以下为美国华盛顿大学医学中心实验室的危急值设定，可以为国内检验科危急值的设定做一个参考。

ANALYTECRITICALVALUESAbsoluteNeutrophil(non-oncology)0.5THOU/mcLBilirubin,newborn(under30daysold)12.0mg/dLBloodGases,Adult7.20or7.58pH9or65mmHgpCOormmHgpO2BloodGases,Newborn7.25or7.50pH30or50mmHgpCOor90mmHgpO2Calcium,ionized0.78or1.58mmol/LCalcium,total6.0or13.0mg/dLCarbonDioxide10or40meq/LCarbonMonoxide20%Fibrinogenmg/dLGlucose,adult45ormg/dLGlucose,newborn40ormg/dLGlucose,CSF20mg/dLHematocrit20%Hemoglobinbyoximetry6.0g/dLMagnesium1.2or4.2mg/dLOsmolalityormOsm/kgPartialthromboplastintimesecPhosphate1.0mg/dLPlateletCount60THOU/mcLinfants(NICUonly)20THOU/mcLnon-OncologyPotassium2.5or6.0meq/LProthrombinTimeINR5Sodiumormeq/LSodium,CSFormeq/LT4,adult18.0mcg/dLT4,newborns3.5or18.0mcg/dL

CriticalValuesforMicrobiology

CriticalValuesinMicrobiologyareresultsthatindicateapotentiallydangerousconditionrequiringimmediateattentionbytheclinician.CRITICALLABORATORYRESULTSAREALWAYSREPORTEDBYTELEPHONE.InaccordancewithJCAHOrequirements,itisrequiredthatwerequestaread-backofresultstoensurethattheresultswereproperlynotedbytherecipient.Theyincludethefollowing:

Positivebloodculture

Positivedirectexamorcultureonspinalfluid(CSF)

PositiveCryptococcalantigen(serumorCSF)

PositivedirectexamonanyspecimenfromtheOperatingRoom

PositiveAFBstainorculturefromanyspecimen

PositiveHerpessimplexvirusPCRoncerebralspinalfluid(CSF)

ToxicDrugLevels

ToxicDrugLevelsarethoseresultsthataresofarfromthetherapeuticrangethattheyindicateapotentiallydangerousconditionrequiringimmediateattentionbytheclinician.CRITICALLABORATORYRESULTSAREALWAYSREPORTEDBYTELEPHONE.InaccordancewithJCAHOrequirements,itisrequiredthatwerequestaread-backofresultstoensurethattheresultswereproperlynotedbytherecipient.

DRUGTOXICLEVELAcetaminophen50mcg/dLAmikacin(Trough)10.0mcg/mLCaffeine≥50.0mcg/mLCarbamazepine14.0mcg/mLCyclosporinebyHPLC(Trough)ng/mLDigoxin3.0ng/mLFlecainide0.8mcg/mLGentamicin(Trough)10.0mcg/mLIsopropanolandAcetonemg/dLLidocaine7.0mcg/mLLithium2.0mmol/LPhenobarbital60.0mcg/mLPhenytoin(Dilantin)30.0mcg/mLPhenytoin,Free4.0mcg/mLProcainamide15.0mcg/mLTotalProcainamide40.0mcg/mL(TPcain=Pcain+NAPA)Quinidine7.0mcg/mLSalicylate50mg/dLTheophylline25.0mcg/mLThiocyanate20mg/dLTobramycin(Trough)10.0mcg/mLTricyclicAntidepressantsng/mLVan


转载请注明地址:http://www.huashengduna.com/hsddx/15206.html