Test Code DILFX or LAB32 Dilantin Level, Free, Serum
Specimen Requirements
| Container Type: |
Optimal: Red Acceptable: Gold** **Acceptable if serum is separated from gel within 24 hours of collection. |
| Optimal Collection Volume: |
4.5mL; full tube |
| Minimum Volume: |
1 mL whole blood |
| Collection Instructions: |
1. Specimen should be drawn just prior to next dose (trough level). 2. A minimum of 2 hours prior to next dose is also acceptable. 3. Indicate time of last dose. 4. Gently invert the sample 5-6 times after collection. |
| Specimen Transport: |
Refrigerate |
| Processing Instructions: |
1. Allow the specimen to clot for 30 minutes. 2. Centrifuge specimen within 2 hours of collection. 3. After centrifugation, specimen tubes without a gel barrier should have the serum aliquoted to a false bottom container. 4. Keep the serum refrigerated until testing can be performed. |
Specimen Stability
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum | Refrigerated | 4 days |
| Room Temperature | 24 hours | |
| Frozen | 2 weeks |
Specimen Rejection Criteria
| Hemolysis | Mild OK; Moderate OK; Gross Reject |
| Lipemia | Mild OK; Moderate OK; Gross Reject |
| Icterus | Mild OK; Moderate OK; Gross Reject |
| Other | Quantity not sufficient |
Useful For
This assay is useful for monitoring free Dilantin therapy.
Methodology
Roche Cobas - Kinetic interaction of microparticles in a solution (KIMS)
Reference Ranges
Therapeutic range: 1.2-2.5 ug/mL
Critical Value: > 3.0 ug/mL
Day(s) Performed
24/7
Expected TAT
Same day
Performing Laboratory
Bronson Laboratory, Chemistry - Kalamazoo
Sample Retention Time
7 days
CPT Code
80186
LOINC Code
3969-3