Tuesday, January 10, 2017

We inform you as of tomorrow 11th January  2017, the reference values of the following tests have been modified.


TEST CODE
NAME OF TEST
PREVIOUS REFERENCE VALUES
ACTUAL REFERENCE VALUES
816
METANEPHRINE FRACTIONS , URINE
Normetanephrine (3-methoxynoradrenaline): 162- 527 µg/24H
Metanephrine (3-methoxyadrenaline):
 64- 302 µg/24H
Normetanephrine (3-methoxynoradrenaline):
 Less than 527 µg/24H
Metanephrine (3-methoxyadrenaline):
Less than 302 µg/24H
5465
3-Methoxytyramine, urine
94-399 µg/24H
Less than 400 µg/24h
311
CATECHOLAMINES - FRACTIONS, URINE
ADRENALINE   :
0  - 1 year  : 0    -  2.63 µg/24H
1  - 2 years : 0    -  3.57 µg/24H
2  - 4 years : 0    -  6.22 µg/24H
4  - 10 years: 0.18 - 10.37 µg/24H
10 - 15 years: 0.55 - 20    µg/24H
15 - 99 years: 0.01 - 20    µg/24H
  
NORADRENALINE:
0  - 1 year  : 0.01  - 9.48  µg/24H
1  - 2 years : 0.95  - 16    µg/24H
2  - 4 years : 3.85  - 27.48 µg/24H
4  - 7 years : 7.55  - 42.75 µg/24H
7  - 10 years: 12.36 - 61.72 µg/24H
10 - 15 years: 14.30 - 75    µg/24H
15 - 99 years: 14.30 - 75    µg/24H
 
DOPAMINE:
0  - 1 year  : 0.01 - 85 µg/24H
1  - 2 years : 10 - 140  µg/24H
2  - 4 years : 40 - 260  µg/24H
4  - 15 years: 65 - 400  µg/24H
15 - 99 years: 65 - 400  µg/24H
Adrenaline: Less than 20 µg/24H
Noradrenaline: Less than 80 µg/24H
Dopamine: Less than 400 µg/24H
312
CATECHOLAMINES - FRACTIONS, PLASMA
Supine position:
  ADRENALINE    : 30 -  60 pg/mL
  NORADRENALINE : 40 - 400 pg/mL
  DOPAMINE      : 10 - 150 pg/mL
Orthostatic position:
  ADRENALINE    : 30 -  60 pg/mL
  NORADRENALINE : < 600    pg/mL
  DOPAMINE      : 10 - 150 pg/mL
Noradrenaline: Less than 420 pg/mL Adrenaline: Less than 84 pg/mL 
Dopamina:  Less than 85pg/mL
105
VANYLMANDELIC ACID (VMA), URINE
Children 1-4  years: Less than 3.1 mg/24H
 4-10 years: Less than 4.3 mg/24H
Adults : 2 - 10        mg/24H
 1.8-6.7 mg/24h
838
5-HYDROXYINDOLACETIC ACID, URINE
2 - 9 mg/24H
 * It is recommended to stop medications, 
and foods such as bananas, pineapple, eggplant, 
nuts, watermelon, tomato, Plum, blueberry 
72 hours before sample collection. 
0.7-8.2 mg/24h
266
HOMOVANILIC ACID, URINE
Children: Less than 5  mg/24H
Adults  : Less than 10 mg/24H
Less than 6.2 mg/24h
2416
LAMOTRIGIN , SERUM
Therapeutic levels: 2.6 -15.4  µg/mL
3-14 mg/L
347
ETHOSUXIMIDE (ZARONTIN), SERUM
Therapeutic level (childs): 40 -  80 µg/mL
                 (Adults): 40 - 100 µg/mL
Toxic level              :   >  100 µg/mL
30-100 mg/L
403
PRIMIDONE, SERUM
Therapeutic level:    5 - 12 µg/Ml   Toxic level: Greater than 15 µg/mL
4-12 mg/L
849
HYPURIC ACID, URINE
Not exposed: Less than 0.9 g/g creatinine
Exposed:     Less than 1.6 g/g creatinine
B.L.V. (Biological Limited Value)  I.N.S.H.T.                                               
Not exposed: Less than 0.97 g/g creatinine
Exposed:     Less than 1.6 g/g creatinine
396
LEAD (PB), WHOLE BLOOD
Unexposed workers: Less than 5 µg/dL (*)
B.L.V:             Up to 70 µg/dL    (**)
 
