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    Comprehensive metabolic panel

    Metabolic panel - comprehensive; Chem-20; SMA20; Sequential multi-channel analysis with computer-20; SMAC20; Metabolic panel 20

    A comprehensive metabolic panel is a group of blood tests. Theyprovide an overall picture of your body's chemical balance and metabolism. Metabolism refers to all the physical and chemical processes in the body that use energy.

    How the Test is Performed

    A blood sample is needed. This is usually taken from a vein. The procedure is called avenipuncture.

    How to Prepare for the Test

    You should not eat or drink for 8 hours before the test.

    How the Test Will Feel

    When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

    Why the Test is Performed

    This test will give your doctor information about:

    • How your kidneys and liver are working
    • Blood sugar, cholesterol, and calcium levels
    • Sodium, potassium, and chloride levels (called electrolytes)
    • Protein levels

    Your doctor may order this test during a yearly exam or routine checkup.

    Normal Results

    • Albumin: 3.9 to 5.0 g/dL
    • Alkaline phosphatase: 44 to 147 IU/L
    • ALT (alanine aminotransferase): 8 to 37 IU/L
    • AST (aspartate aminotransferase): 10 to 34 IU/L
    • BUN (blood urea nitrogen): 7 to 20 mg/dL
    • Calcium: 8.5 to 10.9 mg/dL
    • Chloride: 96 - 106 mmol/L
    • CO2 (carbon dioxide): 20 to 29 mmol/L
    • Creatinine: 0.8 to 1.4 mg/dL **
    • Glucose test: 70 to 100 mg/dL
    • Potassium test: 3.7 to 5.2 mEq/L
    • Sodium: 136 to 144 mEq/L
    • Total bilirubin: 0.2 to 1.9 mg/dL
    • Total protein: 6.3 to 7.9 g/dL

    Note: Normal or healthy values for glucose and creatinine can vary with age. Normal value ranges for all tests may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

    The examples above show the common measurements for results for these tests. Some laboratories use different measurements or may test different specimens.

    Key to abbreviations:

    • IU = international unit
    • L = liter
    • dL = deciliter = 0.1 liter
    • g/dL = gram per deciliter
    • mg = milligram
    • mmol = millimole
    • mEq = milliequivalents

    What Abnormal Results Mean

    Abnormal results can be due to a variety of different medical conditions, including kidney failure, breathing problems, and diabetes-related complications. See the individual tests listed in the normal values section for detailed information.


    There is very little risk involved with having your blood taken. Veins and arteries vary in size from one patient to another and from one side of the body to the other. Taking blood from some people may be more difficult than from others.

    Other risks associated with having blood drawn are slight but may include:

    • Excessive bleeding
    • Fainting or feeling light-headed
    • Hematoma (blood accumulating under the skin)
    • Infection (a slight risk any time the skin is broken)


    Berk P, Korenblat K. Approach to the patient with jaundice or abnormal liver tests. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 149.

    Landry DW, Bazari H. Approach to the patient with renal disease. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 116.


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              Tests for Comprehensive metabolic panel

              Review Date: 1/21/2013

              Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

              The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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