Biochemical reference values for blood
Determination | Sample | Reference range |
---|---|---|
Alcohol | ||
legal limit (UK) | B or P | <17.4 mmol/l |
Albumin | P | 35–50 g/l |
in pregnancy | P | 25–38 g/l |
Ammonia | B | <40 μmol/l |
α-Amylase | P | 25–180 somogyi units/dl |
Anion gap (Na+ + K+) − (HCO3− + Cl−) | P | 12–16 mmol/l |
Bilirubin | P | 3–17 μmol/l |
Bicarbonate (see also Table 1.2) | P | 22–28 mmol/l |
Calcium | ||
ionized | P | 1.0–1.25 mmol/l |
total | P | 2.12–2.65 mmol/l |
total in pregnancy | P | 1.95–2.35 mmol/l |
Chloride | P | 95–105 mmol/l |
Cholesterol (see also Table 1.7) | P | 3.9–7.8 mmol/l |
Copper | P | 12–26 μmol/l |
Creatinine | P | 70–150 μmol/l |
in pregnancy | P | 24–68 μmol/l |
Digoxin | ||
children | P | 2.0–3.0 nmol/l |
adults | P | 1.0–2.0 nmol/l |
Glucose (fasting) | P | 3.0–5.0 mmol/l |
Glycated haemoglobin (HbA1C) | B | 5–8% |
Iron | ||
male | S | 14–31 μmol/l |
female | S | 11–30 μmol/l |
total iron-binding capacity (TIBC) | S | 45–75 μmol/l |
Lactate | ||
venous | B | 0.5–2.2 mmol/l |
arterial | B | 0.5–1.6 mmol/l |
Magnesium | P | 0.75–1.05 mmol/l |
Osmolality | P | 278–305 mosm/kg |
Phosphate (inorganic) | P | 0.8–1.45 mmol/l |
Potassium | P | 3.5–5.0 mmol/l |
Protein (total) | P | 60–80 g/l |
Sodium | P | 135–145 mmol/l |
Urea | P | 2.5–6.7 mmol/l |
in pregnancy | P | 2.0–4.2 mmol/l |
Urea nitrogen (BUN) | P | 1.16–3.12 mmol/l |
Uric acid | ||
male | P | 210–480 μmol/l |
female | P | 150–390 μmol/l |
in pregnancy | P | 100–270 μmol/l |
Zinc | P | 6–25 μmol/l |
Measurement | Reference range |
---|---|
Arterial CO2 (Paco2) | 4.7–6.0 kPa |
Mixed venous CO2 (Pvco2) | 5.5–6.8 kPa |
Arterial oxygen (Pao2) | 12.0–14.5 kPa |
Mixed venous oxygen (Pvo2) | 4.0–6.0 kPa |
Newborn arterial oxygen | 5.3–8.0 kPa |
H+ ion activity | 36–44 nmol/l |
Arterial pH | 7.35–7.45 pH units |
Bicarbonate | |
arterial – whole blood | 19–24 mmol/l |
venous – plasma | 22–28 mmol/l |
cord blood | 14–22 mmol/l |
Base excess | ± 2 mmol/l |
Carboxyhaemoglobin | |
non-smoker | <2% |
smoker | 3–15% |
toxic at: | >15% |
coma at: | >50% |
Enzyme | Sample | Reference range |
---|---|---|
Acid phosphatase | ||
total | S | 1–5 U/l |
prostatic | S | 0–1 U/l |
Alkaline phosphatase | P | 80–250 U/l |
Alanine aminotransferase (ALT) | P | 5–35 U/l |
α-Amylase | P | 25–180 somogyi units/dl |
Angiotensin-converting enzyme (ACE) | S | 21–54 U/l |
Aspartate aminotransferase (AST) | P | 15–42 U/l |
Creatine kinase (CK) | ||
male | P | 24–195 U/l |
female | P | 24–170 U/l |
Gamma-glutamyl transferase (GGT) | ||
male | P | 11–51 U/l |
