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Test Code LAB41 Vancomycin, Peak/Post-Dose, Plasma or Serum

Reporting Title

Vancomycin, Post-Dose

Methodology

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

Used to monitor blood level of vancomycin, an antibiotic.

 

VWH Lab Only:

VANC reagent, when used in conjunction with SYNCHRON LX® System(s), UniCel® DxC 860i System(s) and SYNCHRON® Systems Vancomycin Calibrator set, is intended for quantitative determination of Vancomycin concentration in human serum or plasma.

Performing Laboratory

OhioHealth Laboratory Services - RMH, GMC, DH, DMH, MGH, GMH, HMH, OBH, MH, SH, WECC, BH, GCMH, PMH and VWH 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 2 hours post infusion (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 peak/post-dose on request form.
3. Label specimen appropriately (plasma and as peak/post-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 2 hours post infusion (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 peak/post-dose on request form.
4. Label specimen appropriately (serum and as peak/post-dose).

 

VWH Lab: 

  • Tubes of blood are to be kept closed at all times and in a vertical position. It is recommended that the serum or plasma be physically separated from contact with cells within two hours from the time of collection.
  • Separated serum or plasma should not remain at room temperature longer than 8 hours. If assays are not completed within 8 hours, serum or plasma should be stored at +2°C to +8°C for up to 48 hrs. 

 

Roche 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:  20-40 mcg/mL

Critical value  >40 mcg/mL

Alerting category: Always called within 1 hour 

Impaired renal function will elevate vancomycin levels.

 

VWH Lab Only: 

20 – 40 µg/mL

Critical value: > 40 µg/mL

Day(s) Test Set Up

Monday through Sunday; Continuously

Test Classification and CPT Coding

80202