Blank Lab Work Reports
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Pam's Record of Lab Work GLU BUN CREAT NA-I K-I CL-I CO2 Ca OSMO BIL-D BIL-T TP ALB A/G ALT AST ALP
CHOL TRIG HDL-D LDL-D PHOS Mg LDH
UBIC TIBC Fe
Comprehensive Met Glucose Blood Urea Nitrogen Creatinine BUN / CREAT Ratio Sodium Potassium Chloride Carbon Dioxide Calcium OSMO Calc Globulin, Calc Biliruben Total Biliruben Total Protein Albumin Albumin/Globulin ratio Alanine aminotransferase Aspartate aminotransferase Alkaline phospatase Pre-Albumin
70 - 110 10 - 20 .4 - 1.0 6.0 - 20.0 135 - 145 3.5 - 5.5 99 - 110 22 - 33 8.4-10.2 274 - 295 2.3 - 3.5 0.1-0.2 .0 - 1.5 6.1 - 7.9 3.4 - 4.8 1.0 - 2.0 19 - 60 13 - 37 38 - 126 18-38
mg/dL mg/dL mg/dL ratio mEq/L mEq/L mEq/L mmo1/L mg/dL mosm/k gm/dl mg/dl mg/dL g/dl g/dL ratio IU/L IU/L IU/L mg/dL
Lipid Cholesterol Triglicerides High Density Lipoprotein Low Density Lipoprotein Phosphorous Magnesium Lactic dehydrogenase
120-200 35-160 45-99 20-130 2.7-4.5 1.2-2.2 135-225
mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL IU/L
49-167 159-375 250-450
ug/dL ug/dL ug/dL % ug/dL ng/ML
80-100
pg/mL ng/mL IU/L mg/dL ug/dL ng/Dl %u
1000+ 20-Oct
IRON/IBC Iron UBIC Total iron binding capacity Trans Sat Fe Sat Ferritin B12/Folate B12 Folate GGT Uric Acid T4 Thyroxine Free T4 T-UP% Thyroxine uptake FTI TSH
WBC LY% MO% GR% LY# MO# GR# RBC HGB HCT MCH MCHC MCV MPV RDW SEGS SEGS PLT
Normal Range
Vitalady Ideal Lab Levels
15-55 30-400 246-911 4.2-19.9 7-50 2.4-7.0 4.6-12.0 0.8-1.8 29.6-40.6 1.5-5.5 0.35-5.50
CBC White blood cells Lymphocyte % Monocytes % Mono Absolute Neutrophils % Lymphocytes Lumph Absolute Monocytes Neutrophils Red blood cells Hemoglobin Hematocrit Mean corpuscular hemogloben
3.4-11.0 10.0-40.0 1.7-9.3 .01 - 1.65 42.2-75.2 1.2-3.4 .34 - 4.40 .2-15.0 1.4-6.5 4.0-5.50 11.5-16.0 32.0-45.0 26 - 34 Mean corpuscular hemo concentration 30.5 - 36.0 Mean corpuscular volumn 75 - 102 Mean Platelet Volumn 0.1-12.3 Eosinophils .0-10.0 Red cell distribution width 11.6-16.5 44.0-85.0 SEGS Absolute 1.5-9.35 Platelets 130-400
Urinalysis/Micro Color Character pH SG Specific Gravity? Nitrites U-Prot Urinary Protein U-Glu Urinary Glucose Ketones Urobil Blirubin Blood Leukocytes U-WBC U-RBC Epi Cells Bacteria Crystals Mucous Amorphous Casts
9.0-9.4
7's 4's below 40 below 40 20-30's
200-300
mIU/mL K/CMM % % k/cmm % k/uL k/cmm k/uL k/uL M/uL g/dL % pg gm/dl fL fL % % % k/cmm k/uL
12+ 36+
Yellow Clear 5.0-9.0 1.001-1.035 Neg Neg Norm Neg Norm Neg Neg Neg None
None None None None
Miscellaneous DHEA, Serum 1.9-7.6 Cortisol, AM 4.3-22.4 Basophils .0-2.0 EOS Absolute .11 - 1.10 Vitamin B1 Intact PTH (Parathyroid Hormone)15-65 Vitamin A - Serum 30-90 Vitamin D, 25 hydroxy 15-75 Vitamin B6 Magnesium Zinc, Serum 70-159
ng/mL mcg/dl % k/cmm pg/mL ug/dL pg/mL
ug/dL
mid to top 30-40 60-80 80-100 mid to top mid range mid range
Date Immediat e Preop
Date