female | P | 7–35 U/l |
Lactate dehydrogenase (total) | P | 240–525 U/l |
Hormone | Sample | Reference range |
---|---|---|
Adrenaline (epinephrine) | P | 0.03–1.31 nmol/l |
ACTH | P | 3.3–15.4 pmol/l |
Aldosterone | ||
recumbent | P | 100–450 pmol/l |
midday | P | 2-fold increase of recumbent level |
Angiotensin II | P | 5–35 pmol/l |
Antidiuretic hormone (ADH) | P | 0.9–4.6 pmol/l |
Calcitonin | ||
male | P | <100 nmol/l |
female | P | <30 nmol/l |
Cortisol | ||
00.00 h | P | 80–280 nmol/l |
09.00 h | P | 280–700 nmol/l |
follicular phase | P or S | 0.5–5.0 U/l |
ovulatory peak | P or S | 8–15 U/l |
luteal phase | P or S | 2–8 U/l |
postmenopause | P or S | > 30 U/l |
male | P or S | 0.5–5.0 U/l |
Gastrin | ||
male + female (>60 yr) | P | <50 pmol/l |
female (16–60 yr) | P | <38 pmol/l |
Glucagon | P | <50 pmol/l |
Growth hormone | P | <20 mU/l |
Human chorionic gonadotrophin | S | <5 U/l |
Insulin (fasting) | P | <15 mU/l |
Insulin C-peptide (fasting) | P | <0.4 nmol/l (undetectable in hypoglycaemia) |
Insulin-like growth factor-1 (IGF- 1) | P | 0.52–3.4 kU/l |
premenopausal | P or S | 6–13 U/l |
follicular phase | P or S | 3–12 U/l |
ovulatory peak | P or S | 20–80 U/l |
luteal phase | P or S | 3–16 U/l |
postmenopause | P or S | >30 U/l |
male | P or S | 3–8 U/l |
Noradrenaline | P | 0.47–4.14 mmol/l |
17-β-oestradiol | ||
follicular phase | P | 75–260 pmol/l |
mid-cycle | P | 370–1470 pmol/l |
luteal phase | P | 180–1100 pmol/l |
male | P | <220 pmol/l |
Parathyroid hormone (intact) | P | 0.9–5.4 pmol/l |
Pancreatic polypeptide | P | <200 pmol/l |
Progesterone | ||
male | P | <5 nmol/l |
female postovulation | P | 15–77 nmol/l |
follicular (newborn) | P | <3 nmol/l |
17-Hydroxyprogesterone | P | 7–16 nmol/l |
Prolactin | ||
male | P | <450 U/l |
female | P | <600 U/l |
Renin activity | P | |
recumbent | 1.1–2.7 pmol/ml per hr | |
erect after 30 min | 3.0–4.3 pmol/ml per hr | |
Somatostatin | P | 30–166 pmol/l |
Testosterone | ||
male | P or S | 9–42 nmol/l |
female | P or S | 1–2.5 nmol/l |
Thyroid-stimulating hormone | P | 0.5–5.5 mU/l |
Thyroid-binding globulin | P | 13–28 mg/l |
Tri-iodothyronine (T3) | P | 1–3 nmol/l |
Free T3 | P | 3.3–8.2 pmol/l |
Thyroxine (T4) | P | 70–140 nmol/l |
Free T4 | P | 9–25 pmol/l |
Vasoactive intestinal peptide (VIP) | P | <30 pmol/l |
Protein/immunoprotein | Sample | Reference range |
---|---|---|
Albumin | P | 35–50 g/l |
α1-Antitrypsin | S | 107–209 mg/l |
Complement | ||
C3 | 65–190 mg/dl | |
C4 | 15–50 mg/dl | |
Caeruloplasmin | S | 16–60 mg/dl |
C1 esterase inhibitor | S | 15–35 mg/dl |
