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

Levetiracetam

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. Levetiracetam  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
LEVET
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no additive)
Collection Volume:
2.5 mL (minimum 1.5mL)
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Serum should be separated from cells within 2 hours. Draw immediately before next scheduled dose. For sustainedrelease formulations ONLY, draw blood a minimum 12 hours after last dose. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
1-2 days
Additional Info:
Reference Range: 10.0-40.0 mcg/mL
CPT Code:
80177
Synonyms:
Keppra

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