Nursing and allied health · Study chart
Lab values study chart
Seven common lab panels with 38 typical adult reference ranges, what each value measures, the BUN to creatinine ratio explained with practice numbers, the abbreviations, and 20 practice questions. Free, and for study only: it cannot be used for a real patient or your own labs.
- 7 panels, one chart
- BUN:creatinine ratio explained
- 20 practice questions
- No sign-up needed
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Part 1 · The chart
Common lab panels and their typical adult ranges
Typical adult reference ranges from the cited textbooks; every lab publishes its own. For study only: this chart cannot be used for a real patient or for your own labs.
38 values across seven panels: a lab values cheat sheet in one place. Pick a panel, or type an abbreviation or a name to find one value. Where two of the cited textbooks disagree, the row shows one range and names the other, because that is what you will meet on the floor.
Complete blood count (CBC)
Counts the cells in whole blood: red cells, white cells and platelets, plus the hemoglobin, the hematocrit and the red-cell indices. A CBC with differential also splits the white cells into their five types.
Common tube: Lavender (EDTA) in most labs, mixed by gentle inversion. Order of draw
WBCWhite blood cell count
- Typical adult range
- 4,500 to 11,000 per µL (4.5 to 11.0 × 10⁹/L)
- What it measures
- The total number of white cells, the cells that fight infection and clear debris.
- Note
- OpenStax Anatomy and Physiology 2e teaches 5,000 to 10,000 per µL: two trusted sources, two ranges.
RBCRed blood cell count
- Typical adult range
- Male 4.2 to 5.7 million per µL · Female 3.8 to 5.1 million per µL
- What it measures
- The number of red cells, the cells that carry oxygen on their hemoglobin.
- Note
- The OpenStax nursing appendix lists 4.7 to 6.2 million/mm³ for men and 4.5 to 5.0 for women.
HgbHemoglobin
- Typical adult range
- Male 13.8 to 17.2 g/dL · Female 12.1 to 15.1 g/dL
- What it measures
- The iron-rich protein inside red cells that carries oxygen.
- Note
- Also written Hb. The OpenStax Clinical Nursing Skills appendix lists 13 to 17 g/dL (men) and 12 to 16 g/dL (women).
HctHematocrit
- Typical adult range
- Male 42% to 52% · Female 37% to 47%
- What it measures
- The share of the blood volume that is red cells (also called packed cell volume).
- Note
- Open RN teaches that it rises when fluid volume is low (the blood is more concentrated) and falls when fluid volume is high. MedlinePlus lists a lower set (men 37% to 48%, women 34% to 43%).
PLTPlatelet count
- Typical adult range
- 150,000 to 400,000 per µL (150 to 400 × 10⁹/L)
- What it measures
- The cell fragments that start a clot and plug a damaged vessel.
MCVMean corpuscular volume
- Typical adult range
- 79 to 95 fL
- What it measures
- The average size of a red cell.
MCHMean corpuscular hemoglobin
- Typical adult range
- Female 26 to 33 pg per cell · Male 27 to 33 pg per cell
- What it measures
- The average amount of hemoglobin in each red cell.
MCHCMean corpuscular hemoglobin concentration
- Typical adult range
- 32 to 36 g/dL
- What it measures
- How much hemoglobin a red cell holds for its size.
Sources are listed at the end of the page: MedlinePlus, the OpenStax nursing appendices, OpenStax Anatomy and Physiology 2e and Open RN Nursing Fundamentals 2e. Check anything important against your program’s materials and the reference range printed on the report.
Part 2 · The ratio
The BUN:creatinine ratio, as a study concept
Two kidney wastes, one division. Programs teach the ratio because it shows how the nephron handles urea and creatinine differently, and because it turns up on chemistry reports. Here is the idea in five steps, then the arithmetic on practice numbers.
For study only. This section cannot be used for a real patient or for your own labs: a clinician reads a ratio together with each value, the trend and the whole person, never alone.
What it is
Divide the BUN by the creatinine, both in mg/dL, and write the answer as a ratio to 1. A BUN of 15 mg/dL with a creatinine of 1.0 mg/dL is 15:1. Some lab reports print it next to the BUN and creatinine.