Date
Date
Date
Date
Date
Date
2 weeks
6 weeks
3 mo
6 mo
1 yr
18 mo
2 yr
CHOL TRIG HDL-D LDL-D PHOS Mg LDH
UBIC TIBC Fe
Comprehensive Met Glucose Blood Urea Nitrogen Creatinine BUN / CREAT Ratio Sodium Potassium Chloride Carbon Dioxide Calcium OSMO Calc Globulin, Calc Biliruben Total Biliruben Total Protein Albumin Albumin/Globulin ratio Alanine aminotransferase Aspartate aminotransferase Alkaline phospatase Pre-Albumin
70 - 110 10 - 20 .4 - 1.0 6.0 - 20.0 135 - 145 3.5 - 5.5 99 - 110 22 - 33 8.4-10.2 274 - 295 2.3 - 3.5 0.1-0.2 .0 - 1.5 6.1 - 7.9 3.4 - 4.8 1.0 - 2.0 19 - 60 13 - 37 38 - 126 18-38
mg/dL mg/dL mg/dL ratio mEq/L mEq/L mEq/L mmo1/L mg/dL mosm/k gm/dl mg/dl mg/dL g/dl g/dL ratio IU/L IU/L IU/L mg/dL
Lipid Cholesterol Triglicerides High Density Lipoprotein Low Density Lipoprotein Phosphorous Magnesium Lactic dehydrogenase
120-200 35-160 45-99 20-130 2.7-4.5 1.2-2.2 135-225
mg/dL mg/dL mg/dL mg/dL mg/dL mg/dL IU/L
49-167 159-375 250-450
ug/dL ug/dL ug/dL % ug/dL ng/ML
80-100
pg/mL ng/mL IU/L mg/dL ug/dL ng/Dl %u
1000+ 20-Oct
IRON/IBC Iron UBIC Total iron binding capacity Trans Sat Fe Sat Ferritin B12/Folate B12 Folate GGT Uric Acid T4 Thyroxine Free T4 T-UP% Thyroxine uptake FTI TSH
WBC LY% MO% GR% LY# MO# GR# RBC HGB HCT MCH MCHC MCV MPV RDW SEGS SEGS PLT
Normal Range
Vitalady Ideal Lab Levels
15-55 30-400 246-911 4.2-19.9 7-50 2.4-7.0 4.6-12.0 0.8-1.8 29.6-40.6 1.5-5.5 0.35-5.50
CBC White blood cells Lymphocyte % Monocytes % Mono Absolute Neutrophils % Lymphocytes Lumph Absolute Monocytes Neutrophils Red blood cells Hemoglobin Hematocrit Mean corpuscular hemogloben
3.4-11.0 10.0-40.0 1.7-9.3 .01 - 1.65 42.2-75.2 1.2-3.4 .34 - 4.40 .2-15.0 1.4-6.5 4.0-5.50 11.5-16.0 32.0-45.0 26 - 34 Mean corpuscular hemo concentration 30.5 - 36.0 Mean corpuscular volumn 75 - 102 Mean Platelet Volumn 0.1-12.3 Eosinophils .0-10.0 Red cell distribution width 11.6-16.5 44.0-85.0 SEGS Absolute 1.5-9.35 Platelets 130-400
Urinalysis/Micro Color Character pH SG Specific Gravity? Nitrites U-Prot Urinary Protein U-Glu Urinary Glucose Ketones Urobil Blirubin Blood Leukocytes U-WBC U-RBC Epi Cells Bacteria Crystals Mucous Amorphous Casts
9.0-9.4
7's 4's below 40 below 40 20-30's
200-300
mIU/mL K/CMM % % k/cmm % k/uL k/cmm k/uL k/uL M/uL g/dL % pg gm/dl fL fL % % % k/cmm k/uL
12+ 36+
Yellow Clear 5.0-9.0 1.001-1.035 Neg Neg Norm Neg Norm Neg Neg Neg None
None None None None
Miscellaneous DHEA, Serum 1.9-7.6 Cortisol, AM 4.3-22.4 Basophils .0-2.0 EOS Absolute .11 - 1.10 Vitamin B1 Intact PTH (Parathyroid Hormone)15-65 Vitamin A - Serum 30-90 Vitamin D, 25 hydroxy 15-75 Vitamin B6 Magnesium Zinc, Serum 70-159
ng/mL mcg/dl % k/cmm pg/mL ug/dL pg/mL
ug/dL
mid to top 30-40 60-80 80-100 mid to top mid range mid range
Date Immediat e Preop
Date
Date
Date
Date
Date
Date
Date
2 weeks
6 weeks
3 mo
6 mo
1 yr
18 mo
2 yr
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