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CRITICAL VALUES | TRANSFUSION CRITERIA | ORAL ANTICOAGULANT THERAPY | HEPARIN THERAPY

CRITICAL VALUES

Critical Values:  indicates that the patient is in imminent danger of death, significant morbidity or serious adverse consequences unless treatment is initiated immediately.

Refer to PCS Policy 7.01.05 Reporting Critical Values for reporting guidelines.

Changes

12/18/2007 - PT critical value changed to >42.1 seconds; INR changed to >4.5
8/10/2007 - aPTT critical value not applicable to patients on anticoagulant therapy.

LSG Inserts:

Page5: Critical Value Table

Page 39: aPTT

 

ANALYTE

CRITICAL VALUE

CHEMISTRY

 

Bilirubin (Bu)                       Serum, cord blood

                                             Serum, neonate

> 3.0 mg/dL

> 18 mg/dL

Calcium, ionized

< 3.0 or > 6.5 mg/dL

Calcium, total

< 6.0 or > 13.0 mg/dL

Glucose, serum                                 General

                                                      Neonates

< 50 or > 450 mg/dL

< 30 or > 300 mg/dL

Osmolality

< 240 or > 320 mOsm/Kg

pH

< 7.20 or > 7.60

pO2

< 40 mm Hg

Sodium

< 120 or > 160 mmol/L

Potassium

< 3.0 or > 6.0 mmol/L

URINALYSIS

 

Glucose, urine

                                        Newborns to < 1 yr

Positive

Ketones, urine

                                        Newborns to < 1 yr

Positive

Reducing Substances, urine

                                        Newborns to < 1 yr

Positive

Red Cell Cast

Present

HEMATOPATHOLOGY

 

APTT

> 70 seconds (if patient not on anticoagulant therapy)

Fibrinogen

< 100 mg/dL

Hematocrit                                           Adults

                                                          Infants

< 15%

≤ 21%

Hemoglobin                                         Adults

                                                          Infants

< 5.0 g/dL

< 7.0 g/dL

Platelet

< 50.0 x 103/uL

> 1.0 x106/uL

Protime (PT)

> 42.1 seconds

INR >4.5

Joint Fluid WBC

≥ 50,000/mm3

WBC

< 2.0 x 103/uL

MICROBIOLOGY

·         Positive blood culture direct Gram stain

·         Positive CSF smear  or culture

·         Positive HSV I or II cultures or DFA from neonates and patients in L&D   or the Pavilion

·         Positive CSF Cryptococcal antigen

·         Positive C. difficile toxin

·         Positive smear for  blood parasites

·         Positive AFB smear

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