Why the two wastes behave differently
Both are filtered at the glomerulus. Urea is then partly pulled back: OpenStax puts it at about half in the proximal tubule, with more reabsorbed in the collecting duct when antidiuretic hormone is high. Creatinine is not reabsorbed at all (0 g a day in the OpenStax table); a little is even secreted into the urine.
The prerenal pattern: a ratio above 20
When blood flow to the kidney drops but the tubules still work, the proximal tubule reabsorbs urea avidly (and antidiuretic hormone adds more), so BUN climbs faster than creatinine and the ratio rises. Textbooks call that the prerenal pattern. The Merck Manual calls a ratio above 15 abnormal, and its acute kidney injury table uses above 20 for the prerenal pattern.
The tubular pattern and the low ratio
When the kidney tubules themselves are injured, urea is reabsorbed less, so both values rise together and the ratio stays ordinary or falls; the Merck table uses below 10 for tubular injury. A low ratio is also taught with low protein intake and with liver disease, which makes less urea.
Why it is only a clue
BUN moves with protein intake, gastrointestinal bleeding, trauma, infection, corticosteroids and the breakdown of body protein, and creatinine depends on muscle mass. Merck calls the ratio suggestive but generally inconclusive on its own, and the 20 cut-off is a textbook convention that a 2012 review calls arbitrary. Labs outside the US often report urea and creatinine in SI units; a ratio built from those sits on a different scale and cannot be compared with the mg/dL one.
Work the arithmetic
Four practice pairs, none of them a person. Tap one to see the division and the pattern textbooks give it.
Part 3 · Abbreviations
The abbreviations and units on a lab sheet
49 short forms you will read on orders and reports, with the units at the end. Charting and prescription shorthand (bid, prn, NPO) lives on the medical abbreviations page.
- CBC
- Complete blood countRed cells, white cells, platelets, hemoglobin, hematocrit, indices.
- Diff
- DifferentialThe white cell count split into its five types.
- WBC
- White blood cell count
- RBC
- Red blood cell count
- Hgb / Hb
- Hemoglobin
- Hct
- HematocritThe share of blood that is red cells.
- PLT
- Platelet count
- MCV
- Mean corpuscular volumeAverage red cell size.
- MCH
- Mean corpuscular hemoglobinAverage hemoglobin per red cell.
- MCHC
- Mean corpuscular hemoglobin concentration
- BMP
- Basic metabolic panelEight values: glucose, calcium, Na, K, CO₂, Cl, BUN, creatinine.
- CMP
- Comprehensive metabolic panelThe BMP plus albumin, total protein, ALP, ALT, AST and bilirubin.
- BUN
- Blood urea nitrogen
- Cr / Creat
- Creatinine
- eGFR
- Estimated glomerular filtration rateAn estimate of how fast the kidneys filter, calculated from the creatinine together with age and sex (some formulas add body size).
- Na
- Sodium
- K
- Potassium
- Cl
- Chloride
- CO₂ / HCO₃⁻
- Carbon dioxide / bicarbonateOn a chemistry panel the CO₂ value is mostly bicarbonate.
- Ca
- Calcium
- Mg
- Magnesium
- Phos / PO₄
- Phosphorus / phosphate
- Glu
- Glucose
- Alb
- Albumin
- TP
- Total protein
- ALP
- Alkaline phosphatase
- ALT
- Alanine aminotransferaseOlder name: SGPT.
- AST
- Aspartate aminotransferaseOlder name: SGOT.
- T bili
- Total bilirubin
- PT
- Prothrombin time
- INR
- International normalized ratioThe PT standardized across labs.
- aPTT / PTT
- Activated partial thromboplastin time
- ABG
- Arterial blood gas
- PaO₂
- Partial pressure of oxygen, arterial
- PaCO₂
- Partial pressure of carbon dioxide, arterial
- SaO₂
- Arterial oxygen saturation
- TC
- Total cholesterol
- LDL
- Low-density lipoprotein cholesterol
- HDL
- High-density lipoprotein cholesterol
- TG
- Triglycerides
- µL / mcL
- MicroliterOne millionth of a liter; cell counts are per microliter. Also written mm³.
- g/dL
- Grams per deciliterHemoglobin and the proteins.
