Comprehensive Metabolic Panel


Sunquest Code:CCOMP  
Epic Code:LAB17Epic Name:Comprehensive Metabolic Panel
Synonyms:CMP; CHEM 14; CCOMP
Methodology:See individual test listings
Test Includes:Albumin, alkaline phosphatase, ALT, AST, bilirubin (total), calcium, chloride, CO2, creatinine, glucose, potassium, protein (total), sodium, urea nitrogen
Turnaround Time:Performed and reported 24 hours/day.
Associated Links:

Panel Codes



Collection Instructions

Specimen:Blood
Optimal Volume:2.5 mL
Minimum\Peds Volume:0.6 mL
Container:Green (lithium heparin, gel) (Green (lithium heparin) on ICE, Red (no gel), Red or gold (gel))
Collection Instructions:Do not allow patient to clench/unclench hand.
Causes for Rejection:Specimen not separated from cells within 2 hours of collection (4 hours for Home Health specimens).


Processing and Shipping

Specimen Processing:Process within 2 hours (4 hours for Home Health specimens). Centrifuge and aliquot 1.25 mL, 0.2 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Stability:Stability: See individual test codes.
Test Performed at or Referral Lab Chemistry  (University of Minnesota Health Maple Grove Clinics, Fairview Range - FRMC, UMMC-East Bank, Oxboro Bloom, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, UMMC/UMMCH-West Bank, M Health Clinic and Surgery Center)


Interpretive

Critical Range:
Na Less than 120 mmol/L Greater than 160 mmol/L
K Less than 2.7 mmol/L Greater than 6.0 mmol/L
CO2 Less than 11 mmo/L Greater than 45 mmol/L
Gluc
  0-71 h
  3 d - 5 mo
  6 mo & older


Less than 40 mg/dL
Less than 51 mg/dL
  Less than 51 mg/dL


Geater than 200 mg/dL
Greater than 200 mg/dL
Greater than 500 mg/dL
Ca Less than 6.0 mg/dL Greater than 14.0 mg/dL
ALT Initial results greater than 500 U/L  
AST Initial results greater than 500 U/L  
 

Bilirubin:
Less than 1 d > 8 mg/dL
1-2 d >13 mg/dL
2 d - 6 mo >15 mg/dL
Greater than 6 mo Initial results >15 mg/dL
   
Reference Range:
Age Na
mmol/L
K*
mmol/L
CO2
mmol/L
Anion Gap
nMol/L
0-30 d 133-143 3.2-6.0 17-29 3-14
1-11 mo 133-143 3.2-6.0 17-29 3-14
1-15 y 133-143 3.4-5.3 20-32 3-14
16 y & older 133-144 3.4-5.3 20-32 3-14
*Serum values may be 0.1-0.2 mmol/L greater than plasma or whole blood values.
*Anion Gap calculation: Na-(Cl+CO2)

Chloride:
Age Male
mmol/L
Female
mmol/L
0-19 y 98-110 96-110
20 y & older 98-109 94-109


Glucose:
Age Fasting Casual
0-47 h 40-99 mg/dL 50-139 mg/dL
48 h - 5 mo 51-99 mg/dL 51-139 mg/dL
6 mo & older 70-99 mg/dL 70-139 mg/dL


Calcium:
Age Ca
mg/dL
0-11 mo 2.6-3.6
1-18 y 9.1-10.3
19 y & older 8.5-10.1


Creatinine*:
Age Female
mg/dL
Male
mg/dL
0-21 d 0.33-1.01 0.33-1.01
22 d - 8 y 0.15-0.53 0.15-0.53
9-14 y 0.39-0.73 0.39-0.73
15-19 y 0.50-1.00 0.50-1.00
20 y & older 0.52-1.04 0.66-1.25
*Reference range varies with amount of muscle mass present. Slightly lower in females, decreasing with age.

Urea Nitrogen:
Age mg/dL
0-14 d 3-23
15 d - 11 mo 3-17
1-9 y 9-22
10-18 y, Male 7-21
10-18 y, Female 7-19
19 y & older 7-30


Albumin:
Age g/dL
0-4 d 2.6-3.6
5 d - 11 mo 2.6-4.2
1 y & older 3.4-5.0
Reference range is based on ambulatory patients in sitting position. Patients in recumbent position may have lower values by approximately 6%.

Alkaline Phosphatase:
Female   Male  
Age U/L Age U/L
0-3 y 110-320 0-3 y 110-320
4-9 y 150-420 4-9 y 150-420
10-11 y 130-560 10-15 y 130-530
12-13 y 105-420 16-19 y 65-260
14-15 y 70-230 20 y & older 40-150
16 y & older 40-150    

ALT:
Female U/L Male U/L
All ages 0-50 0-19 y 0-50
    20 y & older 0-70


AST:
Age U/L
0-30 d 0-136
1-5 mo 0-125
6-11 mo 0-83
1-2 y 0-60
3-11 y 0-50
12-19 y 0-35
20 y & older 0-45


Bilirubin, Total:
Age mg/dL
0-23 h 0-5.8
1 d 0-8.2
2-13 d 0-11.7
14-20 d 0-6.5
21-30 d 0-3.9
1 mo & older 0.2-1.3
Breast-feeding is significantly associated with hyperbilirubinemia in the first three days of life.

Protein, Total
Age Plasma
g/dL
0-3 y 5.5-7.0
4-9 y 6.5-8.4
10 y & older 6.8-8.8
Reference range  is on ambulatory patients in a sitting position.
Patients in a recumbent position may have lower values by approximately 6%.
Plasma specimens will be increased by approximately 0.2-0.4 g/dL due to the presence of fibrinogen  


Click HERE to Report test errors or omissions.
*If no email program is associated with this computer, please contact:
systemlabguide@fairview.org for TestID: 2757"