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Test Code LAB28 Gentamicin - Post/Peak

Performing Laboratory

Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center / Ashland Community Hospital

Specimen Minimum Volume

0.5 ml

Billing Code

2050599

Methodology

Turbidimetric Inhibition 

Specimen Requirements

RRMC:  

Yellow (Gold) top tube (SST)  

Lithium Heparin Green top tube

 

TRMC:  

Plain Red top tube    No SST or PST

 

Three previous doses are recommended before blood levels are obtained

For PEAK level, draw 30 minutes after complete infusion if dose is given I.V. (60 minutes infusion time)

Draw 30 minutes after injection if dose is given I.M. 

Pre and post labeling of samples is critical.  Please provide last dose information. 

Performing Department

Chemistry

Day(s) Test Set Up

Monday through Sunday

Routine – same day

ASAP – 2 hours after receipt of specimen in lab

STAT – 1 hour after receipt of specimen in lab

Test Classification and CPT Coding

80170  -  Gentamicin

Additional Information

Gentamicin is an aminoglycoside antibiotic which exhibits high action against both gram positive and gram negative bacteria.  It exhibits a narrow therapeutic range which makes it hazardous, especially in patients with impaired renal function.

Specimen Transport Temperature and Stability

Centrifuge and refrigerate within 2 hours of collection

Primary tube: Spun SST stable 48 hours at  2° to 8° C

Serum stable 48 hours if aliquoted and refrigerated at 2° to 8° C

Reasons for Rejection

Icterus

Lipemia

Hemolysis

Quantity not sufficient (QNS)

Lack of Two Patient Identifiers:

         1-Patient's First & Last name 

         2-Patient's Date of Birth