Comprehensive metabolic panel


The comprehensive metabolic panel, or chemical screen, is a panel of 14 blood tests which serves as an initial broad medical screening tool. The CMP provides a rough check of kidney function, liver function, diabetic and parathyroid status, and electrolyte and fluid balance, but this type of screening has its limitations. Abnormal values from a CMP are often the result of false positives and thus the CMP may need to be repeated, requiring a second blood drawing procedure and possibly additional expense for the patient, even though no disease is present. This test is also known as SMA12+2 test.
The CMP is an expanded version of the basic metabolic panel, which does not include liver tests. A CMP can be ordered as part of a routine physical examination, or may be used to monitor a patient with a chronic disease, such as diabetes mellitus or hypertension.
Previous names for the panel of tests have been Chem 12, Chemistry panel, Chemistry screen, SMA 12, SMA 20 and SMAC. The tests are performed on machines based on the AutoAnalyzer invented in 1957.

Testing


Typically, the patient fasts for ten or twelve hours before the blood is drawn for the test—this is particularly important for getting a useful blood glucose measurement. CMPs are also frequently performed on nonfasting patients, but the glucose level in those cases is not as useful. The following tests are then performed:

General tests

These tests help screen for a wide variety of problems. The glucose test in particular helps screen for diabetes mellitus and pre-diabetes. The calcium test can indicate or monitor bone diseases or diseases of the parathyroid gland or kidneys. Calcium salts, lithium, thiazide diuretics, thyroxine, and vitamin D can all increase levels and may interfere with this test.
levels and the balance among them are tightly regulated by the body. Both individual values and ratios among the values are significant; abnormalities among either can indicate problems such as an electrolyte disturbance, acid-base imbalance, or kidney dysfunction.
Tests of protein levels in the blood help screen for both kidney and liver disorders.
The U.S. NIH provides ranges considered within normal limits, though optimal levels may vary by individual.
Compare also the ranges given at Reference ranges for blood tests.
SpecimenNormal RangeUnits
Albumin3.9 - 5.0g/dL
Alkaline phosphatase44 - 147IU/L
ALT 8 - 37IU/L
AST 10 - 34IU/L
BUN 7 - 20mg/dL
Calcium8.5 - 10.9mg/dL
Chloride96 - 106mmol/L
CO2 20 - 29mmol/L
Creatinine0.6 - 1.1
0.7 - 1.3 		mg/dL
Glucose70 - 100mg/dL
Potassium3.7 - 5.2mEq/L
Sodium136 - 144mEq/L
Total bilirubin0.2 - 1.9mg/dL
Total protein6.3 - 7.9g/dL