Panic Values

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Chemistry

AnalyteAge RangeCritical ValueUnits
Anion GapAny age>30mmoI/L
Bicarbonate (Whole Blood)Any age<10
>40
mEq/L
Calcium*Any age<6.5
>13
mg/dL
ChlorideAny age<18
>120
mmol/L
CO2Any age<10
>40
mmol/L
CO HemoglobinAny age>20%
Free (ionized) Calcium*Any age<0.8
>1.6
mmol/L
Glucose0-2 days
>2 days & <1 year
>1 year
<35
<40
<55
mg/dL
Glucose<30 days
>30 days & <17 yrs
>17 yrs
<200
<300
<450
mg/dL
Glucose (GDM)
GDM Glucose Tolerence
GDM Glucose Tolerence 1hr
GDM Glucose Tolerence 2hrs
GDM Glucose Tolerence 3hrs
Any age<50
>300
mg/dL
Glucose
PXP Glucose meter (POCT)
Any age<40
>300
mg/dL
Iron, SerumAny age≥350ug/dL
MagnesiumAny age<0.1
>3.5
mg/dL
pCO2Any age>65mmHg
pHAny age<7.20
>7.60
pH units
pH - Arterial & Venous Blood Gases, Cord BloodAny age<= 7.00N/A
Base Excess - Arterial & Venous
Blood Gases, cord blood
Any age<= -10.0
=> 10.0
mmol/L
Phosphorus<3 years of age
3-12 years of age
>12 years of age
≤2.5
≤2.0
≤1.5
mg/dL
pO2 (arterial)Any age<50mg/dL
PotassiumLess than 1 week
older than 1 week
Any age
<2.5
<3.0
6.0
mmol/L
Potassium;
ISTAT (POCT)
Any age<3.0
>6.0
mmol/L
SodiumAny age
Any age
<125
>160
mmol/L
TCO2 (Whole Blood)Any age<10
>40
mEq/L
Total Bilirubin<1 day
>1 day <2 days
>2days <30days
≥7
≥11
≥15
mg/dL
Troponin IAny age≥0.3ng/mL
Troponin I
ISTAT (POCT)
Any age≥0.1ng/mL

*Calcium: mmol/L (SI unit) = 0.25 (conversation factor) x mg/dL (conversational unit).

Coagulation

AnalyteAge RangeCritical ValueUnits
FibrinogenAny age<100mmoI/L
Heparin unfractionatedAny age<0.1
>0.7
IU/mL
IU/mL
PTTAny age≥100sec
PT INRAny age>5.0 INRN/A
PT INR;
ISTAT (POCT)
Any age>4.5N/A

Hematology

AnalyteAge RangeCritical ValueUnits
Absolute
Neutrophil
Count
Any age≤0.5 (Outpatient Only)K/µL
Cell Count,
Any body fluid
Any ageIntracellular organism. (Non CSF-Blasts and Tumor cells to be called as soon as a provider is available, which for inpatients is immediate, for others called next business day.)
Cell Count
CSF only
Any ageWBC Count>30
excluding peripheral blood contamination
/µL
Cell Count
CSF only
Any ageBlasts or Tumor Cells
Gram StainAny agePositiveN/A
Hematocrit
(PCV)
Any age≤21.0
≥65.0
%
HemoglobinAny age≤7.0g/dL
Malaria ScreeningAny agePositiveN>A
Platelet
Count
Any age≤10,000
≤50.000 (L&D OB outpatient clinics, and Perinatal Diagnostic Center Only) ≤100,000 with 2+ microangiopathic changes
/µL
Slide
Review / Diff
Any agePresence of intracellular organisms
Blasts on peripheral smear (1st time or relapse only)
%
StoolMale / Female
<18 Years
SpermN/A
UrinalysisFemale <18 years
Male <18 years
Sperm Trichomonas
Trichomonas
N/A
WBCAny age≤5.0 (Outpatient Only)
≥50
K/µL

Microbiology

AnalyteAge RangeCritical ValueUnits
Any assay: Potential Bioterrorism AgentAny agePresence of potential B. anthracis or any BT agent
Bacillus anthracis (Category A)
Francisella tularensis (Category A)
Yersinia pestis (Category A)
Brucella species (Category B)
N/A
Blood CultureAny ageAny Clinically important positive result per protocolN/A
Mycobacterium Tuberculosis PCR TestAny agePositive on Tissue or CultureN/A
Stool Culture<18 yearsPositive Shiga toxin producing E. ColiN/A

Virology

AnalyteAge RangeCritical ValueUnits
Antigen test, culture, serology or molecular testAny agePositive or Suspicious for any Pandemic (Influenza or SARS) or Bioterrorism Agents (Smallpox, Viral hemorrhagic fever agentsN/A
Any CSF AssayAny agePositive (including virus growth or molecular test)N/A