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Blood Chemistry Tests

Test Normal Value Clinical Significance
Iron ,total 50 - 170 microgram/dl Increase in liver disease , various anemia

Decrease in iron deficiency  anemia

 

Iron-binding capacity , total (TIBC) 300 - 420 microgram /dl Increase in iron deficiency anemia , blood loss ,pregnancy ,in women taking birth control pills

Decrease in many chronic diseases , wide spread cancer , mal nutrition ,nephrotic syndrome 

Ketone bodies Negative

Toxic level
20 mg/dl

Increase in keto acidosis ,fever ,anorexia ,fasting ,starvation ,high fat diet ,low carbohydrate diet , following vomiting
Lctic acid(Lactate) Arterial
3 - 7 mg/dl

Venous
5 - 20 mg/dl

Increase during Muscular activity ,congestive heart failure ,shock ,severe hemorrhage
Lactic dehydrogenase
(LDH)
71 - 207 IU/litr Increase in myocardial infarction ,liver disease,skeletal muscle necrosis , extensive cancer
Lipids

Total

400 - 800 mg / dl Increase in hyperlipidemia , diabetes mellitus ,hypothyroidism

Decrease in fat mal absotbtion
 

Lipids

Cholesterol

150 - 220mg/dl  
Lipids

Triglycerides

10 - 190 mg/dl  
Osmolality 285 - 295 mOsm/kg water Increase in cirrhosis ,congestive hear failure ,high protein diet

Decrease in aldosteronism ,diabetes insipidus ,hypercalcemia

Oxygen (O2) Arterial
15 - 23 Volume %
Increase in polycythemya

Decrease in chronic obstructive lung disease

Oxygen partial pressure(pO2) Arterial
80 - 105 mm Hg
Increase in polycythemia , hyperventilation

Decrease in anemia , insufficient atmospheric oxygen , hypoventilation

pH Arterial
7.35 - 7.45
Increase in vomiting ,hyperventilation ,excessive bicarbonate , lack of oxygen

Decrease in renal failure , diabetic ketoacidosis, hypoxia , airway obstruction ,shock

Phosphorous , inorganic (P) Adults
2.5 - 4.5 mg/dl

Children
4-7 mg/dl

Increase in renal failure hypoparathyroidism ,hypocalcemia , bone tumors ,               diabetic ketoacidosis ,acromagaly 

Decrease in hyperparathyroidism ,alcoholism ,rickets ,osteomalacia

Protein , Total 6 - 7.8 g/dl Increase in dehydration ,shock , systemic lupus erythematosus (SLE) , rheumatoid arthritis (RA) , chronic infections , chronic liver disease

Decrease in insufficient protein intake ,hemorrhage, mal absorbtion , diarrhea , chronic renal failure ,severe burns

Albumin 3.5 - 5.0 g/dl  
Globulin 2.3 - 3.5 g/dl  
A/G ratio 1.5 : 1 to 2.5 : 1 Reversed A/G may indicate chronic liver disease , leukemia , Hodgkin's Disease ,Tuberculosis (TB ),chronic hepetitis
Sodium (Na+) 136 - 142 mEq/litr Increase in dehydration ,aldosteronism , coma ,Cushing's disease ,diabetes insipidus

Decrease in severe burns , vomiting ,diarrhea , Addison's disease ,nephritis , excessive sweating , edema

Thyroid Hormone
T3 
(Triiodothyronine )
80 - 200 ng/dl Increase in hyperthyroidism

Decrease in hypothyroidism

Thyroid Hormone
T4
(Thyroxine )
4  - 11microgram / dl Increase in hyperthyroidism

Decrease in hypothyroidism

Thyroid stimulating hormone(TSH) 0.3 - 4.0 mU/Lit  
Thyroxine binding globulin (TBG ) 10 -26 microgram /dl Increase in hypothyroidism

Decrease in hyperthyroidism

 

Uric acid (urate) Male
4.0 - 8.5 mg/dl

Female
2.7 - 7.3 mg/dl

Increase in impaired renal function , gout ,metastatic cancer , shock, starvation

Decrease in person treated with
uricosuric drugs



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