- mg/dL
- Milligrams per deciliterGlucose, BUN, creatinine, calcium, magnesium, lipids.
- mEq/L
- Milliequivalents per literThe electrolytes. For sodium, potassium and chloride it equals mmol/L.
- mmol/L
- Millimoles per literThe SI unit many labs outside the US use for most chemistry values.
- fL
- FemtoliterThe MCV unit: a red cell’s volume.
- pg
- PicogramThe MCH unit.
- U/L
- Units per literEnzyme activity: ALP, ALT, AST. Also written IU/L.
- mm Hg
- Millimeters of mercuryGas pressures on an ABG.
Part 4 · Practice questions
20 practice questions
Ranges, what each value measures, the tubes, the ABG and the ratio arithmetic, multiple choice, one at a time. Every answer is explained, and your score is free: no sign-up needed.
Question 1 of 20
MedlinePlus gives the typical white blood cell count as
The bonus
The printable pocket chart and 30 more questions
Locked until you unlock the bonus above
- A pocket chart to print: every value on this page with its typical adult range, panel by panel, in two columns on one sheet, with the study-only line on it.
- 30 more practice questions: the red-cell indices, the liver values, the extra electrolytes, the ABG, and four more ratio patterns. Every answer explained.
Sources
Where these facts come from
Every range, meaning and ratio cut-off on this page is written in our own words from these public sources. Where they differ on a number, the chart names both; on a report, the lab’s own range decides.
- OpenStax, Clinical Nursing Skills, Appendix A: Adult Lab Values · A nursing textbook’s one-page table: CBC, metabolic panel, ABG, coagulation and lipids, with the note that values change by facility.
- OpenStax, Fundamentals of Nursing, Appendix A: Adult Lab Values · The same table in a second OpenStax nursing text; the ABG ranges nursing students are taught.
- OpenStax, Anatomy and Physiology 2e, 18.1 An Overview of Blood · Hematocrit ranges by sex and what the hematocrit is.
- OpenStax, Anatomy and Physiology 2e, 18.4 Leukocytes and Platelets · The white cell count and what leukocytes and platelets do.
- OpenStax, Anatomy and Physiology 2e, 25.6 Tubular Reabsorption · How much urea and creatinine the nephron filters, reabsorbs and excretes: the physiology behind the BUN:creatinine ratio.
- Open RN, Nursing Fundamentals 2e, 15.4 Electrolytes · The electrolyte ranges a nursing fundamentals course teaches, and what each electrolyte does.
- Open RN, Nursing Fundamentals 2e, 15.6 Applying the Nursing Process · Hematocrit, BUN and serum osmolarity as fluid-balance labs, with their ranges.
- MedlinePlus, Complete Blood Count (CBC) · What each CBC value measures.
- MedlinePlus Medical Encyclopedia, WBC count · The white cell range.
- MedlinePlus Medical Encyclopedia, RBC count · The red cell ranges by sex.
- MedlinePlus Medical Encyclopedia, Hemoglobin · The hemoglobin ranges by sex.
- MedlinePlus Medical Encyclopedia, Hematocrit · A second, lower set of hematocrit ranges, quoted in the chart’s note.
- MedlinePlus Medical Encyclopedia, Platelet count · The platelet range.
- MedlinePlus Medical Encyclopedia, RBC indices · MCV, MCH and MCHC.
- MedlinePlus, Basic Metabolic Panel (BMP) · The eight BMP values and what each measures.
- MedlinePlus, Comprehensive Metabolic Panel (CMP) · The fourteen CMP values and how the CMP differs from the BMP.
- MedlinePlus Medical Encyclopedia, Comprehensive metabolic panel · Every BMP and CMP range on the chart, from one page so they agree with each other.
- MedlinePlus, BUN (Blood Urea Nitrogen) · What urea nitrogen is; liver disease as a cause of a low BUN.
- MedlinePlus, Creatinine Test and Creatinine blood test · What creatinine is, the eGFR, and the ranges by sex (encyclopedia article 003475).
- MedlinePlus, Electrolyte Panel · What each electrolyte does, and the anion gap.
- MedlinePlus Medical Encyclopedia, Magnesium blood test · The magnesium range.
