Acetaminophen
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Acetaminophen | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
ACTMM
Test Workstation :
MACH3
Specimen Type:
Blood
Tube Type:
Green top (lithium heparin)tube
Collection Volume:
500 uL microtainer; 1.5 mL macrotainer
Minimum Volume:
500 uL microtainer; 1.5 mL macrotainer
Preferred Volume:
500 uL microtainer; 1.5 mL macrotainer
Storage:
Shipping: Send Refrigerated; Storage: Room Temp: 24 hours; Refrigerated: 7 days; Frozen: 6 months
Availability:
24Hours/day, 7 days/week
Methodology:
Homogeneous Immunoassay
Special Instructions:
To determine toxicity, draw levels 4 hours postingestion and 24 hours later. This halflife indicates a likelihood of liver injury if more than 4 hours. For therapeutic monitoring. draw peak levels 1 hour post oral dose and trough levels immediately prior to next dose. Please indicate whether the specimen is a peak, trough, or random level.
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Therapeutic range: 8-19 ug/mL
CPT Code:
80143
Synonyms:
Tylenol; Paracetamol; Datril
