Phenytoin, Free
| Order Code: | FDPH |
| Order Form: | Laboratory Requisition |
Specimen:
Plasma
Collection Medium:
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| Plasma Separator Tube |
Alternate
Collection Media:
Call laboratory for additional acceptable specimen collection containers.
Minimum:
3 mL whole blood from light green top tube or TWO microtainers.
Testing
Schedule:
Monday-Friday. Sample must be in the lab by 1200; results available by
1500.
Analytic Time:
24 hours (upon receipt in laboratory)
Reference Range:
1.0-1.9 mcg/mL
Average percent free is 9.6% with a range of 7.0-14.6% (N=91).
Comments:
Note: Phenytoin plasma specimens should not be drawn for 2 hours
following completion of an I.V. fosphenytoin infusion or 4 hours
following an I.M. fosphenytoin dose (See Fosphenytoin). To accurately
determine the percentage of free phenytoin, a total phenytoin should be
ordered on the same sample.
Please print, complete and submit the Advance Beneficiary
Notice (ABN) along with the Laboratory Requisition before shipping
the specimen.
Test
Limitations:
Criterion: recovery plus or minus 0.6 ug/mL of initial value at
concentrations less than 6 ug/mL or plus or minus 10% of initial value
at concentrations greater than 6 ug/mL.
Icterus: No significant interference from bilirubin up to an I index of
30 (approximate bilirubin concentration: 60 mg/dL).
Hemolysis: No significant interference from hemoglobin up to an H index
of 800 (approximate hemoglobin concentration: 1000 mg/dL).
Lipemia (Intralipid): No significant interference from lipemia up to an
L index of 750. (approximate triglycerides concentration: 2000 mg/dL).
There is poor correlation between turbidity and triglycerides
concentration.
Methodology:
EIA (Enzymatic ImmunoAssay)
Sample
Processing:
Centrifuge at 3000 RPM for 10 minutes.
Label transport tube with two patient identifiers, date and time of collection.
Label transport tube with two patient identifiers, date and time of collection.
Sample
Storage:
Refrigerate.
Transport
Instructions:
Place requisition into outside pocket of bag.
Place specimen into zip-lock type bag, seal bag.
Transport in cooler with refrigerated coolant packs.
Place specimen into zip-lock type bag, seal bag.
Transport in cooler with refrigerated coolant packs.
CPT Code:
80186
See also:
Phenytoin, Plasma
Phenytoin, Plasma
See Additional Information:
Chemistry Critical Lab Values
Chemistry Critical Lab Values
