Test Code LAB1111 Valproic Acid, Total, Plasma or Serum
Additional Codes
Test Name in EPIC | EPIC Test Code | Mnemonic |
---|---|---|
VALPROIC ACID | LAB1111 | VALP |
Methodology
Particle-Enhanced Turbidimetric Inhibition Immunoassay (PETINIA)
Specimen Requirements
Specimen must be refrigerated until test is performed.
Submit only 1 of the following specimens:
Preferred:
Specimen Type: Plasma
Container/Tube: Light-green top (lithium heparin gel)
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL/pediatric: 0.2 mL in a green top MICROTAINER
Collection Instructions:
1. For therapeutic monitoring, draw trough level up to 30 minutes prior to dose. Peak specimen should be drawn 30 minutes after an oral liquid dose or 2 to 8 hours after dose if tablet or capsule is given. If toxicity is suspected, draw level when ordered STAT.
2. Spin down within 2 hours of draw to separate plasma from cells. Aliquot plasma.
3. If plunger filters are used, immediate removal of plasma is indicated unless an air gap can be created between the device and specimen.
Additional Information:
1. Avoid repeated freeze/thaw cycles.
2. If extreme lipemia-use ultracentrifuged specimen.
3. Label specimen appropriately (plasma).
Alternate:
Specimen Type: Serum
Container/Tube: Serum gel
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL/pediatric: 0.2 mL in a red top MICROTAINER
Collection Instructions:
1. For therapeutic monitoring, draw trough level up to 30 minutes prior to dose. Peak specimen should be drawn 30 minutes after an oral liquid dose or 2 to 8 hours after dose if tablet or capsule is given. If toxicity is suspected, draw level when ordered STAT.
2. Spin down, separate serum from cells and aliquot within 2 hours of draw. Aliquot serum.
3. If plunger filters are used, immediate removal of serum is indicated unless an air gap can be created between the device and specimen.
Additional Information:
1. Avoid repeated freeze/thaw cycles.
2. If extreme lipemia-use ultracentrifuged specimen.
3. Label specimen appropriately (serum).
Specimen Transport Temperature
Refrigerate 2 days (48 hours)/Frozen 5 days OK/Ambient 8 hours OK
Day(s) Test Set Up
Monday through Sunday
Performing Laboratory
Chemistry-
St. Joseph's Medical Center Lab
Deer River Hospital Lab, Sandstone Hospital Lab, SMDC Clinical Lab, St. Mary's Hospital - Superior Lab, Virginia Hospital Lab, Moose Lake Hospital Lab
Fargo Hospital Lab, St. Mary's - Detroit Lakes Hospital Lab
Test Classification and CPT Coding
80164
Reference Values
Therapeutic concentration: 50-100 µg/mL