Phenytoin

Laboratory - : Chemistry

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. Phenytoin
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

PHENY

Test Workstation :

MACH3

Specimen Type:

Blood

Tube Type:

Green top (lithium heparin) tube

Collection Volume:

500 uL microtainer; 1.5 mL macrotainer

Minimum Volume:

500 uL microtainer; 1.5 mL macrotainer

Preferred Volume:

500 uL microtainer; 1.5 mL macrotainer

Storage:

Shipping: Send Refrigerated; Storage: Refrigerated: 4 days; Room Temperature: 4 days; Frozen: 1 month

Availability:

24 Hours/ 7 days/week

Methodology:

Roche-KIMS

Special Instructions:

For therapeutic monitoring, draw peak levels 24 hours postIV infusion(loading dose) or 39 hours postoral ingestion and trough levels immediately prior to next dose. Please indicate whether the specimen is a peak, trough, or random specimen. Due to the observed crossreactivity of this assay to fosphenytoin, it is recommended that samples for serum phenytoin measurements be collected at least 2 hours after an intravenous dose of fosphenytoin and at least 4 hours after an intramuscular dose.

Lab/Phone:

330-746-9623

TAT:

1 hour

Additional Info:

Therapeutic range: 10.0-20.0 ug/mL

CPT Code:

80185

Synonyms:

Dilantin; Diphenylhydrantoin

Search our Site

Need Help?

Operator

Ask Children's

For Healthcare Professionals

Go to section...

Quicklinks

Providers

Nurses

Research Institute

Search our site:

Laboratory Services

Phenytoin

Laboratory - : Chemistry

Starting Locations:

Legal:

Mobile App:

About Akron Children's