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