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Lab Test Details

Lab Test Details

SIM

LAB176

CPT

80185, 80186 

Synonyms

Dilantin-125®, Dilantin®, Free and Total Phenytoin, Phenytek®

Specimen Type

Serum or plasma 

Container

Red-top tube or green-top (heparin) tube. Do not use a gel-barrier tube. 

Collection Instructions

Transfer separated serum or plasma to a plastic transport tube. Collect specimen just prior to next dose. Serum or plasma must be separated from cells within 45 minutes of collection.

Volume

Volume: 3 mL
Minimum volume: 2.3 mL

Additional Information

Phenytoin is 90% bound, but only free fraction circulates through plasma membranes and is biologically active.

Patient Preparation

 

Specimen Processing Instructions

Once in the lab,separate serum from cells and transfer to aliquot tube.

Transport Requirements

Room Temperature or Refrigerated

Specimen Stability

Room Temperature or Refrigerated :14 days 

Rejection Criteria

Gel-barrier tube; hemolysis; lipemia

Reference Range

Reference range accompanies report

Critical Value

 

Test Includes

Free and total phenytoin level 

Methodology

Total: immunoassay; Free: ultrafiltrate assayed by immunoassay

Testing Frequency

 

LCA

070763 

Reviewed By

Rhonda Crowe

Reviewed Date

2/27/23

Supplemental

* Denotes  Reference Lab Test