Galen College of Nursing Standardized Values

Standardized nursing reference values covering hematology, blood chemistry, therapeutic drug levels, and vital signs for Galen College of Nursing instruction.

Hemoglobin (Hgb)

Adult: Male 14-18 g/dL, Female 12-16 g/dL, Pregnant > 11 g/dL; Child: 1-6 yr 9.5-14 g/dL, 6-18 yr 10-15.5 g/dL

Hematocrit (Hct)

Adult: Male 42-52%, Female 37-47%, Pregnant > 33%; Child: 1-6 yr 30-40%, 6-18 yr 32-44%

White Blood Cell (WBC)

Adult (Both Sexes): 5,000-10,000 mm3; Child:

Red Blood Cell (RBC)

Adult: Male 4.7-6.1 mm3, Female 4.2-5.4 mm3; Child: 1-6 yr 4.5-5 mm3, 6-18 yr 4.5-5 mm3

Platelet Count (PLT)

Adult (Both Sexes): 150,000-400,000 mm3; Child: Same as adults

Prothrombin Time (PT)

Adult (Both Sexes): 11-12.5 sec, Pregnant decreased, 1.5-2.5 times the normal control (on warfarin); Child: Same as adults

International Normalized Ratio (INR)

Normal is 0.9-1.2 seconds; Desirable therapeutic level is 2-3 times the normal (on warfarin); Child: Same as adults

Partial Thromboplastin Time (PTT)

Adult (Both Sexes): 20-30 sec, Pregnant decreased, 1.5-2.5 times the normal control (on heparin); Child: Same as adults

Activated Partial Thromboplastin Time (aPTT)

Adult (Both Sexes): 30-40 sec, 1.5-2.5 times the normal control (on heparin); Child: Same as adults

Bleeding Time

Adult: 1-9 minutes; Child: Same as adults

D-Dimer

Adult: 500 ng/mL; Child: Same as adults

Erythrocyte Sedimentation Rate (ESR)

Adult: Male 15 mm/hr, Female up to 20 mm/hr, Pregnant increased; Child: Up to 10 mm/hr

C-Reactive Protein (CRP)

Adult: 6 mg/mL; Child: Same as adults

Glucose (Glu)

Adult (Both Sexes): 70-110 mg/dL; Child:

Calcium (Ca)

Adult (Both Sexes): 9-10.5 mg/dL; Child: 8.8-10.8 mg/dL

Chloride (Cl)

Adult (Both Sexes): 98-106 mEq/L; Child: 90-110 mEq/L

Sodium (Na)

Adult (Both Sexes): 135-145 mEq/L; Child: Same as adults

Potassium (K)

Adult (Both Sexes): 3.5-5 mEq/L; Child: 3.4-4.7 mEq/L

Creatinine

Adult: Male 0.6-1.2 mg/dL, Female 0.5-1.1 mg/dL; Child: 0.3-0.7 mg/dL

Blood Urea Nitrogen (BUN)

Adult (Both Sexes): 10-20 mg/dL; Child: 5-18 mg/dL

Comprehensive Metabolic Panel (CMP)

Contains all the components of a basic metabolic panel (BMP) plus Total Protein, Albumin, Alkaline Phosphatase, Bilirubin, AST/SGOT, ALT/SGPT, LDH, and Ammonia

Protein Total

Adult (Both Sexes): 6.4-8.3 g/dL; Child: 6.2-8 g/dL

Albumin

Adult (Both Sexes): 3.5-5 g/dL; Child: 4.5-9 g/dL

Alkaline Phosphatase (ALP)

Adult (Both Sexes): 30-120 IU/L; Child: 2-8 yr 65-210 IU/L, 9-15 yr 60-300 IU/L, 16-21 yr 30-200 IU/L

Bilirubin (Bili)

Adult: Total 0.3-1 mg/dL, Indirect 0.2-0.8 mg/dL, Direct 0.1-0.3 mg/dL; Child: Same as adults, 3.0 mg/dL or less in newborn only