- MedlinePlus Medical Encyclopedia, Phosphorus blood test · The phosphorus range for adults and for children.
- MedlinePlus Medical Encyclopedia, ALP blood test · Where alkaline phosphatase comes from, and its own range.
- MedlinePlus Medical Encyclopedia, Bilirubin blood test · Direct and total bilirubin.
- MedlinePlus Medical Encyclopedia, Prothrombin time (PT) · PT and INR ranges, and the usual INR target on an oral anticoagulant.
- MedlinePlus, Prothrombin Time Test and INR (PT/INR) · Why the INR exists.
- MedlinePlus Medical Encyclopedia, Partial thromboplastin time (PTT) · The aPTT range.
- MedlinePlus, Partial Thromboplastin Time (PTT) Test · Which clotting factors the aPTT checks, and heparin monitoring.
- MedlinePlus Medical Encyclopedia, Blood gases · PaO₂ and oxygen saturation, and a narrower set of pH, PaCO₂ and bicarbonate values.
- MedlinePlus, Arterial Blood Gas (ABG) Test · What each ABG component is and how the arterial sample is drawn.
- MedlinePlus, Cholesterol Levels · The desirable lipid levels for adults 20 and older.
- MedlinePlus Medical Encyclopedia, Triglyceride level · The triglyceride categories.
- Merck Manual Professional Edition, Evaluation of the Patient With Renal Issues · What the BUN:creatinine ratio is used for, the above-15 cut-off, what else moves the BUN, and why the ratio is only suggestive.
- Merck Manual Professional Edition, Acute Kidney Injury (AKI) · The diagnostic-indices table: ratio above 20 for the prerenal pattern, below 10 for tubular injury.
- Uchino, Bellomo and Goldsmith, The meaning of the blood urea nitrogen/creatinine ratio in acute kidney injury (Clinical Kidney Journal, 2012) · The traditional 20 threshold and its arbitrary origin; what else raises BUN; antidiuretic hormone and urea reabsorption.
- Manoeuvrier et al., Diagnostic performance of serum blood urea nitrogen to creatinine ratio (BMC Nephrology, 2017) · Avid urea reabsorption by the proximal tubule when the kidney is under-perfused but the tubules work; the mmol/L version of the ratio.
Questions
Common questions
Yes. The chart, the ratio section, the abbreviations and the 20 practice questions with your score are free, and none of it needs a sign-up. An email unlocks the bonus: a printable pocket chart and 30 more questions.
A basic metabolic panel has eight values: glucose, calcium, sodium, potassium, carbon dioxide, chloride, BUN and creatinine. A comprehensive metabolic panel has those eight plus six liver-side values: albumin, total protein, alkaline phosphatase, ALT, AST and total bilirubin, fourteen in all. The BMP and CMP tabs on the chart show each set with its range.
The BUN divided by the creatinine, both in mg/dL, written as a ratio to 1. Programs teach it because urea is partly reabsorbed by the kidney tubules while creatinine is not, so when blood flow to a working kidney drops, BUN climbs faster than creatinine and the ratio rises. The Merck Manual calls a ratio above 15 abnormal and uses above 20 for the prerenal pattern and below 10 for tubular injury, while also calling the ratio suggestive but generally inconclusive on its own. Part 2 walks through it with practice numbers.
Because every lab publishes its own reference range for its own method and population, and textbooks differ too: MedlinePlus gives the white cell count as 4,500 to 11,000 per µL, OpenStax Anatomy and Physiology as 5,000 to 10,000. The chart shows typical adult ranges from the cited sources and names the other source where they disagree. On a report, the range printed next to the value is the one that counts.
No. This is a study aid for people in nursing, medical assisting and other allied-health programs. It cannot be used for a real patient or for your own labs: nothing on this page is typed in or interpreted, and a clinician reads a value together with the trend, the other values and the whole person. Questions about a result go to the clinician who ordered it.
Each panel on the chart names its common tube: lavender EDTA for the CBC, light blue citrate filled to the line for the coagulation studies, a serum or heparin plasma tube for the chemistry panels, and an arterial sample for the blood gas. The order-of-draw page covers the tubes, their additives and the order they are drawn in. Your lab’s manual decides on the bench.