Geisinger Medical Laboratories/Geisinger Proven Diagnostics Test Catalog

Order Display Name: Geisinger Epic Procedure Code Or ID CPT Code:  

GENTAMICIN TROUGH

ORDERING INFORMATION:
Geisinger Epic Procedure Code: LAB2349         Geisinger Epic ID: 29553

SPECIMEN COLLECTION
Specimen type:
Plasma or serum
Preferred collection container:
Specimen required:
2 mL aliquot serum or plasma; minimum 0.2 mL.
Special notes:
The date and time of the last drug dose should be written on request at the time of order. Typically peak level specimens are collected shortly after the dose is given and trough level specimens are collected shortly before the dose is given. Refer to your prescribing pharmacy for specific information on how drug doses are to be administered along with timing of specimen collection.

SPECIMEN PROCESSING
Specimen processing instructions:
Allow serum to clot. Centrifuge to separate serum or plasma. 
Transport temperature:
Refrigerated (preferred) or frozen.
Specimen stability:
Refrigerated: 1 week. Frozen: 4 weeks.
Rejection criteria:
Stability limits exceeded.

TEST DETAILS
Reference interval:
>=18 yrs: 0.5-1.0 ug/mL
<18 yrs: 0.5-1.5 ug/mL
Critical values/courtesy alerts:
> 4 mcg/mL.
CPT code(s):
80170
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.  The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.
Test includes:
Trough gentamicin, gentamicin last dose time, gentamicin last dose date.
Methodology:
Enzyme Immunoassay (EIA)
Synonyms:
TGENT
Clinical significance:
Gentamicin is an aminoglycoside antibiotic used in the treatment of gram-positive and gram-negative bacterial infections, especially Pseudomonas, Proteus, Klebsiella, and Staphylococcus. Serial monitoring of peak and trough serum levels provides the physician with information to maintain safe and therapeutic levels.
Doctoral Director(s:)
Hoi-Ying Elsie Yu, PhD, DABCC
Sheng-Ying (Margaret) Lo, PhD, DABCC    
Review Date: 12/24/2020

Performing Locations

Geisinger Medical Center

Performing laboratory: Automated Chemistry
Technical Lead: Mariana Moyer, Jared Shepherd
Frequency: Daily, Monday - Sunday
Performed stat? Yes

Geisinger Wyoming Valley Medical Center

Performing laboratory: ATL+
Technical Lead: Sarah McGowan    
Frequency: Daily, all shifts    
Performed stat? Yes
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