B.L.V: Biological limit value
 
Bibliography
 
*  National Institute of Occupational Safety and Health (NIOSH), 2015
** Instituto Nacional de Seguridad e Higiene en el Trabajo (INSHT), 2016
Not exposed: Less than 10 µg/dL                   IBE: 30 µg/dL                                         
B.L.V.: 70 µg/dL
882
LEAD (PB), URINE
Not exposed: Less than 40 µg/g creatinine
B.E.I.:      Less than 150 µg/g creatinine
Not Exposed:  Less than 10 µg/g creatinine                            
 B.E.I.: 150 µg/g creatinine
2049
NICKEL, SERUM
No exposed:    Less than 2 µg/L
B.E.I (Exposure Index): 10 µg/L
Not exposed: Less than 2 µg/L
299
CADIUM, WHOLE BLOOD
Not exposed : Less than 5  µg/L
B.E.I.      : Less than 10 µg/L
Not exposed : Less than. a  1 µg/L
B.E.I.     : Less than 5 µg/L
B.L.V. (F.T.):         5 µg/L
3066
CADIUM, URINE
 N.E.: Less than 0.5 µg/g creatinine
 B.E.I.: 5.0 µg/g creatinine.
 Not Exposed: Less than 5 µg/g creatinine
421
ZINC, SERUM
Less than 6 months:      26 - 141 µg/dL
6 - 12 months:           29 - 131 µg/dL
12 - 2 years:            31 - 120 µg/dL
2 - 4   years:           29 - 115 µg/dL
4 - 6   years:           48 - 119 µg/dL
6 – 10 years:            48 - 129 µg/dL
10 - 14 years:           25 - 148 µg/dL
14 - 18 years:           46 - 130 µg/dL
Greather than 18 years:  60 - 150 µg/dL
60 - 150 µg/dL
6007
MANGANESE, WHOLE BLOOD
Not exposed: Less than 10 µg/L
 
B.E.I. (EWD): For manganese, elemental and inorganic compounds: 20 µg/L
Not exposed: Less than 6-12 µg/L
 
B.E.I. (EWD): For manganese. elemental and inorganic compounds: 20 µg/L
330
CHROMIUM, SERUM
No exposed: Less than 2.2 µg/L
Less than 2.2 µg/L
983
Clobazam, norclobazam and ratio, serum 
. Therapeutic Area:
Clobazam   :  30 -  300 µg/L
Norclobazam: 300 - 3000 µg/L
Norclobazam/Clobazam Ratio: Less than 10
. Toxic Concentration:
Clobazam    : Higher to  3000 µg/L
Norclobazam : Higher to 12000 µg/L
. Comment: The Norclobazam/Clobazam ratio may be useful for information on the drug metabolizing capacity and improve dose adjustment. Very high ratios (> 25) indicate that the patient is a poor metabolizer of CYP2C19 (if not taking drugs that induce CYP3A or CYP2C19 inhibitors).
Note: The presence of Norclobazam must be evaluated only if no Clonazepam therapy because it interferes with the analytical determination.
*Ther Drug Monit. 2013 Feb;35(1):30-47. doi: 10.1097/FTD.0b013e31827ada88.
Clobazam therapeutic drug monitoring: a comprehensive review of the literature with proposals to improve future studies.
De Leon J, Spina E, Diaz FJ.
Clobazam   :  30 -  300 µg/L
Norclobazam: 300 - 3000 µg/L
Norclobazam/Clobazam Ratio: Less than 10
530
CLONAZEPAM (RIVOTRIL), SERUM
Therapeutic level: 10 - 80 ng/mL
Toxic level      : Greater than 100 ng/mL
   
Note: The presence of Norclobazam be assessed only in the case of therapy without Clonazepam.
Clobazam and Clonazepam therapy can interfere with both determinations.
 
