lab values peds
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| rbc: hemoglobin values (g/dl) | neonate: 20
1-6 months: 13
5-8 years: 14
13-18 years: 15
highest at birth, then decrease; starts increasing at age 5
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| rbc: hematocrit value (%) | neonate: 60
1-6 months: 40
5-8 years: 42
13-18 years: 47
high as neonate, then decreases; start increasing at age 5
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| rbc: rbc (mill/mm3) | neonate: 6
1-6 months: 4
5-8 years: 5
13-18 years: 5
high as neonate, then decrease; increase at age 5
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| rbc: plts (10X3/mm3) | neonate: 450
1-6 months: 700
5-8 years: 550
13-18 years: 450
from birth starts increasing but then decreases at age 2-5
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| wbc: (10X3/mm3) | neonate: 35
1-6 months: 18
5-8 years: 15
13-18 years: 13
birth range 10-35 then decreases
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| wbc: segs | neonate: 60
1-6 months: 30
5-8 years: 50
13-18 years: 60
high at birth then decreases; start increasing at age 5
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| wbc: bands | neonate: 18
1-6 months: 12
5-8 years: 11
13-18 years: 11
high at birth then decreases
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| wbc: lymphs | neonate: 30
1-6 months: 70
5-8 years: 50
13-18 years: 45
low at birth then increases, at 5 start decreasing
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| newborn lab values | hct >60-polycythemia
hgb<15 blood loss, hemolysis, anemia
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| low and high WBC | high WBC>15; attempt to fight infection
low WBC<5; system overwhelmed by infection
WBC to rule out bacteremia (if <10)
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| lab tests for possible sepsis | cdc with diff, ua, ucx, blood cx, stool cx, csf cell count & cx, cxr
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| bilirubin values (mg/dl) | total: 0-3 day: 2-10
total: 1m-adult: 0-1.5
direct, conjugated: newborns: <1.5
direct, conjugated: 1m-adult: 0-0.5
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| Coombs test | to find level of maternal antibodies in case of ABO incompatibility and RH negative mother (both leads to fetus with anemia, jaundice, hyperbilirubinemia,etc)
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| total bilirubin 20 | require phototherapy
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| common screening tests for newborns | congenital adrenal disease, sickle cell, HIV, hypothyroidism, PKU
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| do urinalysis | when small child/infants has fever & no signs of infection
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| IgG, IgM, IgA | IgG-passes to fetus via placenta at 30-32 weeks
IgM-first antibody produced by infants 4 months
IgA-high in breast milk; local immunity
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| reason for multiple booster shots for immunization in first year of life | no or few antibodies to produce a response
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| oxygen saturation <90 | clinically significant hypoxia in children
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