcmol/L

Lipase

10–150 units/L

10–150 units/L

Lipids:

Total Cholesterol

Desirable

Borderline-high

High

LDL

Desirable

Borderline-high

High

HDL (low)

Triglycerides

Desirable

Borderline-high

High

Very high

< 200 mg/dl

200–239 mg/dl

> 239 mg/dl

< 130 mg/dl

130–159 mg/dl

> 159 mg/dl

< 35 mg/dl

< 200 mg/dl

200–400 mg/dl

400–1000 mg/dl

> 1000 mg/dl

< 5.2 mmol/L

< 5.2–6.2 mmol/L

> 6.2 mmol/L

< 3.36 mmol/L

3.36–4.11 mmol/L

> 4.11 mmol/L

< 0.91 mmol/L

< 2.26 mmol/L

2.26–4.52 mmol/L

4.52–11.3 mmol/L

> 11.3 mmol/L

Magnesium

1.3–2.2 mEq/L

0.65–1.1 mmol/L

Osmolality

280–300 mOsm/kg

280–300 mmol/kg

Oxygen saturation (arterial)

94%-100%

0.94 – fraction of 1

PCO2, arterial

35–45 mm Hg

4.7–6 kPa

pH, arterial

7.35–7.45

7.35–7.45

Determination

Reference Value

Conventional units

SI units

PO, arterial: Breathing room air

On 100% O

80–105 mm Hg

> 500 mm Hg

10.6–14 kPa

Phosphatase (acid), total at 37°C

0.13–0.63 IU/L

2.2–10.5 IU/L or

2.2–10.5 mckat/L

Phosphatase alkaline

20–130 IU/L

20–130 IU/L or

0.33–2.17 mckat/L

Phosphorus, inorganic, (phosphate)

2.5–5 mg/dl

0.8–1.6 mmol/L

Potassium

3.5–5 mEq/L

3.5–5 mmol/L

Progesterone

Female

Follicular phase

Luteal phase

Male

0.1–1.5 ng/ml

0.1–1.5 ng/ml
2.5–28 ng/ml

< 0.5 ng/ml

0.32–4.8 nmol/L

0.32–4.8 nmol/L

8–89 nmol/L

< 1.6 nmol/L

Prolactin

1.4–24.2 ng/ml

1.4–24.2 mcg/L

Prostate specific antigen

Protein: Total
Albumin

Globulin

0–4 ng/ml

6–8 g/dl

3.6–5 g/dl

2.3–3.5 g/dl

0–4 ng/ml
60–80 g/L

36–50 g/L

23–35 g/L

Rheumatoid factor

< 60 IU/ml

< 60 kIU/L

Sodium

135–147 mEq/L

135–147 mmol/L

Testosterone:
Female

Male

6–86 ng/dl

270–1070 ng/dl

0.21–3 nmol/L

9.3–37 nmol/L

Thyroid Hormone Function Tests:

Thyroid-stimulating hormone (TSH)

Thyroxine-binding globulin capacity

Total triiodothyronine (T3)

Total thyroxine by RIA (T4)
T3 resin uptake

0.35–6.2 mcU/ml

10–26 mcg/dl

75–220 ng/dl

4–11 mcg/dl
25%-38%

0.35–6.2 mU/L

100–260 mcg/L

1.2–3.4 nmol/L

51–142 nmol/L

0.25–0.38 fraction of 1

Transaminase, AST (aspartate aminotransferase, SGOT)

11–47 IU/L

0.18–0.78 mckat/L

Transaminase, ALT (alanine aminotransferase, SGPT)

7–53 IU/L

0.12–0.88 mckat/L

Transferrin

220–400 mg/dL

2.20–4.00 g/L

Urea nitrogen (BUN)

8–25 mg/dl

2.9–8.9 mmol/L

Uric acid

3–8 mg/dl

179–476 mcmol/L

Vitamin A (retinol)

15–60 mcg/dl

0.52–2.09 mcmol/L

Zinc

50–150 mcg/dl

7.7–23 mcmol/L

1 Tergantung pada usia

2 Bayi dan anak sampai 104 U/L

3 Bayi usia 1 tahun sampai 6 mg/dl

Urine

Determination

Reference Value

Conventional units

SI units

Calcium

50–250 mcg/day

1.25–6.25 mmol/day

Catecholamines:

Epinephrine

Norepinephrine

< 20 mcg/day

< 100 mcg/day

< 109 nmol/day

< 590 nmol/day

Catecholamines, 24-hr

< 110 µg

< 650 nmol

Copper

15–60 mcg/day

0.24–0.95 mcmol/day

Creatinine:

Child

Adolescent

Female
Male

8–22 mg/kg

8–30 mg/kg

0.6–1.5 g/day

0.8–1.8 g/day

71–195 µmol/kg
71–265 µmol/kg

5.3–13.3 mmol/day

7.1–15.9 mmol/day

pH

4.5–8

4.5–8

Phosphate

0.9–1.3 g/day

29–42 mmol/day

Potassium

25–100 mEq/day

25–100 mmol/day

Protein

Total

At rest

1–14 mg/dL

50–80 mg/day

10–140 mg/L

50–80 mg/day

Protein, quantitative

< 150 mg/day

< 0.15 g/day

Sodium

100–250 mEq/day

100–250 mmol/day

Specific gravity, random

1.002–1.030

1.002–1.030

Uric acid, 24-hr

250–750 mg

1.48–4.43 mmol

1 Tergantung pada diet.

Drug Levels*

Drug Determination

Reference Value

Conventional units

SI units

Aminoglycosides

Amikacin

(trough)

(peak)

1–8 mcg/ml

1.7–13.7 mcmol/L

20–30 mcg/ml
34–51 mcmol/L

Gentamicin

(trough)

