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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

CollegeCompass360 is an independent education resource. We are not a school, a testing company or a government agency.

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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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

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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.

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.