⬑ Quick Reference

Numbers you look up every shift.

Verified normal adult lab values, vital signs by age, therapeutic drug levels, IV fluids and conversions β€” all in one place. Works offline.

🩸 CBC & WBC Differential conventional units

Complete Blood Count (CBC)
Haemoglobin (Hb)M 13.5–17.5 Β· F 12.0–15.5 g/dL
Haematocrit (Hct)M 41–53% Β· F 36–46%
RBC countM 4.5–5.9 Β· F 4.0–5.2 million/Β΅L
WBC count4,000–11,000 /Β΅L
Platelets150,000–400,000 /Β΅L
MCV80–100 fL
MCH27–33 pg
MCHC32–36 g/dL
RDW11.5–14.5%
Reticulocytes0.5–1.5%
ESRM 0–15 Β· F 0–20 mm/hr
WBC Differential
Neutrophils50–70%
Lymphocytes20–40%
Monocytes2–8%
Eosinophils1–4%
Basophils0.5–1%

⚑ Electrolytes serum

Sodium (Na⁺)135–145 mEq/L
Potassium (K⁺)3.5–5.0 mEq/L
Chloride (Cl⁻)98–106 mEq/L
Bicarbonate (HCO₃⁻, serum)22–28 mEq/L
Calcium (total)8.5–10.5 mg/dL
Calcium (ionised)4.5–5.6 mg/dL
Magnesium1.7–2.2 mg/dL
Phosphate2.5–4.5 mg/dL

🫘 Renal Function

BUN (urea nitrogen)7–20 mg/dL
CreatinineM 0.7–1.3 Β· F 0.6–1.1 mg/dL
eGFRβ‰₯ 90 mL/min/1.73mΒ²
Uric acidM 3.4–7.0 Β· F 2.4–6.0 mg/dL

🍬 Glucose & Diabetes

Fasting glucose70–100 mg/dL
Random glucose< 140 mg/dL
2-hr OGTT< 140 mg/dL
HbA1c β€” normal< 5.7% (pre-diabetes 5.7–6.4 Β· diabetes β‰₯ 6.5)

🧬 Liver & Protein

ALT7–56 U/L
AST10–40 U/L
ALP44–147 U/L
GGT8–61 U/L
Total bilirubin0.1–1.2 mg/dL
Direct bilirubin0.0–0.3 mg/dL
Total protein6.0–8.3 g/dL
Albumin3.5–5.0 g/dL

πŸ’› Lipid Profile desirable

Total cholesterol< 200 mg/dL
LDL cholesterol< 100 mg/dL (optimal)
HDL cholesterolM > 40 Β· F > 50 mg/dL (higher is better)
Triglycerides< 150 mg/dL

🩸 Coagulation

PT (prothrombin time)11–13.5 s
INR (not on warfarin)0.8–1.1
INR (therapeutic, warfarin)2.0–3.0
aPTT25–35 s
Fibrinogen200–400 mg/dL
D-dimer< 0.5 Β΅g/mL (< 500 ng/mL)

πŸ«€ Cardiac Markers

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

πŸ¦‹ Thyroid Function

TSH0.4–4.0 mIU/L
Free T40.8–1.8 ng/dL
Free T32.3–4.2 pg/mL

🧲 Iron Studies

Serum ironM 65–175 Β· F 50–170 Β΅g/dL
FerritinM 12–300 Β· F 12–150 ng/mL
TIBC240–450 Β΅g/dL
Transferrin saturation20–50%

πŸ”₯ Inflammatory & Metabolic

CRP< 1.0 mg/dL
Lactate0.5–2.2 mmol/L
Ammonia15–45 Β΅g/dL
Amylase30–110 U/L
Lipase0–160 U/L

🌬️ Arterial Blood Gas (ABG)

pH7.35–7.45
PaCOβ‚‚35–45 mmHg
PaOβ‚‚80–100 mmHg
HCO₃⁻ (arterial)22–26 mEq/L
SaOβ‚‚95–100%
Base excessβˆ’2 to +2 mEq/L

