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Test Code LAB5063 Dilantin (Phenytoin)

Useful For

Phenytoin is chemically related to the barbiturates.  Its anticonvulsant properties seem to be related to depression of seizure activity in the motor cortex of the brain. Metabolism of the drug may be accelerated by the concurrent administration of barbiturates and slowed by coumadin anticoagulants, disulfiram, phenylbutazone, sulfaphenazole and isoniazid.

Performing Laboratory

Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center

 

Performing Department

Chemistry

Specimen Required

For TROUGH level, draw immediately prior to next dose

Please provide dose information

 

RRMC:

(submit one of the following)

Plain Red top tube 

Yellow (Gold) top tube (SST)  

Lithium Heparin Green top tube

Green microtainer

Yellow microtainer

 

TRMC:

Plain Red top tube

Yellow (Gold) top tube (SST)

Specimen Minimum Volume

0.5 ml

Neonatal minimum volume: 0.4 mL whole blood

Specimen Stability

Centrifuge and refrigerate within 2 hours of collection
Primary tube: Spun SST stable 24 hours at  2° to 8° C

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

Reject Due To

  • Icterus
  • Lipemia
  • Hemolysis
  • Quantity not sufficient (QNS)
  • Lack of Two Patient Identifiers:
    • 1-Patient's First & Last name 
    • 2-Patient's Date of Birth

Day(s) Performed

Monday through Sunday

Turnaround time:

Routine – 4 hour after receipt of specimen in lab

STAT - 1 hour after receipt of specimen in lab

Method Name

Turbidimetric Inhibition Immunoassay

CPT Code Information

80185  -  Phenytoin; total

Billing Code

2050516