NORCLOBAZAM Orientative Therapeutic level: 1000 - 3000 ng/mL
10-80 µg/L
745
DIAZEPAM (VALIUM), SERUM
TERAPEUTIC LEVEL: 200 - 2000 µg/L
TOXIC LEVEL: Superior a 3000 µg/L
 
* M.Schulz, A. Schmoldt A. (2003) Therapeutic and Toxid Blood Concentrations of More than 800 Drugs and other xenobiotics. Pharmazie 58 (7): 447-74.
125-250 µg/L
1737
BROMAZEPAM, SERUM
Therapeutic level:  80 - 150 ng/mL
80-170 µg/L
281
AMITRIPTYLINE / NORTRIPTYLINE, SERUM
THERAPEUTIC LEVEL:         50 - 300 ng/mL
TOXIC LEVEL      : Greater than 500 ng/mL
 
* NOTE: Amitritilyne  metabolizes  partially to  nortriptyline and both of them are of concern in therapeutic  values.
The    therapeutic values    are refer to addition of both metabolites.
 
80-200 µg/L
2890
CLOZAPINE, SERUM
50 - 700 ng/mL
300-800 µg/L
365
IMIPRAMINE / DESIPRAMINE, SERUM
Therapeutic level: 30 - 300 µg/L
Toxic level      : Greater than 500 µg/L
 
*Imipramine  metabolizes  partially to  desipramine and both of them are of concern in therapeutic  values.
The    therapeutic values    are refer to addition of both metabolites.

* F.E.Krapf, W.P. Bieger, F.W. Tiller: LaborDatenBuch (1995) Urban & Schwarzenberg, München.
175-300 µg/L
799
CLOMIPRAMINE / DISMETHYLCLOMIPRAMINE , SERUM
CLOMIPRAMINE:
Therapeutic level: 90 - 250 ng/mL
Toxic level      :  > 400   ng/mL
 
DISMETHILCLOMIPRAMINE:
Therapeutic level: 150 - 300 ng/mL
  
* M.Schulz, A. Schmoldt, Pharmazie (2003) 58(7), 447.
CLOMIPRAMINE:
20 - 250 µg/L
 
DISMETHILCLOMIPRAMINE:
 20 - 250 µg/L
  
363
17 alpha hydroxyprogesterone, serum
Childs  (blood cord) : 9.0 -50.0  ng/mL
 (Prematures) :      0.26- 5.68 ng/mL
 (1 - 5 days) :      0.82- 4.20 ng/mL
(5 - 30 days):      0.1 -16.8  ng/mL
(30- 60 days):      1.9 - 9.8  ng/mL
  (60- 90 days):      0.1 - 4.0  ng/mL
 (Prepuberty phase):      0.10- 0.90 ng/mL
 (Puberal phase)   :      0.30- 1.55 ng/mL
Male   :  0.59 - 3.44 ng/mL
Female :  Follicular phase: 0.11 - 1.08 ng/mL
 Luteinic phase     : 0.95 - 5.0  ng/mL
 Pregnant 1er Trim.: 2.50 - 9.78  ng/mL
 2nd Trimonthter: 3.40 - 8.50  ng/mL
 3rd Trimonthter: 4.53 - 18.86 ng/mL
        
Childs  (blood cord) :      9.0 -50.0  ng/mL
Prematures :      0.26- 5.68 ng/mL


Prepuberty phase: 

Boys:
11 years: 0.03-0.90 ng/ml
11-13 years: 0.05- 1.15 ng/ml
13-15 years: 0.10-1.39 ng/ml
15-17 years: 0.29-1.80 ng/ml
17-20 years: 0.24-1.75 ng/ml


