Procainamide & N-Acetylprocainamide (NAPA)
Abbrev Code: | XMISC | ||
Order Code: | LAB4909 | Order Name: | Procainamide and NAPA |
Synonyms: | Pronestyl; N-Acetylprocainamide (NAPA); Proscan-Sr | ||
Methodology: | Immunoassay | ||
CPT Codes: | 80192 x1 | ||
Test Includes: | Procainamide and N-acetyl procainamide (NAPA) | ||
Turnaround Time: | Specimens are sent to reference laboratory Mon-Fri; results are reported within 1-3 days. |
Collection Instructions
Specimen: | Blood |
Optimal Volume: | 2 mL |
Minimum\Peds Volume: | 0.8 mL |
Container: | Red (no gel) Alternate Containers: Green (lithium heparin, no gel), Green (sodium heparin, no gel) |
Collection Instructions: | Trough level is preferred; collect immediately before dose, but no sooner than 2 hours before. Optimal collection time for peak level is 1-2 hours after oral dose. Optimal collection time for I.V. dose: immediately after loading dose and 2 hours, 6-12 hours, and 24 hours after maintenance infusion. Optimal sampling for oral dose: three steady-state samples over one oral dosing interval (i.e., immediately prior to dose and two more samples at equally spaced intervals). |
Causes for Rejection: | Gel-barrier tube; severely hemolyzed, lipemic or icteric specimen. |
Processing and Shipping
Specimen Processing: | Centrifuge and aliquot 1 mL, 0.3 mL minimum. Store in refrigerator. |
Shipping Instructions: | Ship at refrigerated temperature. |
Stability: | 2 days at room temperature; 14 days refrigerated; 6 months frozen. |
Test Performed at or Referral Lab | Lab Sendouts (LabCorp via MedTox) |
Referral Lab number: | 990123 |
Interpretive
Reference Range: |
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Use: | Monitor therapeutic dosing and evaluate toxicity. Half-life is 2-4 h (procainamide); 8 h (NAPA). |
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