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Section T (To)
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POWERCHART NAME
|
TOBRAMYCIN LEVEL
|
|
MERCY TEST NAME
|
TOBRAMYCIN INT
|
MERCY LAB CODE
|
TBI
|
| Comment: |
Consult Pharmacy to establish collection time. Indicate time last dose in comment. |
| Specimen: |
- 0.5 ml lithium heparin plasma from a PST tube.
- Serum, Sodium Heparin and EDTA plasma tubes are also acceptable.
- Specimen should be centrifuged, immediately aliquoted and then frozen
|
| Cause for rejection: |
Specimen must not be hemolyzed, lipemic or icteric. |
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
2-7 mcg/ml |
| Method: |
Emit Enzyme Immunoassay |
| CPT Code: |
80200 |
|
POWERCHART NAME
|
TOBRAMYCIN PEAK LEVEL
|
|
MERCY TEST NAME
|
TOBRAMYCIN PEAK
|
MERCY LAB CODE
|
TBPK
|
| Comment: |
Consult Pharmacy to establish collection time. Indicate time last dose in comment. |
| Specimen: |
- 0.5 ml lithium heparin plasma from a PST tube.
- Serum, Sodium Heparin and EDTA plasma tubes are also acceptable.
- Specimen should be centrifuged, immediately aliquoted and then frozen
|
| Cause for rejection: |
Specimen must not be hemolyzed, lipemic or icteric. |
| Performed: |
Within 8 hours of receipt. |
| Therapeutic range: |
4-8 mcg/ml |
| Method: |
Emit Enzyme Immunoassay |
| CPT Code: |
80200 |
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POWERCHART NAME
|
TOBRAMYCIN TROUGH LEVEL
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|
MERCY TEST NAME
|
TOBRAMYCIN TRGH
|
MERCY LAB CODE
|
TBTR
|
| Comment: |
Consult Pharmacy to establish collection time. Indicate time last dose in comment. |
| Specimen: |
- 0.5 ml lithium heparin plasma from a PST tube.
- Serum, Sodium Heparin and EDTA plasma tubes are also acceptable.
- Specimen should be centrifuged, immediately aliquoted and then frozen
|
| Cause for rejection: |
Specimen must not be hemolyzed, lipemic or icteric. |
| Performed: |
Within 8 hours of receipt. |
| Therapeutic range: |
1-2 mcg/ml |
| Method: |
Emit Enzyme Immunoassay |
| CPT Code: |
80200 |
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POWERCHART NAME
|
TOPIRAMATE (TOPOMAX) LEVEL
|
|
MERCY TEST NAME
|
TOPIRAMATE*
|
MERCY LAB CODE
|
TOPIR
|
| Specimen: |
1.0 ml serum from red top tube. |
| Processing: |
Send frozen to Mayo. Mayo TOPI
|
| Performed: |
Monday through Sunday |
| Reference Value: |
Included in report. |
| Method: |
Enzyme-Multiplied Immunoassay (EMIT) |
| CPT Code: |
80201
|
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POWERCHART NAME
|
TORCH SCREEN
|
|
MERCY TEST NAME
|
TORCH TEST*
|
MERCY LAB CODE
|
MISM
|
| Includes: |
Toxoplasmosis, Rubella, Cytomegalovirus, and Herpes. |
| Comment: |
This test is to be ordered only on neonates, pregnant women or women who have had miscarriages. If the patient does not meet any of these qualifications, then each test must be ordered separately.
