Theophylline
Performing Lab(s)
Memorial-Belleville only
Specimen Requirement (s)
Specimen Type: Plasma
Container/Tube: mint green LiHep Tube (preffered)
Specimen Volume: 1 mL
Specimen Minimum Volume: 0.5 mL plasma
Collection Instructions:
- Indicate time and route of administration of last dose.
- Draw times:
- Peak Level
- IV bolus - 30 min after end of infusion
- IV infusion - 12 - 24 hours after start of infusion
- Peak level (p.o.) -
- Fast dissolution preparation therapy - 1-3 hours after at least 8 hours of therapy.
- Slow release preparation therapy - 4-6 hours after at least 8 hours of therapy.
- Trough level -
- Just before a dose after at least 8 hours of therapy.
- Peak Level
Lab instructions: NA
Day(s)/Shift(s) Test Set Up and Turnaround Time
Sunday through Saturday
Hours: 24 hours
Turnaround Time:
STAT: 60 minutes
Routine: less than 8 hours from receipt
Transport and Stability
Transport temperature: Ambient to lab
Reference Values
Theophylline
Age |
Reference Values |
Critical High |
0 – 1 month |
10 – 20 mcg/mL |
≥ 11 mcg/mL |
>1 month |
10 – 20 mcg/mL |
≥ 25 mcg/mL |
CPT/LOINC Codes
80198