NILAI AMBANG KRITIS LABORATORIUM PATOLOGI KLINIK

RSUD Dr. SOETOMO SURABAYA

NILAI AMBANG
PARAMETER PEMERIKSAAN NILAI AMBANG TINGGI
RENDAH

HEMATOLOGI &KOAGULASI
Leukosit < 2000/µL >50.000/µL
Neutrofil Absolut - Indeterminate
Hematokrit < 20 % > 60 %
Hematokrit (neonatus) < 33 % > 71 %

Hemoglobin < 7 g/dL > 20 g/dL

Hemoglobin (neonatus) < 8,5 g/dL > 23 g/dL

Trombosit < 20.000/µL > 1 x 106/µL

APTT (dewasa dan anak) - > 75 detik
Fibrinogen < 100 mg/dL -
INR : >3,6 atau >30 detik atau
PT -
3x kontrol
Waktu perdarahan - > 15 menit

KIMIA KLINIK

Bilirubin (dewasa dan anak) - > 15 mg/dL

Bilirubin (neonatus) - > 14 mg/dL
CRP (neonatus) - > 5 mg/L
CRP - > 500 mg/L
BUN (dewasa dan anak) < 2 mg/dL > 100 mg/dL
 NILAI AMBANG
PARAMETER PEMERIKSAAN NILAI AMBANG TINGGI
RENDAH
Creatinin - > 7,4 mg/dL
Calcium < 6 mg/dL > 13 mg/dL
Glukosa (dewasa dan anak) < 45 mg/dL > 500 mg/dL
Glukosa (neonatus) < 30 mg/dL > 325 mg/dL

Magnesium < 1,0 mg/dL > 4,9 mg/dL

Osmolalitas <240 mOsm/kg H2O >330 mOsm/kg H2O
Phosphate <1,0 mg/dL >9.0 mg/dL
Kalium (dewasa) < 2,8 mmol/L > 6,0mmol/L
Kalium (neonatus) < 2,6 mmol/L > 7,7mmol/L
Natrium < 120 mmol/L > 160 mmol/L
Chloride < 75mmol/L > 125mmol/L
Laktat - > 45 mg/dL
Asam urat - > 13 mg/dL

HEMODIALISIS

Calcium < 8 mg/dL > 11 mg/dL

Glukosa < 70 mg/dL > 300 mg/dL
Hematokrit < 20 % Tidak ada
Hemoglobin < 6,0 mg/dL Tidak ada
Phosphor < 2,0 mg/dL Tidak ada
Kalium < 2,8 mmol/L > 6,5 mmol/L

GAS DARAH

Arterial
pH < 7,2 >7,6
pO2 < 43 mm Hg -
HCO3 < 10mmol/L > 40 mmol/L
pCO2 < 19 mm Hg > 67 mm Hg
Referensi :
1. Thomas L. Critical limits of laboratory results for urgent clinician notification. The
Journal of The International Federation of Clinical Chemistry And Laboratory Medicine.
2016;14(1):1-8.
2. Keng TB, La Salle BD, Bourner G, Merino A, Han JY. Standardization of haematology
critical results management in adults: an International Council for Standardization in
Haematology, ICSH, survey and recommendations. International Journal of Laboratory
Hematology. 2016;1:1-12.
3. Dighe AS, Rao A, Coakley AB, Lewandrowski KB. Analysis of laboratory critical value
reporting at a large academic medical center. American Journal of Clinical Pathology.
2006;125(5):758-64.
4. Stanford Health Care. Laboratory critical/panic value list. 2016.
http://www.stanfordlab.com/pages/panicvalues.htm. [Online]
[Accessed 16 Desember 2016].