Sabtu, 29 Desember 2012

Nilai laboratorium

Nilai Laboratorium Darah


Hb
·        laki                  : 14-18 gr/dl
·        Wanita            : 12-16 gr/dl
·        Anak-anak      : 10-16 gr/dl
·        Bayi                : 12-24 gr/dl

MCV/VER       : 82 – 92 femtoliter
MCH/HER       : 27 – 31 pikogram
MCHC/KHER  : 32 – 37 %
   1.  Mikrositik     = MCV < 80 fl
    Def.besi, talasemia, peny.kronik,sideroblastik
   2.  Normositik   = MCV 80-100 fl
    Peny.kronik, peny.ginjal kronik, hemolitik, def.besi stad.awal
   3.  Makrositik    = MCV >100 fl
    Def. Asam folat,def B12,sindrom mielodisplastik, peny.hati kronik, hipotiroidisme

·        Natrium/sodium        = 135-145 mEq/L
  • Increased in dehydration and diabetes insipidus;
  • decreased in overload of IV fluids, burns,diarrhea, or vomiting
·        Kalium/ Potassium    = 3,5-5,0 mEq/L
  • Increased in renal failure, extensive cell damage, and acidosis;
  • decreased in vomiting, diarrhea, and excess administration of diuretics or IV fluids
·        Chlorida                         = 98-106 mEq/L
·         Increased in dehydration, hyperventilation, and congestive heart failure;
·         decreased in vomiting,diarrhea, and fever

Creatine phosphokinase (CPK or CK) 
Men               : 38-174 U/L
Women         : 96-140 U/L           
Elevated enzyme level indicates myocardial infarction or damage to skeletal muscle.

SGPT/ALT                 : 10-40 U/L
·        Used to diagnose and monitor treatment of liver disease and to monitor the effects of drugs on the liver;
·         increased in myocardial infarction

SGOT/AST                : 0-41 U/L (varies)
·         Enzyme present in tissues with high metabolic activity;
·         increased in myocardial infarction and liver disease

Thyroxin (T4)          5-12.5 g/dL (varies)
Screening test of thyroid function;
·         increased in hyperthyroidism;
·         decreased in myxedema and hypothyroidism

Thyroid-stimulatinghormone (TSH)    0.5-6 mlU/L
Produced by pituitary to promote thyroid gland function; elevated when thyroid gland is not functioning

Triiodothyronine (T3)      120-195 mg/dL
Elevated in specific types of hyperthyroidism

Triglycerides
Men               : 40-160 mg/dL
Women         : 35-135 mg/dL
An indication of ability to metabolize fats; increased triglycerides and cholesterol indicate high risk of atherosclerosis

Uric acid      
Men               : 3.5-7.2 mg/dL
Women         : 2.6-6.0 mg/dL
Produced by breakdown of ingested purines in food and nucleic acids; elevated in kidney disease, gout, and leukemia

Cholesterol 120-220 mg/dL
 desirable range Screening test used to evaluate risk of heart disease; levels of 200 mg/dL or above indicate increased risk of heart disease and warrant further investigation

High-density lipoproteins (HDL)
Men: 30-70 mg/dL
Women:30-85 mg/dL     
Used to evaluate the risk of heart disease

Lactic dehydrogenase(LDH)      95-200 U/L Enzyme released in many kinds of tissue damage, including myocardial infarction, pulmonary infarction, and liver disease

Lipase            4-24 U/L (varies with test)
Enzyme used to diagnose pancreatitis

Low-density lipoproteins (LDL)            80-140 mg/dL
Used to evaluate the risk of heart disease


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