Test Code TOBRBP (random), TOBPBP (peak), or TOBTBP (trough) Tobramycin, Plasma or Serum
Additional Codes
LAB37 RANDOM
LAB38 TROUGH
LAB36 PEAK
Methodology
Used to monitor antibiotic therapy.
Performing Laboratory
St. Mary's Regional Medical Center-Chemistry
CPT: random 80200
CPT: trough 80200
CPT: peak 8020091
Specimen Requirements
Submit only 1 of the following specimens:
Plasma
Container/Tube: Light green-top (lithium heparin) tube
Specimen: 1 mL of lithium heparin plasma
Transport Temperature: Ambient
Collection Instructions: Timing of specimen draw and dose administration is critical. Adhere to schedule. Notify laboratory and pharmacy of any changes. Random specimen is acceptable.
Note: 1. Specimens containing kanamycin A, kanamycin B, 3'4' dideoxy kanamycin B, and amikacin will yield falsely elevated results.
2. Indicate plasma.
3. Label specimen appropriately (plasma).
Serum
Container/Tube: Plain, red-top tube or serum gel tube
Specimen: 1 mL of serum
Transport Temperature: Ambient
Collection Instructions: Timing of specimen draw and dose administration is critical. Adhere to schedule. Notify laboratory and pharmacy of any changes. Random specimen is acceptable.
Note: 1. Specimens containing kanamycin A, kanamycin B, 3'4' dideoxy kanamycin B, and amikacin will yield falsely elevated results.
2. Indicate serum.
3. Label specimen appropriately (serum).
Reference Values
Peak: 4-10 mcg/mL
Trough: <2 mcg/mL
Day(s) Test Set Up
Monday through Sunday