Vancomycin, Trough

Message
Draw blood 0-60 minutes prior to next dose. 


Test Code
LAB39


Alias/See Also
Vanc, Pre


CPT Codes
80202

Preferred Specimen
7 ml Red Top Tube


Minimum Volume
2.0 mL


Instructions
Preferred: Patient in steady state Collect 1 hour prior to administration 1 plain, red-top tube drawn 0-60 minutes prior to next dose.


Transport Temperature
Refrigerate


Methodology
KIMS

Setup Schedule
Set Up:Daily Report Available:same day


Reference Range
10 - 20 ug/mL
Critical: >22 ug/mL


Clinical Significance
Vancomycin is a glycopeptide antibiotic which is bactericidal against many gram-positive and some gram-negative cocci. It is useful in therapy of severe staphylococcal (including methicillin-resistant staphylococci) infections in patients who cannot receive or who have failed to respond to the penicillins and cephalosporins. Vancomycin HCI has been used successfully alone in the treatment of staphylococcal (including methicillin-resistant staphylococci) endocarditis. Because of its ototoxicity, vancomycin should be used with care in patients with renal insufficiency. Concurrent and sequential use of other neurotoxic and/or nephrotoxic antibiotics, particularly streptomycin, neomycin, kanamycin, gentamicin, cephaloridine, paramomyfin, viomycin, polymyxin.


Performing Laboratory
GBMC Chemistry



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.