(peak)

0.5–2 mcg/ml

6–10 mcg/ml

1–4.2 mcmol/L

12.5–20.9 mcmol/L

Kanamycin

(trough)

(peak)

5–10 mcg/ml
20–25 mcg/ml

nd

nd

Netilimicin

(trough)

(peak)

0.5–2 mcg/ml
6–10 mcg/ml

nd

nd

Streptomycin

(trough)

(peak)

< 5 mcg/ml
5–20 mcg/ml

nd

nd

Tobramycin

(trough)

(peak)

0.5–2 mcg/ml
5–20 mcg/ml

1.1–4.3 mcmol/L

12.8–21.8 mcmol/L

Drug Determination

Reference Value

Conventional units

SI units

Antiarrhythmics

Amiodarone

0.5–2.5 mcg/ml

1.5–4 mcmol/L

Bretylium

0.5–1.5 mcg/ml

nd

Digitoxin

9–25 mcg/L

11.8–32.8 nmol/L

Digoxin

0.8–2 ng/ml

0.9–2.5 nmol/L

Disopyramide

2–8 mcg/ml

6–18 mcmol/L

Flecainide

0.2–1 mcg/ml

nd

Lidocaine

1.5–6 mcg/ml

4.5–21.5 mcmol/L

Mexiletine

0.5–2 mcg/ml

nd

Procainamide

4–8 mcg/ml

17–34 mcmol/ml

Propranolol

50–200 ng/ml

190–770 nmol/L

Quinidine

2–6 mcg/ml

4.6–9.2 mcmol/L

Tocainide

4–10 mcg/ml

nd

Verapamil

0.08–0.3 mcg/ml

nd

Anticonvulsants

Carbamazepine

4–12 mcg/ml

17–51 mcmol/L

Phenobarbital

10–40 mcg/ml

43–172 mcmol/L

Phenytoin

10–20 mcg/ml

40–80 mcmol/L

Primidone

4–12 mcg/ml

18–55 mcmol/L

Valproic Acid

40–100 mcg/ml

280–700 mcmol/L

Antidepressants

Amitriptyline

110–250 ng/ml

500–900 nmol/L

Amoxapine

200–500 ng/ml

nd

Bupropion

25–100 ng/ml

nd

Clomipramine

80–100 ng/ml

nd

Desipramine

115–300 ng/ml

nd

Doxepin

110–250 ng/ml

nd

Imipramine

225–350 ng/ml

nd

Maprotiline

200–300 ng/ml

nd

Nortriptyline

50–150 ng/ml

nd

Protriptyline

70–250 ng/ml

nd

Trazodone

800–1600 ng/ml

nd

Antipsychotics

Chlorpromazine

50–300 ng/ml

150–950 nmol/L

Fluphenazine

0.13–2.8 ng/ml

nd

Haloperidol

5–20 ng/ml

nd

Perphenazine

0.8–1.2 ng/ml

nd

Thiothixene

2–57 ng/ml

nd

Drug Determination

Reference Value

Conventional units

SI units

Miscellaneous

Amantadine

Amrinone

300 ng/ml

3.7 mcg/ml

nd

nd

Chloramphenicol

10–20 mcg/ml

31–62 mcmol/L

Cyclosporine

250–800 ng/ml

(whole blood, RIA)
50–300 ng/ml (plasma, RIA)

nd

nd

Ethanol

0 mg/dl

0 mmol/L

Hydralazine

100 ng/ml

nd

Lithium

0.6–1.2 mEq/L

0.6–1.2 mmol/L

Salicylate

100–300 mg/L

724–2172 mcmol/L

Sulfonamide

5–15 mg/dl

nd

Terbutaline

0.5–4.1 ng/ml

nd

Theophylline

10–20 mcg/ml

55–110 mcmol/L

Vancomycin

(trough)

(peak)

5–15 ng/ml
20–40 mcg/ml

nd

nd

* Nilai yang diberikan secara umum dapat digunakan untuk terapi tanpa terjadi efek toksik pada kebanyakan pasien, Namun pengecualian juga tidak jarang terjadi.

1 nd = data tidak tersedia.

2 Metabolit N-desmethyl beserta turunannya.

3 Nilai 24 jam.

4 Toksik: 50–100 mg/dl (10.9–21.7 mmol/L).

Diambil dari The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, National Institutes of Health.

Classification of Blood Pressure *

Category

Reference value

Systolic (mm Hg)

Diastolic (mm Hg)

Optimal

< 120

and

< 80

Normal

< 130

and

< 85

High-normal

130–139

or

85–89

Hypertension

Stage 1

Stage 2

Stage 3

140–159
160–179

³ 180

or

or

or

90–99
100–109

³ 110

* Untuk dewasa berusia 18 atau lebih yang tidak dalam pengobatan anti hipertensi dan tidak dalam kondisi akut. Ketika tekanan sistole dan diastole masuk ke dalam kategori lain, maka kategori di atasnya harus dipilih untuk menentukan klasifikasi status tekanan darah penderita. Sebagai tambahan dalam menentukan stadium hipertensi, seorang praktisi medis harus menentukan ada atau tidaknya penyakit pada target organ serta faktor resiko lainnya.

1 Tekanan darah yang optimal terhadap resiko kardiovaskular adalah dibawah 120/88 m Hg. Namun demikian, nilai rendah yang tidak wajar harus dievaluasi untuk menemukan kelainan klinis yang signifikan.

2 Berdasarkan atas pembacaan sebanyak 2 kali atau lebih pada pemeriksaan awal.

 

One Response to Nilai Normal Laboratorium

  1. fahrul says:

    mau tanya rujukan testosteron bt bayi umur 3bln

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