Haloperidol
| 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. Haloperidol | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
HALOP
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Alternate Tube Type:
EDTA-Lavender
Collection Volume:
2.5 mL
Minimum Volume:
1.5 mL
Cause for Rejection:
Use of serum separator tube
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Quantitative Liquid Chromatography - Tandem Mass Spectrometry
Special Instructions:
Do not use serum separator tubes. Separate serum from cells within 2 hours.
For Outpatients, send specimen by courier STAT to hospital lab.
Lab/Phone:
330-543-8418
TAT:
2-8 days
Additional Info:
No range for children is available
Therapeutic range: 5.0-20.0 ng/mL
CPT Code:
80173
Synonyms:
Haldol
