Comprehensive metabolic panel

A blood sample is needed.

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

When the needle is inserted to draw blood, some people feel moderate pain. Others feel only a prick or stinging. Afterward, there may be some throbbing or a slight bruise. This soon goes away.

This test gives your health care provider information about:

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

Your provider may order this test to check you for side effects of medicines or for diabetes, liver, or kidney disease.

Normal values for the panel tests are:

• Albumin: 3.4 to 5.4 g/dL (34 to 54 g/L)
• Alkaline phosphatase: 20 to 130 U/L
• ALT (alanine aminotransferase): 4 to 36 U/L
• AST (aspartate aminotransferase): 8 to 33 U/L
• BUN (blood urea nitrogen): 6 to 20 mg/dL (2.14 to 7.14 mmol/L)
• Calcium: 8.5 to 10.2 mg/dL (2.13 to 2.55 mmol/L)
• Chloride: 96 to 106 mEq/L (96 to 106 mmol/L)
• CO2 (carbon dioxide): 23 to 29 mEq/L (23 to 29 mmol/L)
• Creatinine: 0.6 to 1.3 mg/dL (53 to 114.9 µmol/L)
• Glucose: 70 to 100 mg/dL (3.9 to 5.6 mmol/L)
• Potassium: 3.7 to 5.2 mEq/L (3.70 to 5.20 mmol/L)
• Sodium: 135 to 145 mEq/L (135 to 145 mmol/L)
• Total bilirubin: 0.1 to 1.2 mg/dL (2 to 21 µmol/L)
• Total protein: 6.0 to 8.3 g/dL (60 to 83 g/L)

Normal values for creatinine can vary with age.

Normal value ranges for all tests may vary slightly among different laboratories. Some labs use different measurements or may test different specimens. Talk to your provider about the meaning of your specific test results.

Abnormal results can be due to a variety of different medical conditions. These may include kidney disease, liver disease, breathing problems, and diabetes or diabetes complications.

There is little risk involved with having your blood taken. Veins and arteries vary in size from one person 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 lightheaded
• Multiple punctures to locate veins
• Hematoma (blood accumulating under the skin)
• Infection (a slight risk any time the skin is broken)

Metabolic panel - comprehensive; CMP

McPherson RA, Pincus MR. Disease/organ panels. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 7.

Updated by: Jacob Berman, MD, MPH, Clinical Assistant Professor of Medicine, Division of General Internal Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.