CRITICAL VALUES


A CRITICAL VALUE is a threshold value above which, or below which, a particular management action is recommended. Good laboratory practise dictates that any CRITICAL VALUE has had sufficient scrutiny to eliminate such possible causes as instrument / laboratory error.

THE IMPORTANCE OF "CRITICAL VALUES" IN THE CONTEXT OF PATIENT MANAGEMENT CANNOT BE OVERSTATED. THIS LIST COVERS THOSE TESTS MOST FREQUENTLY ENCOUNTERED.

BIOCHEMISTRY
Albumin
< 15g/L
Amylase
> 500 u/L
Bicarbonate
< 15
> 45 mmol/L
Calcium
< 1.8
> 3.0 mmol/L
Creatinine *
> 0.50 mmol/L
Digoxin
> 2.6 mmol/L
Glucose
< 2.5
> 25.0 mmol/L
Lithium
> 1.5 mmol/L
Magnesium
< 0.5
> 2.50 mmol/L
Neonatal Bilirubin
> 310 umnol/L
Paracetamol
Phone for all levels
Phosphate
< 0.35
> 2.00 mol/L
Potassium *
< 3.0
> 6.5 mmol/L
Salicylate
> 2.5 mmol/L
Sodium
< 120
> 160 mmol/L
Troponin
> 0.1 mmol/L
Urea *
> 36.0 mmol/L
HAEMATOLOGY
Fibrinogen
< 0.5 g/L
Haemoglobin
< 90
> 200 g/L
INR
> 5.0
Platelets
< 50
> 1000 x 10^6/L
PTT
>180 seconds
White Cell Count
< 3.0
> 20.0 x 10^6/L

MICROBIOLOGY
Positive blood cultures (gram / culture / sensitivity)
CSF
Microscopy suggestive of UTI in paediatric / pre-operative patients
Maternal or neonatal Group B Strept. isolates (inpatients only)

 



Gippsland Pathology Service
Princes Highway, Traralgon West, Victoria 3844, Australia, Tel: 61 3 5174 0800, Fax: 61 3 5174 7335