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