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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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