C-reactive protein (CRP) | S | <10 mg/l |
Ferritin | S | 14–200 μg/l |
Fibrinogen | P | 2–4 g/l |
d-dimer | S | <500 μg/l |
Haptoglobins | S | 0.6–2.6 g/l |
Immunoglobulins | ||
IgG | S | 6.0–13.0 g/l |
IgA | S | 0.8–3.0 g/l |
IgM | S | 0.4–2.5 g/l |
IgE | S | <120 kU/l |
β2-Microglobulin | S | <3 mg/l |
Thyroid microsomal antibodies | ||
male | S | <1/400 |
female (<44 yr) | S | <1/400 |
female (>44 yr) | S | <1/6400 |
Total protein | P | 60–80 g/l |
β1-Transferrin | S | 1.2–2.0 g/l |
Determination | Sample | Reference range |
---|---|---|
Alkaline phosphatase | P | |
<1 year | 30–250 IU/l | |
1–14 years | 150–570 IU/l | |
>14 years | 80–250 IU/l | |
Ammonia | P | |
newborn | 64–107 μmol/l | |
0–2 weeks | 56–92 μmol/l | |
>1 month | 21–50 μmol/l | |
Aspartate aminotransferase | P | |
1–3 years | 20–60 IU/l | |
4–6 years | 15–50 IU/l | |
Bicarbonate | P | |
infants | 18–22 mmol/l | |
older children | 20–26 mmol/l | |
Bilirubin | P | |
first week of life | 100–200 μmol/l (total) | |
after first week of life | 2–14 μmol/l (total) | |
and throughout childhood | 0–0.4 μmol/l (direct) | |
Calcium | P | |
1–3 weeks | 1.9–2.85 mmol/l | |
3 weeks and above | 2.12–2.65 mmol/l | |
β-Carotene | S | |
<1 year (upper limit falls with age up to 3½ years) | 1.3–6.3 μmol/l | |
3½ years onwards | 1.9–2.8 μmol/l | |
Creatinine | P | |
cord blood | 57–100 μmol/l | |
2 weeks–6 years | 33–61 μmol/l | |
6 years–10 years | 39–70 μmol/l | |
>12 years | 49–81 μmol/l | |
Creatinine clearance | P | |
3–13 years | 94–142 ml/min per 1.73m2 | |
Creatine kinase (CK) | P | |
neonates | 75–400 U/l | |
infants 3–12 months | 10–145 U/l | |
children 1–15 years | 15–130 U/l | |
Glucose (fasting) | S | |
cord | 2.5–5.3 mmol/l | |
premature/low birth wt | 1.1–3.3 mmol/l | |
neonates | 1.67–3.3 mmol/l | |
1 day | 2.2–3.3 mmol/l | |
1–7 days | 2.8–4.6 mmol/l | |
>7 days | 3.3–5.5 mmol/l | |
Total protein | P | |
1st month | 51 g/l (mean) | |
1st year | 61 g/l (mean) | |
1–6 years | 61–78 g/l | |
7–16 years | 66–82 g/l | |
Immunoglobulins | ||
IgG | S | |
cord | 5.2–18.0 g/l | |
0–2 weeks | 5.0–17.0 g/l | |
2–6 weeks | 3.9–13.0 g/l | |
6–12 weeks | 2.1–7.7 g/l | |
3–6 months | 2.4–8.8 g/l | |
6–9 months | 3.0–9.0 g/l | |
9–12 months | 3.0–10.9 g/l | |
1–2 years | 3.1–13.8 g/l | |
2–3 years | 3.7–15.8 g/l | |
3–6 years | 4.9–16.1 g/l | |
6–9 years | 5.4–16.1 g/l | |
9–12 years | 5.4–16.1 g/l | |
12–15 years | 5.4–16.1 g/l | |
IgA | S | |
cord | 0.00–0.02 g/l | |
0–2 weeks | 0.01–0.08 g/l | |
2–6 weeks | 0.02–0.15 g/l | |
6–12 weeks | 0.05–0.4 g/l | |
