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Test Code LAB30 Phenobarbital, Plasma or Serum

Additional Codes

46290

Reporting Title

Phenobarb

Methodology

Roche Diagnostics- RMH, GMH, MH

Used to monitor dose and overdose of phenobarbital, an anticonvulsant.

Performing Laboratory

OhioHealth Laboratory Services - RMH, GMH, MH Core Laboratories

Specimen Requirements

Collection Instructions:

1. Serum and Plasma gel tubes should be centrifuged within 2 hours of collection.

2. Red-top tubes should be centrifuged and aliquoted within 2 hours of collection.

 

Submit only 1 of the following specimens:

 

Preferred:

Serum

Draw blood in a gold-top serum gel tube(s). Spin down and send 1 mL of serum refrigerated. Specimen is usually drawn just prior to next oral dose.

Note:  

1. Draw times should be consistent.

2. Date and time of draw is required on request form and specimen for processing.

3. A speckled-top serum gel tube (s) or a plain, red-top tube(s) is also acceptable.

4. Indicate serum on request form.
5. Label specimen appropriately (serum).

 

Alternate:  

Plasma

Draw blood in a mint green-top (heparin) gel tube(s). Spin down and send 1 mL of heparinized plasma refrigerated. Specimen is usually drawn just prior to next oral dose.

Note:  1. Draw times should be consistent.

2. Date and time of draw is required on request form and specimen for processing.

3. Indicate plasma on request form.

4. Label specimen appropriately (plasma).

 

Specimen Stability Information

Specimen Type Temperature Time
Serum or plasma Refrigerated 7 days capped
  Ambient  7 days capped
  Frozen  12 months capped

 

Specimen Transport Temperature

Refrigerate/Ambient OK/Frozen OK

Reference Values

Therapeutic range:  15-40 mcg/mL

Critical value >40 mcg/mL

Alerting category: Always called within 1 hour

Note:  Both primidone and mephobarbital are metabolized to phenobarbital.

Day(s) Test Set Up

Monday through Sunday; Continuously

Test Classification and CPT Coding

80184