Test Code PBARB Phenobarbital Level
Additional Codes
| EPIC | LAB4160 |
Synonyms
- Barbita
- Luminal
- Solfoton
Clinical Significance
Phenobarbital is one of the most commonly used drugs for the treatment of grand mal, psychomotor epilepsy, and other forms of focal epilepsy. Monitoring of the serum level of the drug is essential in order to achieve maximal seizure control while maintaining minimal blood levels to avoid negative side effects. As with other anti-convulsant drugs, it is imperative that each patient’s dosage be individualized.
Source: Roche Cobas PHNO2 Method Sheet Version 5.0 2024-01
Methodology
Kinetic interaction of microparticles (KIMS) (Roche Cobas c503)
Sample Type
| Preferred Sample Type | |
|---|---|
| Light green top - Plasma | |
| Acceptable Sample Type(s) | |
|---|---|
| Dark green top - Plasma | |
| Yellow top - Serum | |
| Red top - Serum | |
Centrifuge: Yes
Specimen Minimum Volume
55 uL with insert cup
Specimen Stability
| Temperature | Time |
|---|---|
| Ambient (25°C) | 7 days |
| Refrigerated (2-8°C) (store) | 7 days |
| Frozen (-20°C) | 1 year |
Separate plasma or serum from cells within 2 hours.
NOTE: Stability limits only valid for capped specimens.
Reference Ranges
| Therapeutic Range |
|---|
| 10.0 - 30.0 ug/mL |
| Critical Value |
|---|
| >45.0 ug/mL |
| Technical Range |
|---|
| 2.4 - 60.0 ug/mL |
Rejection Criteria
| Hemolysis | Index >1,000 |
|---|---|
| Icterus | Index >60 |
| Lipemia | Index >600, ultracentrifuge* |
*Triglycerides >1,000 mg/dL may cause interference if sample is no ultracentrifuged.
Availability
| Performed | STAT |
|---|---|
| 24/7 | Yes |
Performing Laboratory
MultiCare Yakima Memorial Hospital Laboratory
Lab Department
Chemistry
CPT Code
82205
LOINC
3948-7 PHENobarbital [Mass/Vol]