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Test Code LAB39 Vancomycin, Trough/Pre-Dose, Plasma or Serum

Reporting Title

Vancomycin, Pre-Dose

Methodology

Roche Diagnostics- RMH, GMC, DH, DMH, GMH, GCMH, BH, OBH, WECC, MGH, MH

Siemens Diagnostics- SH

Used to monitor blood level of vancomycin, an antibiotic.

Performing Laboratory

OhioHealth Laboratory Services- RMH, GMC, DH, DMH, MGH, GMH, GCMH, OBH, MH, SH, BH, WECC 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:

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 immediately prior to next dose (intravenous piggyback [IVPB] conventional dosing).

Note:  1. Date and time of draw is required on request form and specimen for processing.

2. Indicate plasma and trough/pre-dose on request form.
3. Label specimen appropriately (plasma and as trough/pre-dose).

Also Acceptable:

Serum

Draw blood in a gold-top serum gel tube(s). Spin down and send 1 mL of serum refrigerated. Specimen is usually drawn immediately prior to next dose (intravenous piggyback [IVPB] conventional dosing).

Note:

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

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

3. Indicate serum and trough/pre-dose on request form.
4. Label specimen appropriately (serum and as trough/pre-dose).

 

Specimen Stability Information

Specimen Type Temperature Time
Serum or plasma Refrigerated 14 days capped
  Ambient  48 hours capped
  Frozen  12 months capped

 

Specimen Transport Temperature

Refrigerate/Frozen OK/Ambient OK

Reference Values

Therapeutic range:  5-20 mcg/mL

Critical value >20 mcg/mL

Alerting category: Always called within 1 hour

Impaired renal function will elevate vancomycin levels.

Day(s) Test Set Up

Monday through Sunday; Continuously

Test Classification and CPT Coding

80202