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Epic Test Code LAB40 Vancomycin, Random

Performing Location(s)

BMC,FOX,LFH,OCH

Specimen Type

Serum

Preferred Container

Red top tube

Blood Tube Draw Volume

Blood Tube Draw Volume
Min 50% draw volume  

Minimum Volume to Submit for Testing

2 mL Serum

  • Multiple test can be performed from this volume. For question please contact the lab at 547-3975.  

Storage Requirements

Sample tubes should be centrifuged within 2 hour of collection followed by transfer of the serum to a labeled plastic, aliquot tube.

See Causes of Rejection for temperature requirements.

Transportation Needs

Deliver specimen to laboratory within 1 hour of collection if unspun. If not possible see "storage Requirements". 

Causes for Rejection

Mislabeled or unlabeled specimen
Less than 50% draw for Vacutainer tubes

Anything other than a red-top tube
> 48 hours Refrigerated
> 24 hours Room Temp
> 6 months Frozen
Hemolysis > 400 mg/dL HgB
Lipemia > 750 mg/dL Trig
Bilirubin > 30 mg/dL Bili

Limitations

Icteric specimens may cause falsely elevated levels

Reference Values

Population Units Therapeutic Range High Critical Value
Random ug/mL 10 - 30 > 30
Peak ug/mL 20 - 50  > 70
Trough ug/mL 10 - 20  > 20
 

 

Days of Analysis

All

Available STAT

Yes

Includes

Quantitative analysis for Vancomycin

Additional Information

Collection Guideline:

Obtain a baseline creatinine and repeat at 1-3 day intervals.
Begin monitoring after steady state is achieved (usually 3-4 doses).
Monitor at least one peak (60-90 min after IM or 30-60 min IV) and one trough (within 30 min of next dose).
Repeat trough measurements at 3-4 day intervals or sooner if warranted by clinical status
Base frequency of monitoring on changes in dose and patient symptoms
Perform urinalysis by day 3 and repeat as necessary to assess early proximal tubular dysfunction

Methodology

Beckman AU/Dx Series

 

CPT Code

80202

Last Updated

19-DEC-24 MS