[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-506522-105":59,"doc-detail-506522-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","clinical-laboratory-critical-value-immediate-notification-test-list","Clinical Laboratory Critical Value Immediate Notification Test List","","Clinical Laboratory Critical Value Immediate Notification Test List defines laboratory assay threshold ranges that trigger prompt clinician notification. The list covers Chemistry/Hematology, Toxicology, Alcohols, and Microbiology, specifying lower and upper limits for critical results across parameters such as blood gas pH, pCO2, pO2, calcium, glucose by patient age group, electrolytes, INR and hematocrit, and selected toxicology drug levels. It also indicates whether similar results within two days require notification, and includes organism-based criteria for culture or PCR positivity.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/clinical-laboratory-critical-value-immediate-notification-test-list/506522/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/clinical-laboratory-critical-value-immediate-notification-test-list/506522.png","ImageObject",300,407,{"name":92,"@type":93},"Taylor Morgan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the list define for clinical laboratories?","Question",{"text":112,"@type":113},"It defines critical laboratory assay thresholds that require immediate notification, including specified lower and upper limits for each test and whether similar findings within two days should also be called.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which chemistry and hematology measurements are included?",{"text":117,"@type":113},"It includes blood gas pH and gases, general chemistry analytes such as calcium and glucose, electrolytes like sodium and potassium, hematology items such as hematocrit and INR, and specified toxicology and alcohol measurements.",{"name":119,"@type":110,"acceptedAnswer":120},"How are microbiology critical results determined?",{"text":121,"@type":113},"Microbiology criteria are based on organism source and detection method, such as positive smear with culture or initial positive PCR, with call instructions depending on the organism and specimen type.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},506522,1791598798,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},1099523885336,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Clinical Laboratory Critical Value Immediate Notification Test List  \nChemistry/Hematology Tests  \n\n| Assay | Lower Limit | Upper Limit | Call if similar result within 2 days? |\n| --- | --- | --- | --- |\n| Blood Gas |  |  |  |\n| pH (mm Hg)  | 7.21 | 7.59 | Yes |\n| pCO2 (mm Hg) arterial only | 21 | 69 | Yes |\n| pO2 (mm Hg) adult arterial only | 46 | -- | Yes |\n| pO2 (mm Hg) newborn \u003C 5 days old  arterial only  | 41 | 90 | Yes |\n| MetHb (%)  | --\u003Cbr>| 29 | Yes |\n| COHb (%) | -- | 19 | Yes |\n| General Chemistry |  |  |  |\n| Calcium (mg/dl) | 6.6 |  12.9 | Yes |\n|  Ionized calcium (mg/dl)  | 3.2 | 6.2 | Yes |\n| Chloride (mmol/l)  | 81 | 119 | Yes |\n| CO2 (mmol/l) | 11 | 39 | Yes |\n| Glucose (mg/dl) newborn 0-1 days | 26 | 199 | Yes |\n| Glucose (mg/dl) newborn day 2-7 | 41 | 199 | Yes |\n| Glucose (mg/dl) adult  | 41 | 499 | Yes |\n| Glucose, CSF (mg/dl)  | 38 | --\u003Cbr>| Yes |\n| Lactate (mmol/l) | -- | 3.4 | Yes |\n| Osmolality (mOsm/kg) | 251 | 324 | Yes |\n| Mg (mEq/l) | 0.9 | 3.9 | Yes |\n|  Phosphate (mg/dl)  | 1.2 | 8.9 | Yes |\n|  Potassium (mmol/l) newborn 0-2 days  | 2.9 | 7.9 | Yes |\n| Potassium (mmol/l) 3-8 days | 2.9 | 6.9 | Yes |\n| Potassium (mmol/l) 9-120 days | 2.9 | 6.9 | Yes |\n| Sodium (mmol/l) | 121 | 159 | Yes |\n| Total Bilirubin (mg/dl) \u003C 1 week  | --\u003Cbr>|  14.9 | No |\n| Hematology  |  |  |  |\n| Hematocrit (%) | 20 | -- | No |\n| INR | -- | 4.9 | No |\n| Malaria smear | --\u003Cbr>| Organisms + | No |\n|  Platelet count (thousand/microl)  | 20 | --\u003Cbr>| No |\n| Organisms seen in bld, CSF smear |  | any | No |\n| WBC (thousand/microl) | -- | 149 | No |\n| Toxicology |  |  |  |\n| Acetaminophen (ug/ml)  | --\u003Cbr>| 49 | Yes |\n| Alcohols (mg/dl)  |  |  |  |\n| --Ethanol | -- | 299 | Yes |\n\n\n|  | --Methanol |  | -- | 9 |  | Yes |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  | --Isopropanol |  | -- | 49 |  | Yes |  |  |\n|  | --Acetone |  | -- | 19 |  | Yes |  |  |\n|  | Ethylene Glycol (mg/dl) |  | -- | 1.0 |  | Yes |  |  |\n|  | Carbamazepine (ug/ml) |  | -- | 14.9 |  | Yes |  |  |\n|  | Digoxin (ng/dl) |  | -- | 2.4 |  | Yes |  |  |\n|  | Lithium (mmol/l) |  | -- | 1.49 |  | Yes |  |  |\n|  | Phenobarbital (ug/ml) |  | -- | 49.9 |  | Yes |  |  |\n|  | Phenytoin-Dilantin (ug/ml) |  | -- | 39.9 |  | Yes |  |  |\n|  | Free Phenytoin (ug/ml) |  | -- | 2.9 |  | Yes |  |  |\n|  | Salicylate (mg/dl) |  | -- | 49.9 |  | Yes |  |  |\n|  | Theophylline (ug/ml) |  | -- | 24.9 |  | Yes |  |  |\n|  | Valproate (ug/ml) |  | -- | 149 |  | Yes |  |  |\n|  | Blood Bank |  |  |  |  |  |  |  |\n|  | Hemolytic transfusion reaction |  | Confirmation by lab analysis |  |  | Yes |  |  |\n| Clinical Laboratory Critical Value Immediate Notification Test List\u003Cbr>Microbiology Tests |  |  |  |  |  |  |  |  |\n|  |  | Organism | Criteria |  | Call if similar result within 2 days? |  |  |  |\n|  |  | Any bacteria or fungus from blood | Positive (+) smear |  | Yes |  |  |  |\n|  |  | Any bacteria or fungus from sterile fluid or tissue (other than blood) | Initial positive (+) smear and culture |  | No |  |  |  |\n|  |  | Any virus from blood or other sterile site/fluid, initial positive PCR result | Initial positive (+) culture |  | No |  |  |  |\n|  |  | Adenovirus, HSV, Parvovirus B19 or VZV from blood or other sterile tissue | Initial positive (+) PCR result |  | No |  |  |  |\n|  |  | Group A Streptococcus from any specimen where diagnosis is fasciitis | Initial positive (+) smear and culture |  | No |  |  |  |\n|  |  | Herpes virus | Positive (+) culture in term pregnant female or baby \u003C6 months of age |  | No |  |  |  |\n|  |  | Aminoglycoside level | >2x upper limit of therapeutic range |  | Yes |  |  |  |\n|  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |\n\nApproved by Dr. Neil Blumberg 1/17/08","cbCaiq5kMIz3zsAM","https://ap.wps.com/l/cbCaiq5kMIz3zsAM","pdf",52846,"English","# Clinical Laboratory Critical Values\n## Chemistry/Hematology Tests\n## Toxicology and Alcohols\n## Microbiology Tests","[{\"question\":\"What does the list define for clinical laboratories?\",\"answer\":\"It defines critical laboratory assay thresholds that require immediate notification, including specified lower and upper limits for each test and whether similar findings within two days should also be called.\"},{\"question\":\"Which chemistry and hematology measurements are included?\",\"answer\":\"It includes blood gas pH and gases, general chemistry analytes such as calcium and glucose, electrolytes like sodium and potassium, hematology items such as hematocrit and INR, and specified toxicology and alcohol measurements.\"},{\"question\":\"How are microbiology critical results determined?\",\"answer\":\"Microbiology criteria are based on organism source and detection method, such as positive smear with culture or initial positive PCR, with call instructions depending on the organism and specimen type.\"}]","Clinical Laboratory Critical Value Immediate Notification Test List | PDF",1791165987]