Girls:
11 years: 0.03-0.82 ng/ml
11-13 years: 0.11-0.98 ng/ml
13-15 years: 0.11-1.55 ng/ml
15-17 years: 0.18-2.30 ng/ml
17-20 years: 0.20-2.67 ng/ml

Male   :  0.59 - 3.44 ng/mL


Women:


Follicular phase   : 0.11 - 1.08 ng/mL
Luteinic phase     : 0.95 - 5.0  ng/mL
Pregnant 1er Trimester: 2.50 - 9.78  ng/mL
             2nd Trimester: 3.40 - 8.50  ng/mL
              3rd Trimester: 4.53 - 18.86 ng/mL
        
284
CYCLIC AMP (C-AMP), URINE
1 - 11.5 µmol/24H
 2.66-10.0 µmol/24h
4219
ANDROSTENEDIONE - DELTA-4 - RIA, SERUM
CHILDREN:   0.1 - 0.9 ng/mL
MEN:  0.5 - 4.8 ng/mL
WOMEN:
  Follicular phase:   0.9 - 3    ng/mL
  Ovulatory phase:  1.9 - 4.7  ng/mL
  Luteinic phase:   1.1 - 4.2  ng/mL
  Postmenopausal: 0.3 -3.7   ng/mL
  Poliquistic ovary syndrome: 2.2 - 6.5 ng/mL
CHILDREN:   0.1 - 0.9 ng/mL
MEN:  0.5 - 4.8 ng/mL
WOMEN: 0.5 - 4.7 ng/mL
  Follicular phase:   0.9 - 3    ng/mL
  Ovulatory phase:  1.9 - 4.7  ng/mL
  Luteinic phase:   1.1 - 4.2  ng/mL
  Postmenopausal: 0.3 -3.7   ng/mL
  Poliquistic ovary syndrome: 2.2 - 6.5 ng/mL
327
CORTISOL - FREE, URINE
30 - 197 nmol/24 H
10.9-71.4 µg/24 h
334
11-Desoxycortisol, serum
Without stimulus : Less than 7.2 ng/mL
Post metopirone: 72-255 ng/mL
 
* Realised research by laboratory.     
Without stimulus : Less than 7.2 ng/mL
Post metopirone: Greater than 193.95 ng/mL
 
332
DEHYDROEPIANDROSTENEDIONE (DHEA), SERUM
Children : 0.3 - 5.4  ng/mL
Males    : 1.4 - 12.5 ng/mL
Females  : 0.8 - 10.5 ng/mL
Boys:
6-9 years: 0.13-1.87 ng/ml
10-11 years: 0.31 - 2.05 ng/ml
12-14 years: 0.83 - 2.58 ng/ml
Girls:
6-9 years: 0.18-1.89 ng/ml
10-11 years: 1.12-2.24 ng/ml
12-14 years: 0.98 - 3.60 ng/ml

Men (16-79 years): 1.4-12.5 ng/ml
Women (22 - 80 years): 0.8-10.5 ng/ml
228
RENIN (ACTIVITY), PLASMA
Upright: 1.9 - 6   ng/mL/H
Supine : 0.5 - 1.9 ng/mL/H
Adults:
Orthostatic position: 0.60 - 4.18 ng / mL / h
Supine position: 0.32 - 1.84 ng / mL / h
434
T3 REVERSE, SERUM
ADULTS: 0.1 - 0.35 ng/mL

Boys:
Blood cord(>37 weeks): 1.30-3.00 ng/ml
1 day: 0.83-1.94 ng/ml
2 days: 1.07-2.09 ng/ml
3 days: 1.02-1.66 ng/ml

Adults: 0.09-0.35 ng/mL
418
VITAMINA 1,25 OH
Adults: 18 - 78 pg/mL
 
14 to 17 years: 19 - 83 pg/mL
10 to 13 years: 30 - 83 pg/mL
1 to 9 years: 31 - 87 pg/mL
19.6 - 54.3 pg/ml

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