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Vancomycin, Trough, Plasma or Serum
Test CodeVANCOT - NOCO
CPT Codes
80202
Preferred Specimen
In-patient: 1 mL plasma from Green top (Lithium Heparin)
Out-patient: 1 mL serum from SST
Out-patient: 1 mL serum from SST
Minimum Volume
0.5 mL
For neonate requirements see Neonate Minimum Blood Volumes
For neonate requirements see Neonate Minimum Blood Volumes
Other Acceptable Specimens
1 ml serum from Serum Gel or Red Top
Instructions
- Blood for a trough level should be drawn 30 minutes prior to next intramuscular or intravenous dose of vancomycin.
- Indicate exact time drug was started, exact time infusion was completed in label comments (i.e. IV 1200 /1230). If the drug will be administered by intramuscular injection, indicate time of injection in label comments (i.e. IM 1300).
Specimen Stability
Specimen Type | Temperature | Time |
Plasma Li Hep | Refrigerated | 2 days |
Serum SST | Refrigerated | 2 days |
Red Top – Separated* | Refrigerated | 2 days |
*Centrifuge and aliquot into a plastic vial.
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis
Methodology
Bichromatic Turbidimetric Rate - Particle Enhanced Turbidimetric Inhibition Immunassay (PETENIA)
Setup Schedule
Monday through Sunday; Continuously
Report Available
Same day
Reference Range
10.0 - 20.0 µg/mL
Critical value (automatic call-back:) >30.0 µg/m
Critical value (automatic call-back:) >30.0 µg/m
Performing Laboratory
Banner Fort Collins Medical Center Laboratory
McKee Medical Center Laboratory
North Colorado Medical Center Laboratory
Sterling Regional Medical Center
Ogallala Community Hospital