Aspartate Aminotransferase (AST/SGOT)

Adult: 0-35 IU/L; Child: 3-12 yr 10-50 IU/L, 12-18 yr 10-40 IU/L

Alanine Aminotransferase (ALT/SGPT)

Adult (Both Sexes): 4-36 IU/mL; Child: Same as adults

Lactic Dehydrogenase (LDH)

Adult (Both Sexes): 100-190 IU/L; Child: 60-170 IU/L

Ammonia (NH3)

Adult: 15-110 mcg/dL; Child: 40-80 mcg/dL

Cholesterol

Adult (Both Sexes): < 200 mg/dL; Child: 120-200 mg/dL

Triglycerides (Trig)

Adult: Male 40-160 mg/dL, Female 35-135 mg/dL; Child: 6-11 yr 31-108 mg/dL, 12-15 yr 36-138 mg/dL, 16-19 yr 40-163 mg/dL

High Density Lipoprotein (HDL)

Adult: Male > 45 mg/dL, Female > 55 mg/dL; Child: Same as adults

Low Density Lipoprotein (LDL)

Adult: < 130 mg/dL; Child: Same as adults

Amylase

Adult: 56-190 IU/L; Child: Same as adults

Lipase

Adult: 0-110 IU/L; Child: Same as adults

Thyroid Stimulating Hormone (TSH)

Adult: 0.5-5 milli-IU/L; Child: Same as adults

Serum Thyroxine (T4)

Adult: 5-12 ng/dL; Child: Same as adults

Serum Triiodothyronine (T3)

Adult: 70-220 ng/dL; Child: Same as adults

Glycosylated Hemoglobin (HgbA1C)

Adult: < 6%; Child: Same as adults

Iron

Adult: Male 80-180 mcg/dL, Female 60-160 mcg/dL; Child: 50-120 mcg/dL

Total Iron Binding Capacity (TIBC)

Adult (Both Sexes): 250-460 mcg/dL; Child: Same as adults

Magnesium (Mg)

Serum (Both Sexes): 1.5-2.5 mEq/L, Therapeutic (on Mg therapy): 3.3-6.6 mEq/L; Child: N/A

Phosphorus (Phos)

Adult (Both Sexes): 2-4.5 mEq/L; Child: N/A

Serum Osmolality

Adult: 285-295 mOsm/kg H2O; Child: Same as adults

Glomerular Filtration Rate (GFR)

Adult: 90-120 mL/min; Child: Same as adults

Arterial Blood pH

Adult (Both Sexes): 7.35-7.45; Child: N/A

Partial Pressure Carbon Dioxide (PCO2)

Adult (Both Sexes): 35-45 mm Hg; Child: N/A

Partial Pressure Oxygen (PO2)

Adult (Both Sexes): 80-100 mm Hg; Child: N/A

Bicarbonate (HCO3)

Adult (Both Sexes): 22-28 mEq/L; Child: N/A

Oxygen Saturation (SaO2)

Adult (Both Sexes): 95-100%; Child: N/A

Creatinine Phosphokinase (CPK)

Adult: Male 55-170 IU/L, Female 30-135 IU/L; Child: Same as adults

Cardiac Cell Isoenzyme (CPK-MB)

Adult: 0%; Child: Same as adults

Brain and Lung Cell Isoenzyme (CPK-BB)

Adult: 0%; Child: Same as adults

Myoglobin

Adult Male: 10-95 ng/mL, Female: 10-65 ng/mL (onset: 1-3 hrs, peak: 6-10 hrs, return to normal: 12-24 hrs); Child: Same as adults

Troponin I (TI)

Adult: 0-0.1 ng/mL (onset: 4-6 hrs, peak: 12-24 hrs, return to normal: 4-7 days); Child: Same as adults

Troponin T (TT)

