Hepatic Panel


Sunquest Code:BHEPAT  
Epic Code:LAB20Epic Name:Hepatic Panel
Synonyms:LFT; Liver Function Panel; BHEPAT
Methodology:Bichromatic rate
CPT Code:----------CPTCODES HERE----------
Test Includes:Albumin, ALT, AST, bilirubin (direct and total), alkaline phosphatase; total protein.
Turnaround Time:Performed and reported 24 hours/day;
Associated Links:

Panel Codes



Collection Instructions

Specimen:Blood
Optimal Volume:2.5mL
Minimum\Peds Volume:0.6 mL
Container:Green (lithium heparin, gel) (Green (lithium heparin) on ICE, Red (no gel), Red or gold (gel))
Causes for Rejection:Moderate hemolysis


Processing and Shipping

Specimen Processing:Centrifuge and aliquot 1.25 mL, 0.2 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
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:
  ALT:   Initital results greater than 500 U/L
AST:  Initital results greater than 500 U/L
Bilirubin mg/dL
Less than 1 d >8
1-2 d >13
2d - 6 mo >15
Greater than 6 mo Initial results > 15

 
Reference Range: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.

Bilirubin, Direct:
Age mg/dL
0-14 y 0-0.5
15 d &older 0-0.2


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.
 
Use:Evaluate hepatic disease.


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