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

Initial results greater than 500 U/L

AST

Initial results greater than 500 U/L

Bilirubin

Less than 1 d

1-2 d

2 d – 6 mo

Greater than 6 months

 

>8 mg/dL

>13 mg/dL

>15 mg/dL

Initial results >15 mg/dL

 

 

Reference Range:

 

Albumin

Age

g/dL

0-4 d

2.6-3.6

5 d-11 mo

2.6-4.2

1-y and 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

0-3y

110-320

0-3y

110-320

4-9y

150-420

4-9y

150-420

10-11y

130-560

10-15y

130-530

12-13y

105-420

16-19y

65-260

14-15y

70-230

20 y and older

40-150

16 y and older

40-150

 

 

 

ALT

Female

Male

Age

U/L

Age

U/L

All ages

0-50

0-19 y

0-50

 

 

20 y and 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 and older

0-45

 

Bilirubin, Total

Age

mg/dL

0-23 h

0-5.8

1d

0-8.2

2-13 d

0-11.7

14-20 d

0-6.5

21-30 d

0-3.9

1 mo and 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 d

0-0.5

15 d & older

0-0.2

 

Protein, Total

Age

Plasma, g/dL

0-9 y

6.5-8.4

10 y and older

6.8-8.8

Reference range is on ambulatory patients in sitting position.

Patients in 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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