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