Test Code LAB41 VANCOMYCIN PEAK
Additional Codes
CPT Code: 80202
Performing Laboratory
Peninsula Regional Medical Center - Chemistry
Specimen Requirements
This test must be approved by a pharmacist prior to ordering (no longer orderable by nursing).
Submit only 1 of the following specimens:
Plasma
Draw blood in a green-top (lithium heparin) tube. (Hemolyzed specimen is not acceptable.) Spin down and send 2 mL of lithium heparin plasma. Plasma for a peak level should be drawn 2 hours after completion of a 60 minute infusion of an intravenous dose of vancomycin.
Note: 1. Place 1 of patient’s hospital computer labels on a “Laboratory Request Form A,” specify test Vancomycin, Peak—Approved by Pharmacist and forward it with the specimen.
2. Indicate plasma.
3. Label specimen appropriately (plasma).
Serum
Draw blood in a gold-top serum gel tube. (Hemolyzed specimen is not acceptable.) Spin down and send 2 mL of serum. Serum for a peak level should be drawn 2 hours after completion of a 60 minute infusion of an intravenous dose of vancomycin.
Note: 1. Place 1 of patient’s hospital computer labels on a “Laboratory Request Form A,” specify test Vancomycin, Peak—Approved by Pharmacist and forward it with the specimen.
2. Indicate serum.
3. Label specimen appropriately (serum).
Reference Values
Therapeutic range: 18-26 mcg/mL
Critical value (automatic call-back): >50 mcg/mL