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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.

 

 

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