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panic value
(redirected from Panic values)

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panic value
Alert value, critical value Lab medicine Lab results from a specimen that must be reported immediately to a clinician–ie, of such severity as to mandate urgent therapy. See Decision levels.
Panic values
Chemistry panic values
Analyte SI units US units
Calcium < 1.65 mmol/L  <  6.6 mg/dl
    > 2.22 mmol/L    > 12.9 mg/dl
Glucose  < 2.60 mmol/L  < 46 mg/dl
       > 26.9 mmol/L    > 484 mg/dl
K+  <  2.8 mmol/L  <  2.8 mEq/L
     >  6.2 mmol/L  >  6.2 mEq/L
    >  8.0 mmol/L if hemolyzed
Na+    < 120 mmol/L   < 120 mEq/L
       > 158 mmol/L   > 158 mEq/L
CO2 in plasma <  11 mmol/L  <  11 mMol
   >  40 mmol/L  >  40 mMol
Hematology, eg blasts or sickle cells on a peripheral smear, possibly indicating leukemia or sickle cell anemia
Microbiology, eg positive gram stain or culture from blood, serosal fluids or CSF, acid-fast stain or positive mycobacterial culture results
Transfusion medicine Incompatible cross-match and positive serology for VDRL; the panic values differ in each lab and the route of the communication is at the discretion
of the lab director


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Are the laboratory's panic values appropriate for the patient population?
The nomenclature for critical values has changed during the past 30 years from the original classification as panic values.
In spite of a long history of reporting panic values and the incorporation of critical values into multiple regulations, there is little standardization of procedures.
 
 
 
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