3–6 months | 0.1–0.5 g/l | |
6–9 months | 0.15–0.7 g/l | |
9–12 months | 0.20–0.7 g/l | |
1–2 years | 0.3–1.2 g/l | |
2–3 years | 0.3–1.3 g/l | |
3–6 years | 0.4–2.0 g/l | |
6–9 years | 0.5–2.4 g/l | |
9–12 years | 0.8–2.8 g/l | |
12–15 years | 0.8–2.8 g/l | |
IgM | S | |
cord | 0.02–0.2 g/l | |
0–2 weeks | 0.05–0.2 g/l | |
2–6 weeks | 0.08–0.4 g/l | |
6–12 weeks | 0.15–0.7 g/l | |
3–6 months | 0.20–1.0 g/l | |
6–9 months | 0.40–1.6 g/l | |
9–12 months | 0.60–2.1 g/l | |
1–2 years | 0.50–2.2 g/l | |
2–3 years | 0.50–2.2 g/l | |
3–6 years | 0.50–2.0 g/l | |
6–9 years | 0.50–1.8 g/l | |
9–12 years | 0.50–1.9 g/l | |
12–15 years | 0.50–1.9 g/l | |
Lactate | P (venous) | 0.5–2.2 mmol/l |
P (arterial) | 0.5–1.6 mmol/l | |
B | 0.5–1.7 mmol/l | |
Phosphate (inorganic) | P | |
newborn | 1.20–2.78 mmol/l | |
young children | 1.29–1.78 mmol/l | |
girls 15 years | 0.9–1.38 mmol/l | |
boys 17 years | 0.83–1.49 mmol/l | |
Potassium | P | |
newborn | up to 6.6 mmol/l | |
>1 month–6 years | 4.1–5.6 mmol/l | |
boys 7–16 years | 3.3–4.7 mmol/l | |
girls 7–16 years | 3.4–4.5 mmol/l | |
Sweat sodium | 10–40 mmol/l | |
Sweat chloride | 0–50 mmol/l | |
Thyroid-stimulating hormone (TSH) (outside neonatal period) | S | 0.5–5.0 mU/l |
Uric acid | P | |
childhood | 0.06–0.24 mmol/l | |
boys 16 years | 0.23–0.46 mmol/l | |
girls 16 years | 0.19–0.36 mmol/l |
Lipid/lipoprotein | Sample | Reference range |
---|---|---|
Cholesterol | P | 3.9–7.8 mmol/l |
ideal upper limit | 5.2 mmol/l | |
acceptable upper limit | 6.5 mmol/l | |
Triglyceride (fasting) | P | 0.55–1.90 mmol/l |
Nonesterified (free) fatty acids (NEFA) | S | |
male | 0.19–0.78 mmol/l | |
female | 0.06–0.9 mmol/l | |
Lipoproteins (as cholesterol) | ||
low-density (LDL) | S | 1.55–4.4 mmol/l |
ideal upper limit | 3.4 mmol/l | |
acceptable upper limit | 4.2 mmol/l | |
high density (HDL) | S | 0.8–2.0 mmol/l |
ideal (male) | >0.9 mmol/l | |
ideal (female) | >1.2 mmol/l | |
Total cholesterol/HDL | S | |
ideal | <5 ratio |
Vitamin | Sample | Reference range |
---|---|---|
Vitamin A | ||
retinol | S | |
male | 1.06–3.35 μmol/l | |
female | 0.84–2.95 μmol/l | |
β-carotene | S | |
male | 0.01–6.52 μmol/l | |
female | 0.019–2.93 μmol/l | |
Vitamin B | ||
Thiamin (B1) | P | >40 nmol/l |
Riboflavin (B2) | S | 100–630 nmol/l |
Pyridoxine (B6) | P (EDTA) | 20–120 nmol/l |
Vitamin B12 | S | 138–780 nmol/l |
Folate | S | 12–33 μmol/l |
red blood cell folate | B | 500–1300 μmol/l |
Vitamin D metabolites | ||
25-(OH) D | S | 17–125 nmol/l |
1,25-(OH)2 D3 | S | 50–120 pmol/l |
Vitamin E (α- tocopherol) | S | 11.5–35 μmol/l |