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Kilgore Lab Values 1
Hematology
| Term | Definition |
|---|---|
| WBC | 5-10 thousand/mcl |
| WBC | ↑ with Infection & Stress; ↓ decreased immunity (Immune response) Critical high > 30,000; Critical low < 2,500 |
| Neutrophils % | 45 – 70% |
| Neutrophils % | ↑ in inflammation & bacterial infection, & stress Segmented neutrophil is a mature functioning cells; |
| Bands | 0 – 5% |
| Bands | Bands - immature non-active cells ↑ Elevated in bacterial infection and severe stress |
| Lymphocytes % | 18-48% |
| Lymphocytes % | ↑ ↓ T & B cell immune response: ↑ in viral infections & autoimmune disorders; ↓ AIDS |
| Monocytes % | 0-9% |
| Monocytes % | ↑ in chronic infections, autoimmune disorders, leukemia, lymphoma |
| Eosinophils % | 1-3% |
| Eosinophils % | Increase in allergic & parasitic conditions |
| RBC | 4.2 - 6.1 million/mcl |
| RBC | ↑ high altitudes & in polycythemia vera; ↓ in anemia |
| RBC indices to determine type of anemia | MCV & RDW MCH - MCHC - |
| RBC indices to determine type of anemia | Size of RBC - Too low (microcytic) or too high (macrocytic) 80 – 96 um3 Weight of RBC (Mean corpuscular hemoglobin) Amount in concentration (Mean corpuscular hemoglobin concentration) |
| RBC Indices | To diagnose anemias: RDW, B12, Folate, serum Fe, Ferritin, TIBC, reticulocyte count |
| Reticulocyte count Immature RBCs | 0.5-1.5% |
| Reticulocyte count Immature RBCs | Indicates bone marrow activity ↑ in anemia or hemorrhage when body needs more RBCs |
| ‘Sed rate’ (ESR) | Up to 15 - 20 |
| ‘Sed rate’ (ESR) | Erythrocyte sedimentation rate Detects inflammatory diseases when high (nonspecific) |
| HGB | 12 – 18 grams/dl |
| HGB | 02 carrying capacity of RBC; ↓ in anemias: Critical high > 20 Critical low < 5 Elevated in pulmonary diseases and smokers &/or in liver disease with too much iron - hemochromatosis. |
| HCT | 37 – 52% |
| HCT | PCV packed cell volume or % of RBCs in blood: ↓ in anemias; Critical low < 15; Critical high > 60 Elevated with dehydration & low with overhydration |
| Platelets | 150 – 400 thousand/mcl |
| Platelets | Clotting ability Critical high > 1 million; Critical low -50,000; Risk of hemorrhage – 20,000 |
| PT Prothrombin time | 11 – 13 sec |
| PT Prothrombin time | Used in regulating Coumadin – indicates decreased or increased clotting Critical high > 20 sec; Higher PT -> lower PLTs |
| INR | 0.8 - 1.1 ratio |
| INR | Used in regulating Coumadin – indicates decreased or increased clotting Therapeutic range is usually 2.0 – 3.0; Higher INR -> lower PLTs |
| PTT aPTT | 60 – 70 sec 30-40 sec |
| PTT aPTT | Used in regulating heparin – indicates decreased or increased clotting (Partial thromboplastin time) & (Activated partial thromboplastin time) |