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HelpOrder Code Tobra peak Tobramycin Level Peak
Additional Codes
Epic Order ID LAB2347
Sub activity Type
Chemistry
Collection tube (preferred)
Green Li PST
Specimen Type
Plasma/Serum
Minimum Volume
0.6 ml serum
Stability
72 hours at 2-8°C
8 hours at room temperature (20-22°C)
Transport temperature
Refrigerated
Notes
Collect peak 30 min after end of IV infusion or 60-90 minutes after IM dose
Clinical Significance
Tobramycin is an aminoglycoside antibiotic used in the treatment of gram-negative bacterial infections, especially Pseudomonas, Proteus, Klebsiella and also Staphylococcus. Tobramycin is potentially nephrotoxic and ototoxic and serial monitoring of peak and trough serum levels may provide the clinician with information to maintain safe and therapeutic levels.
Acceptable Collection Tube
SST
Reference Range
Cedar Falls / Oelwein: 4.0 - 10.0 ug/mL
Waterloo: 4.0 - 10.0 ug/mL
Critical Values
Waterloo: ≥ 10.0 ug/mL