Assay-specific cut-offs β always confirm against your local laboratory.
Troponin I
< 0.04 ng/mL
CK-MB
< 5% of total CK
BNP
< 100 pg/mL
NT-proBNP
< 125 pg/mL
π¦ Thyroid Function
TSH
0.4β4.0 mIU/L
Free T4
0.8β1.8 ng/dL
Free T3
2.3β4.2 pg/mL
π§² Iron Studies
Serum iron
M 65β175 Β· F 50β170 Β΅g/dL
Ferritin
M 12β300 Β· F 12β150 ng/mL
TIBC
240β450 Β΅g/dL
Transferrin saturation
20β50%
π₯ Inflammatory & Metabolic
CRP
< 1.0 mg/dL
Lactate
0.5β2.2 mmol/L
Ammonia
15β45 Β΅g/dL
Amylase
30β110 U/L
Lipase
0β160 U/L
π¬οΈ Arterial Blood Gas (ABG)
pH
7.35β7.45
PaCOβ
35β45 mmHg
PaOβ
80β100 mmHg
HCOββ» (arterial)
22β26 mEq/L
SaOβ
95β100%
Base excess
β2 to +2 mEq/L
π§ͺ Urinalysis
pH
4.5β8.0
Specific gravity
1.005β1.030
Protein
Negative (< 150 mg/day)
Glucose / Ketones
Negative
β€οΈ Normal Vital Signs by Age
Age
Heart rate (bpm)
Resp rate (/min)
Systolic BP (mmHg)
Newborn (0β1 mo)
100β160
30β60
60β90
Infant (1β12 mo)
90β160
30β53
70β100
Toddler (1β3 y)
80β130
22β37
80β110
Preschool (3β5 y)
80β120
20β28
80β110
School-age (6β12 y)
70β110
18β25
80β120
Adolescent (13β18 y)
60β100
12β20
90β120
Adult
60β100
12β20
< 120 / 80
Adult β other vitals
Temperature (oral)
36.5β37.5 Β°C (97.7β99.5 Β°F)
SpOβ (oxygen saturation)
95β100%
Pain scale
0β10 (self-reported)
Adult blood pressure (ACC/AHA)
Normal
< 120 / < 80 mmHg
Elevated
120β129 / < 80 mmHg
Hypertension Stage 1
130β139 / 80β89 mmHg
Hypertension Stage 2
β₯ 140 / β₯ 90 mmHg
Children's heart and respiratory rates run faster and fall as they grow. Always interpret vitals with the whole clinical picture.
π Therapeutic Drug Levels serum
Target therapeutic ranges. Levels are timing- and assay-dependent β always follow your local lab and pharmacy.
Drug
Therapeutic range
Digoxin
0.5β2.0 ng/mL (toxic > 2.0)
Lithium
0.6β1.2 mEq/L (toxic > 1.5)
Phenytoin
10β20 Β΅g/mL
Valproic acid
50β100 Β΅g/mL
Carbamazepine
4β12 Β΅g/mL
Phenobarbital
15β40 Β΅g/mL
Theophylline
10β20 Β΅g/mL
Vancomycin (trough)
10β20 Β΅g/mL
Gentamicin (peak / trough)
peak 5β10 Β· trough < 2 Β΅g/mL
Warfarin (monitor by INR)
target INR 2.0β3.0
Acetaminophen (toxic, 4 h)
> 150 Β΅g/mL
Salicylate (therapeutic)
15β30 mg/dL
π§ IV Fluids & Tonicity
Fluid
Tonicity
Key use
0.9% NaCl (Normal Saline)
Isotonic
Resuscitation, replacement
Lactated Ringer's (LR)
Isotonic
Surgery, burns, GI loss
D5W (5% dextrose in water)
Isotonic in bag β hypotonic in body
Free water, dilute drugs
0.45% NaCl (Β½ NS)
Hypotonic
Cellular hydration, maintenance
0.33% NaCl (β NS)
Hypotonic
Maintenance
3% NaCl (hypertonic saline)
Hypertonic
Severe hyponatraemia (ICU)
D5 Β½NS
Hypertonic
Maintenance + calories
D5NS
Hypertonic
Replacement + calories
D10W
Hypertonic
Hypoglycaemia
Isotonic stays in the vessels (expands blood volume) Β· Hypotonic shifts water into cells Β· Hypertonic pulls water out of cells. Normal Saline = 154 mEq/L sodium.
π Conversions & Quick Facts
Weight & length
Kilograms β pounds
1 kg = 2.2 lb
Pounds β kilograms
1 lb = 0.454 kg
Inches β centimetres
1 in = 2.54 cm
Temperature
Fahrenheit β Celsius
(Β°F β 32) Γ 5/9
Celsius β Fahrenheit
(Β°C Γ 9/5) + 32
Metric & dose
Grams / milligrams / micrograms
1 g = 1,000 mg = 1,000,000 Β΅g
Litres β millilitres
1 L = 1,000 mL
Grain (apothecary)
1 gr β 60β65 mg
Household volume
Teaspoon
1 tsp = 5 mL
Tablespoon
1 tbsp = 15 mL
Ounce (fluid)
1 oz = 30 mL
Cup
1 cup = 240 mL
IV drop factors
Macrodrip sets
10, 15 or 20 gtt/mL
Microdrip set
60 gtt/mL
π For education & learning purposes only. Reference ranges vary slightly by lab and source β always follow your institution's reference values and clinical judgment.