PANIC VALUES

Chemistry

Analyte Age Range Critical Value Units
Anion Gap Any age >30 mmol/L
Bicarbonate (Whole Blood) Any age <10, >40 mEq/L
Calcium * Any age <6.5, >13 mg/dL
Chloride Any age <80, >120 mmol/L
CO2 Any age <10, >40 mmol/L
CO Hemoglobin Any age <20, >40 %
Free (ionized) Calcium Any age <20, >40 %
Glucose 0-2 days / >2 days <1 yr / >1 yr >35 / >40 / >55 mg/dL
Glucose <30 days / >30 days–17 yrs / >17 yrs >200 / >300 / >450 mg/dL
Glucose (GDM Tests) Any age <50 / >300 mg/dL
Glucose: PXP Glucose meter (POCT) Any age <40 / >300 mg/dL
Iron, Serum Any age >350 µg/dL
Magnesium Any age <1.0 / >3.5 mg/dL
pCO2 Any age >65 mmHg
pH Any age <7.20 / >7.60 pH units
pH – Cord Blood Any age ≤7.00 N/A
Base Excess – Cord Blood Any age ≤−10.0 / ≥10.0 mmol/L
Phosphorus <3 yrs / 3–12 yrs / >12 yrs <2.5 / <2.0 / <1.5 mg/dL
pO2 (arterial) Any age <50 / >300 mg/dL
Potassium: iSTAT (POCT) Any age <3.0 / >6.0 mmol/L
Sodium Any age <125 / >160 mmol/L
TCO2 (Whole Blood) Any age <10 / >40 mEq/L
Total Bilirubin <1 day / >1d <2d / >2d <30d >7 / >11 / >15 mg/dL
Troponin I Any age ≥0.3 ng/mL
Troponin I: iSTAT (POCT) Any age ≥0.1 ng/mL

Coagulation

Analyte Age Range Critical Value Units
Fibrinogen Any age <100 mg/dL
Heparin, unfractionated Any age <0.1 >0.7 IU/mL
PTT Any age ≥100 sec
PT INR Any age >5.0 INR N/A
PT INR: ISTAT (POCT) Any age >4.5 N/A

Hematology

Analyte Age Range Critical Value Units
Absolute Neutrophil Count Any age ≤0.5 (Outpatient only) K/μL
Cell Count, Any body fluid Any age Intracellular organisms. (Non CSF - Blasts and Tumor cells to be called as soon as provider is available) N/A
Cell Count, CSF only Any age WBC Count >30 (excluding peripheral blood contamination) /μL
Cell Count, CSF only Any age Blasts, Tumor Cells N/A
Gram Stain Any age Positive N/A
Hematocrit (PCV) Any age ≤21.0 ≥65.0 %
Hemoglobin Any age ≤7.0 g/dL
Malaria Screening Any age Positive N/A
Platelet Count Any age ≤10,000 ≤50,000 (OB clinics only) ≤100,000 with 2+ microangiopathic changes /μL
Slide Review/Diff Any age Presence of intracellular organisms. Blasts on peripheral smear (1st time or relapse only). %
Stool Male/Female <18 Years Sperm N/A
Urinalysis Female<18 Years Male<18 Years Sperm or Trichomonas N/A
WBC Any age ≤0.5 (Outpatient only) ≥50 K/μL

Microbiology

Analyte Age Range Critical Value Units
Any assay: Potential Bioterrorism Agent Any age Presence of potential B. anthracis or any BT agent. Bacillus anthracis (Category A),
Francisella tularensis (Category A), Yersinia pestis (Category A),
Brucella species (Category B)
N/A
Blood Culture Any age Any clinically important positive results per protocol N/A
Mycobacterium Tuberculosis PCR Test Any age Positive on Tissue or Culture N/A
Stool culture <18 years Positive Shiga toxin producing E. Coli N/A

Virology

Analyte Age Range Critical Value Units
Antigen test, culture, serology, or molecular test Any age Positive or suspicious for any Pandemic (Influenza or SARS) or Bioterrorism Agents
(Smallpox, Viral hemorrhagic fever agents)
N/A
Any CSF Assay Any age Positive (including virus growth or molecular test) N/A

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