Reference Lab Clients - Mark "Other" and specify TORCH.
|
| Specimen: |
2 ml serum from a plain red top tube. Refrigerate. |
| Cause for rejection: |
Hemolyzed specimen not acceptable. |
| Processing: |
Send to University Hygienic Lab, Iowa City. |
| Report: |
1 week |
| Method: |
EIA |
| CPT Code: |
Toxo Ab Total 86777
Toxo Igm Ab Confirmation, if indicated 86778
Rubella Ab Total and Rubella IgM AB, if indicated 86762
Cytomegalovirus IgM Ab 86645
HSV 86694, 86695, 86696
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POWERCHART NAME
|
TOXIC VOLATILE SCREEN
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|
MERCY TEST NAME
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TOXIC VOLATILE SCRN
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MERCY LAB CODE
|
TVS
|
| Includes: |
Beta-hydroxybutyrate (Ketone) Alcohol, Ethyl Calculated Osmolality
Interpretation Metabolic Panel Osmolality
Osmolality Gap pH Venous
|
| Comment: |
Complete and send to Lab a Toxic Volatile Screen Patient Information Sheet. |
| Specimen: |
1 lithium Heparin PST tube, 1 plain red top, 1 gray top, and 1 small green top tube completely filled and on ice. Use aqueous betadyne for cleaning venipuncture site, not alcohol swab.
|
| Processing: |
1.0 ml heparin plasma from a PST tube for metabolic panel and osmolality. Perform alcohol testing upon first opening. Keep small green top tube closed and on ice for venous pH. Plain red top tube and gray top tube are used only if confirmatory tests are indicated.
|
| Reference value: |
Refer to individual test entry and Toxic Volatile Screen Laboratory Results for Frequent Situations table which follows on next page. Mercy technical staff, refer to Osmolality procedure for analysis, calculations,& interpretation.
|
| Performed: |
On receipt. Available stat. |
| Method: |
Refer to individual test entry. |
| CPT code: |
None |
TOXIC VOLATILE SCREEN
LABORATORY RESULTS FOR FREQUENT SITUATIONS (a)
| |
| Clinical Situation |
pH |
Anion gap |
Ketones |
Osmol gap |
Ethanol ingestion
Methanol ingestion
Early
Late
Methanol and ethanol ingestion
Isopropanol ingestion
Ethylene Glycol ingestion, late (d)
Diabetic ketoacidosis (e)
Alcoholic ketoacidosis (f)
|
NL*
NL
Lo
NL
NL
Lo
Lo
Lo |
NL
NL
Hi
NL
NL
Hi
Hi
Hi |
Neg (b)
Neg
Neg
Neg
Pos (c)
Neg
Very Hi Hi
|
Hi
Hi
NL
Hi
NL
Hi
NL
NL |
Formaldehyde ingestion
Ethyl ether ingestion |
Local irritant, history most useful
Rare intoxicant, history most useful
|
|
* NL = normal
- Only one point of time in the normal disposition of each of these ingredients is represented by these results.
- A trace of ketones may be observed in individuals who have not eaten for many hours.
- Acetest is specific for the detection of acetoacetic acid and acetone. It is about 10 times more sensitive to acetoacetic acid than acetone and will not react with betahydroxybutyric acid. Acetest is NOT available at MMC-NI. The only Ketone test available at MMC-NI is Beta-hydroxybutyrate which will not pick up acetone or acetoacetic acid.
- Ethylene glycol is metabolized to oxalate; oxalate crystals may be found in the urine.
- Clinical history, ketones positive, and elevated glucose will identify this group.
- Alcoholic ketoacidosis usually occurs 1-2 days after binge drinking. Ethanol has disappeared from the blood. The ketone test is elevated because B-hydroxybutyrate is the most abundant ketone in this setting.
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POWERCHART NAME
|
TOXOPLASMOSIS ANTIBODY IgG IgM
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MERCY TEST NAME
|
TOXOPLASMA IGG, IGM*
|
MERCY LAB CODE
|
TOXOGM
|
| Includes: |
Toxoplasma, IgG and Toxoplasma IgM |
| Specimen: |
0.5 ml serum from plain red top tube. Gel separator tubes also acceptable. (0.25 Minumum) Refrigerate. |
| Cause for rejection: |
Hemolyzed specimen not acceptable. |
| Processing: |
Send refrigerated to Mayo. Mayo # 81647 |
| Performed: |
1 day. Test set up Monday through Saturday |
| Reference Value: |
Reference ranges included with results. |
| Method: |
Enzyme-Linked Fluorescence Assay (ELFA) |
| CPT Code: |
86777/IgG
86778/IgM
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