πŸ§ͺ Urinalysis

pH4.5–8.0
Specific gravity1.005–1.030
ProteinNegative (< 150 mg/day)
Glucose / KetonesNegative

❀️ Normal Vital Signs by Age

AgeHeart rate (bpm)Resp rate (/min)Systolic BP (mmHg)
Newborn (0–1 mo)100–16030–6060–90
Infant (1–12 mo)90–16030–5370–100
Toddler (1–3 y)80–13022–3780–110
Preschool (3–5 y)80–12020–2880–110
School-age (6–12 y)70–11018–2580–120
Adolescent (13–18 y)60–10012–2090–120
Adult60–10012–20< 120 / 80
Adult β€” other vitals
Temperature (oral)36.5–37.5 Β°C (97.7–99.5 Β°F)
SpOβ‚‚ (oxygen saturation)95–100%
Pain scale0–10 (self-reported)
Adult blood pressure (ACC/AHA)
Normal< 120 / < 80 mmHg
Elevated120–129 / < 80 mmHg
Hypertension Stage 1130–139 / 80–89 mmHg
Hypertension Stage 2β‰₯ 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.

πŸ’Š Therapeutic Drug Levels serum

Target therapeutic ranges. Levels are timing- and assay-dependent β€” always follow your local lab and pharmacy.

DrugTherapeutic range
Digoxin0.5–2.0 ng/mL (toxic > 2.0)
Lithium0.6–1.2 mEq/L (toxic > 1.5)
Phenytoin10–20 Β΅g/mL
Valproic acid50–100 Β΅g/mL
Carbamazepine4–12 Β΅g/mL
Phenobarbital15–40 Β΅g/mL
Theophylline10–20 Β΅g/mL
Vancomycin (trough)10–20 Β΅g/mL
Gentamicin (peak / trough)peak 5–10 Β· trough < 2 Β΅g/mL
Warfarin (monitor by INR)target INR 2.0–3.0
Acetaminophen (toxic, 4 h)> 150 Β΅g/mL
Salicylate (therapeutic)15–30 mg/dL

πŸ’§ IV Fluids & Tonicity

FluidTonicityKey use
0.9% NaCl (Normal Saline)IsotonicResuscitation, replacement
Lactated Ringer's (LR)IsotonicSurgery, burns, GI loss
D5W (5% dextrose in water)Isotonic in bag β†’ hypotonic in bodyFree water, dilute drugs
0.45% NaCl (Β½ NS)HypotonicCellular hydration, maintenance
0.33% NaCl (β…“ NS)HypotonicMaintenance
3% NaCl (hypertonic saline)HypertonicSevere hyponatraemia (ICU)
D5 Β½NSHypertonicMaintenance + calories
D5NSHypertonicReplacement + calories
D10WHypertonicHypoglycaemia

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.

πŸ” Conversions & Quick Facts

Weight & length
Kilograms β†’ pounds1 kg = 2.2 lb
Pounds β†’ kilograms1 lb = 0.454 kg
Inches β†’ centimetres1 in = 2.54 cm
Temperature
Fahrenheit β†’ Celsius(Β°F βˆ’ 32) Γ— 5/9
Celsius β†’ Fahrenheit(Β°C Γ— 9/5) + 32
Metric & dose
Grams / milligrams / micrograms1 g = 1,000 mg = 1,000,000 Β΅g
Litres β†’ millilitres1 L = 1,000 mL
Grain (apothecary)1 gr β‰ˆ 60–65 mg
Household volume
Teaspoon1 tsp = 5 mL
Tablespoon1 tbsp = 15 mL
Ounce (fluid)1 oz = 30 mL
Cup1 cup = 240 mL
IV drop factors
Macrodrip sets10, 15 or 20 gtt/mL
Microdrip set60 gtt/mL
πŸŽ“ For education & learning purposes only. Reference ranges vary slightly by lab and source β€” always follow your institution's reference values and clinical judgment.