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Normal Pediatric Laboratory Values

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Normal Pediatric Laboratory Values Page 2
Normal Pediatric Laboratory Values
Chloride (S, P)
1
1 year: 96–111 mmol/L
1–17 years: 102–112 mmol/L
Adults: 100–108 mmol/L
Cholesterol, High-Density Lipoprotein (S)
1
1–9 years: 35–82 mg/dL (0.91–2.12 mmol/L)
10–13 years: 36–84 mg/dL (0.93–2.17 mmol/L)
14–19 years: 35–65 mg/dL (0.91–1.68 mmol/L)
Cholesterol, Low-Density Lipoprotein (S)
1
5–9 years: 63–140 mg/dL (1.63–3.63 mmol/L)
10–14 years: 64–136 mg/dL (1.66–3.52 mmol/L)
15–19 years: 59–137 mg/dL (1.53–3.55 mmol/L)
Cholesterol, Total (S, P)
1
1–3 years: 44–181 mg/dL (1.15–4.70 mmol/L)
4–6 years: 108–187 mg/dL (2.80–4.80 mmol/L)
7–9 years: 112–247 mg/dL (2.90–6.40 mmol/L)
10–13 years: 125–244 mg/dL (3.25–6.30 mmol/L)
14–19 years: 106–224 mg/dL (2.75–5.80 mmol/L)
Complement (S)
2
C3: 96–195 mg/dL
C4: 15–20 mg/dL
Creatine Kinase (S, P)
2
Newborns (1–3 days): 40–474 IU/L at 37°C (98.6°F)
Adult males: 30–210 IU/L at 37°C (98°F)
Adult females: 20–128 IU/L at 37°C (98.6°F)
Creatine (S, P)
2
Values in mg/dL (mol/L)
Age Males Females
1–3 days
a
0.2–1.0 (17.7–88.4) 0.2–1.0 (17.7–88.4)
1 year 0.2–0.6 (17.7–53.0) 0.2–0.5 (17.7–44.2)
2–3 years 0.2–0.7 (17.7–61.9) 0.3–0.6 (26.5–53.0)
4–7 years 0.2–0.8 (17.7–70.7) 0.2–0.7 (17.7–61.9)
8–10 years 0.3–0.9 (26.5–79.6) 0.3–0.8 (26.5–70.7)
11–12 years 0.3–1.0 (26.5–88.4) 0.3–0.9 (26.5–79.6)
13–17 years 0.3–1.2 (26.5–106.1) 0.3–1.1 (26.5–97.2)
18–20 years 0.5–1.3 (44.2–115.0) 0.3–1.1 (26.5–97.2)
a
Values may be higher in premature newborns.
Creatinine Clearance
2
Values show great variability and depend on specificity of analytical
methods used.
Newborns (1 day): 5–50 mL/min/1.73 m
2
(mean, 18 mL/min/1.73 m
2
)
Newborns (6 days): 15–90 mL/min/1.73 m
2
(mean, 36 mL/min/1.73 m
2
)
Adult males: 85–125 mL/min/1.73 m
2
Adult females: 75–115 mL/min/1.73 m
2
C-Reactive Protien (S)
1
Cord blood: 10–350 g/L
Adult: 68–8,200 g/L
Fasting Insulin Level
3
1.8–24.6 mU/L
Fibrinogen (P)
2
200–500 mg/dL (5.9–14.7 mol/L)
Galactose (S, P)
2
1.1–2.1 mg/dL (0.06–0.12 mmol/L)
Galactose 1-Phosphate (RBC)
Normal: 1 mg/dL of packed erythrocyte lysate; slightly higher in cord blood
Infants with congenital galactosemia on a milk-free diet: 2 mg/dL
Infants with congenital galactosemia taking milk: 9–20 mg/dL
Galactose 1-Phosphate Uridyl Transferase (RBC)
2
Normal: 308–475 mIU/g of hemoglobin
Heterozygous for Duarte variant: 225–308 mIU/g of hemoglobin
Homozygous for Duarte variant: 142–225 mIU/g of hemoglobin
Heterozygous for congenital galactosemia: 142–225 mIU/g of hemoglobin
Homozygous for congenital galactosemia: 8 mIU/g of hemoglobin
Glucose (S, P)
2
Premature infants: 20–80 mg/dL (1.11–4.44 mmol/L)
Full-term infants: 30–100 mg/dL (1.67–5.56 mmol/L)
Children and adults (fasting): 60–105 mg/dL (3.33–5.88 mmol/L)
Glucose 6-Phosphate Dehydrogenase (RBC)
2
150–215 units/dL
Glucose Tolerance Test Results in Serum
a2
GLUCOSE INSULIN
TIME mg/dL mmol/L
U/mL pmol/L
Fasting 59–96 3.11–5.33 5–40 36–287
30 min 91–185 5.05–10.27 36–110 258–789
60 min 66–164 3.66–9.10 22–124 158–890
90 min 68–148 3.77–8.22 17–105 122–753
2 hr 66–122 3.66–6.77 6–84 43–603
3 hr 47–99 2.61–5.49 2–46 14–330
4 hr 61–93 3.39–5.16 3–32 21–230
5 hr 63–86 3.50–4.77 5–37 36–265
a
Normal levels based on results in 13 normal children given glucose,
1.75 g/kg orally in one dose, after 2 weeks on a high-carbohydrate diet.
Glycosylated Hemoglobin (Hemoglobin A
1
) (B)
1
Normal: 4–7% of total hemoglobin
Diabetic patients in good control 8–10%
of their condition:
Diabetic patients in poor control: 8–18%
Pregnant Women: 5%–8%
Values tend to vary with testing technique.
a
Note: These values reflect total Hemoglobin A
1
levels. When Hemoglobin
A
1c
is computed, values are usually 2–4% lower.
1448 APPENDIX B Selected Normal Pediatric Laboratory Values
Normal Pediatric Laboratory Values