Critical Values - University of Kentucky

LAB 704.01UNIVERSITY OF KENTUCKY HOSPITAL LABORATORIES 02/7/2012Lexington, KY Page 2 of 6____________________________________________________________________________________CRITICAL VALUES and SIGNIFICANT FINDINGS LIST____________________________________________________________________________________Ionized calcium≤3.0 mg/dL≥6.5 mg/dLLactate ( whole blood)>8 mmol/LLactate (plasma/fluid)>8 mmol/LLithium>1.5 mmol/LMalaria smear prepPositiveMagnesium≤1.0 mg/dL≥4.5 mg/dL (non-OB patients)Partial thromboplastin time>120 sec (inpatient)>60 sec (outpatient)Prothrombin TimeINR ≥ 6.0pCO2≥60 mmHgpH ≤7.25≥7.60Phosphorus≤1.0 mg/dLpO2, Arterial≤60 mmHgnewborn:≤50 mmHg ≥300Platelet count 1,000,000Potassium≥6.5 mmol/L (inpatient)≥6.0 mmol/L (outpatient)10 µg/mLAmikacin peak >30 µg/mLCarbamazepine>15.0 µg/mLCyclosporine Renal txp >400 ng/mLCyclosporine Cardiac txp >400 ng/mLCyclosporine Hepatic txp >400 ng/mLDigoxin>2.3 µg/mLZ:\LAB- POLICIES- Enterprise format\LAB 704 01 Critical Values and Significant Finidings List.doc

LAB 704.01UNIVERSITY OF KENTUCKY HOSPITAL LABORATORIES 02/7/2012Lexington, KY Page 3 of 6____________________________________________________________________________________CRITICAL VALUES and SIGNIFICANT FINDINGS LIST____________________________________________________________________________________Gentamicin trough >2.0 µg/mLGentamicin peak >10.0 µg/mLLithium>1.5 µg/mLPhenobarbital>45.0 µg/mLPhenytoin>22.0 µg/mLSalicylate>30 mg/dLSirolimus>15 ng/mLTacrolimus Renal txp >25 ng/mLTacrolimus Cardiac txp >25 ng/mLTacrolimus Hepatic txp >25 ng/mLTacrolimus Cardiac txp >25 ng/mLTacrolimus Hepatic txp >25 ng/mLTheophylline COPD >22 µg/mLTheophylline Premature apnea >13 µg/mLTobramycin trough >2.0 µg/mLTobramycin peak >10.0 µg/mLValproic cid>120 µg/mLVancomycin trough >25.0 µg/mLVancomycin peak >50.0 µg/mLModified Critical Value List for Emergency Department ONLYHematocrit

LAB 704.01UNIVERSITY OF KENTUCKY HOSPITAL LABORATORIES 02/7/2012Lexington, KY Page 6 of 6____________________________________________________________________________________CRITICAL VALUES and SIGNIFICANT FINDINGS LIST____________________________________________________________________________________Called to physician or nurse in clinic (up to 2 calls as a courtesy)Positive fungal culturesPositive Histoplasma, Blastomyces, Streptococcal or Legionella urinary antigenRecovery of mycobacterium when a negative smear has been reportedPositive galactomannanPositive viral culturesPositive Chlamydia culturesPositive O&P with significant pathogensHISTORY: BLOCK:Replaces:Changes:NAEdited out troponin, edited potassium to ED.APPROVAL BLOCK:Written by: Barbara Bush Date: 10-27-2011Revised by: Barbara Bush Date: 01-10-2012Approved by: Paul DePriest, CMO Approval Date: 2/7/2012Approved by: Paul Bachner, Chairman Effective Date: 2/7/2012Approved by:Barbara Bush, Laboratory Manager Approval Date: 1/10/2012Annual ReviewMedical Director:Date:Date procedure retired:Approved by: P. Bachner, MDCLIA Designated DirectorDate: 2/7/2012Z:\LAB- POLICIES- Enterprise format\LAB 704 01 Critical Values and Significant Finidings List.doc