Adult: 0-0.2 ng/mL (onset: 3-4 hrs, peak: 10-24 hrs, return to normal: 10-14 days); Child: Same as adults

B-Type Natriuretic Peptide Hormone (BNP)

Adult: < 100 pg/mL (no HF), > 100-300 pg/mL (HF present), > 300 pg/mL (mild HF), > 600 pg/mL (moderate HF), > 900 pg/mL (severe HF); Child: Same as adults

Urine Specific Gravity

Adult: 1.005-1.030; Child: Same as adults

Urine Albumin, Protein

Adult: 50-80 mg / 24 hrs at rest, < 250 / 24 hrs after exercise; Child: Same as adults

Urine pH

Adult: 4.6-8; Child: Same as adults

Urine White Blood Cells (WBC)

Adult: 0-4; Child: Same as adults

Mantoux Tuberculin Skin Test (TST)

Adult: 0 mm induration, 4 or less mm induration (immunocompromised); Child: Same as adults

Digoxin (Lanoxin) Monitoring

Therapeutic Range: 0.5-2 ng/mL; Toxic Range: > 2.2 ng/mL

Lithium (Carbolith) Monitoring

Therapeutic Range: 0.5-1.2 mEq/L; Toxic Range: > 1.5 mEq/L

Valproic Acid (Depakene, Depakote) Monitoring

Therapeutic Range: 50-125 mcg/mL; Toxic Range: > 125 mcg/mL

Carbamazepine (Tegretol) Monitoring

Therapeutic Range: 8-12 mcg/mL; Toxic Range: > 12 mcg/mL

Phenytoin (Dilantin) Monitoring

Therapeutic Range: 10-20 mcg/mL; Toxic Range: > 30 mcg/mL

Theophylline Monitoring

Therapeutic Range: 10-20 mcg/mL; Toxic Range: > 20 mcg/mL

Lidocaine Monitoring

Therapeutic Range: 1.5-5 mcg/mL; Toxic Range: > 5 mcg/mL

Acetaminophen Monitoring

Therapeutic Range: Depends on use; Toxic Range: > 250 mcg/mL

Amikacin Monitoring

Therapeutic Range: 15-25 mcg/mL; Toxic Range: > 25 mcg/mL

Gentamicin Monitoring

Therapeutic Range: 5-10 mcg/mL; Toxic Range: > 12 mcg/mL

Vancomycin Monitoring

Therapeutic Range: 20-40 mcg/mL; Toxic Range: > 40 mcg/mL

Fetus (Fetal Heart Rate, FHR) Vital Signs

Pulse: 110-160; Blood Pressure: n/a; Temperature: n/a; Respirations: n/a

Newborn Vital Signs

Pulse: 110-170; Blood Pressure: 60-85/40-55 mm Hg; Temperature: Axillary 97.6-99.3° F; Respirations: 30-60

Infant Vital Signs

Pulse: 90-160; Blood Pressure: 65-100/55-65 mm Hg; Temperature: Axillary 97.6-99.5° F; Respirations: 30-53

Toddler Vital Signs

Pulse: 80-140; Blood Pressure: 90-105/55-70 mm Hg; Temperature: Axillary 97.6-99.5° F; Respirations: 22-37

Preschooler Vital Signs

Pulse: 75-120; Blood Pressure: 95-110/60-75 mm Hg; Temperature: Axillary 97.6-99.5° F; Respirations: 20-28

School-age Vital Signs

Pulse: 70-100; Blood Pressure: 100-120/60-75 mm Hg; Temperature: Axillary 97.6-99.5° F; Respirations: 18-25

Adolescents Vital Signs

Pulse: 60-100; Blood Pressure: 110-125/65-85 mm Hg; Temperature: Axillary 97.6-99.5° F; Respirations: 12-20

Adults Vital Signs

Pulse: 60-100; Blood Pressure: < 120/80 mm Hg; Temperature: 18-65 yrs 97.6-99.5° F, > 65 yrs < 98.6° F; Respirations: 12-20