Quinidine

Centralized Core Laboratory - Cleveland Clinic Laboratories : Send Out

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. Quinidine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

QUINI

Test Workstation :

CLEVE

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Alternate Tube Type:

Lithium or Sodium Heparin, EDTA Plasma

Collection Volume:

2.5 mL

Minimum Volume:

0.5 mL

Cause for Rejection:

Serum Separator tube

Storage:

Ambient

Availability:

Sent to reference lab

Methodology:

Immunoassay (IA)

Special Instructions:

Collect at trough concentration (i.e. within 30 minutes of next dose).

Lab/Phone:

330-543-8418

TAT:

2-3 days

Additional Info:

Reference range:

2.0-5.0 mg/L

CPT Code:

80194

Synonyms:

Cardioquin, Duraquin

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Quinidine

Centralized Core Laboratory - Cleveland Clinic Laboratories : Send Out

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