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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Digoxin

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Digoxin  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
DIGOX
Test Workstation :
SUMMA
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
3.0 mL
Minimum Volume:
2.0 mL
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Multi point Immuno-Rate
Special Instructions:
Do not administer isotopes 24 hours prior to collection. Do not draw specimen close to the administration of Digiband. Note date, time, and amount of last dose.
Lab/Phone:
330-543-8418
TAT:
24 hours
Additional Info:
Therapeutic range: 0.8-2.0 ng/mL
CPT Code:
80162
Synonyms:
Lanoxin

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