Vancomycin


Sunquest Code:VANC  
Epic Code:LAB3870Epic Name:Vancomycin
Methodology:Turbidimetric rate
CPT Code:80202
Turnaround Time:Performed and reported 24 hours/day.


Collection Instructions

Specimen:Blood
Optimal Volume:2.5 mL
Minimum\Peds Volume:0.6 mL; pediatric patients only: 0.4 mL in green (lithium heparin, no gel)
Container:Red (no gel) (Green (lithium heparin, no gel))
Collection Instructions:Trough levels: Collect immediately prior to next dose. Peak levels: collect 2 hours after the end of IV infusion; 3-4 hours if decreased renal function.
Causes for Rejection:Collection in a gel tube.


Processing and Shipping

Specimen Processing:Centrifuge and aliquot within 2 hours of collection 1.25 mL, 0.2 mL minimum (adult) 0.1 mL minimum (peds). Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature to arrive within 24 hours. Alternatively, ship on dry ice.
Test Performed at or Referral Lab Chemistry  (Fairview Range - FRMC, UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, UMMC/UMMCH-West Bank)


Interpretive

Critical Range:Greater than 25.0 mg/L
Therapeutic Range:Peak: 20-50 mg/L; trough: 8-20 mg/L
Use:Monitor therapeutic drug level. Half-life is 4-10 h (adult); 2-3 h (child); 6-10 h (neonate).


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