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Test Code VANC, VANC TR, VANC PK Vancomycin

Important Note

Add-on testing acceptable up to 8 hours from collection time.

Clinical System Name

Vancomycin (Random, Peak, Trough)

Sample Requirements

Specimen:  Whole Blood

Container(s):  Gold SST, Red Tube, or Dark Green/Sodium Heparin, 1 Lt. Green/Lithium Heparin Microtainer, or 1 Gold Microtainer

Preferred Vol:  1.0 mL

Minimum Vol:  0.5 mL

Note:  Draw trough level ½ hour before the start of an infusion. Note whether specimen is peak, trough, or random. As of January 2004, vancomycin peak monitoring is no longer recommended, per Pharmacy and Therapeutics Committee and Infectious Diseases. If drawing a peak, draw at one hour after the end of a 1 hour infusion.

Processing Instructions

Reject due to: Age of specimen, incorrect collection container

Spin: Y

Aliquot:  Y

Temp: 2-8oC

Storage location: Core 5 Refrigerator

 

 

Off-site collection: Draw trough level ½ hour before the start of an infusion. Note whether specimen is peak, trough, or random. As of January 2004, vancomycin peak monitoring is no longer recommended, per Pharmacy and Therapeutics Committee and Infectious Diseases. If drawing a peak, draw at one hour after the end of a 1 hour infusion. Spin blood, refrigerate plasma or serum.

Stability

Specimen Type Temperature Time
Serum or Plasma RT

2 H

Serum or Plasma 2-8oC

3 D

Serum or Plasma -20o C or -70oC

14 D

 

Availability

STAT Performed TAT
Y 24/7 1 H

 

Performing Laboratory

Seattle Children's Laboratory    

Department

Department:  Core Chemistry

Phone Number: 206-987-2617

 

 

Reference Range

 

 

uG/mL

Peak

20 - 40

Trough: General

10 - 15

Trough: Central nervous system infections

15 - 20

Trough: Methicillin resistant Staphylococcus aureus pneumonia

15 - 20

Toxic

>50

 

Methodology

Method: Two Point Rate by Vitros 4600

Minimum Volume: 0.1 mL serum or plasma

Analytical Volume:  0.06 mL serum or plasma + 0.03 mL dead space

CPT Codes

80202

Critical Values

> 40.0 µg/mL