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Test Code LIDOC Lidocaine

Additional Codes

Epic: LAB685

Specimen Required

Specimen Type: Serum

Collection Container/Type

Preferred: Serum gold

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 3 mL

Collection Instructions: Centrifuge and separate cells after clot formation and within 4 hours of collection. 

Additional Information:  Collect 12 hours after initiating prophylactic lidocaine therapy after suspected myocardial infarction, and daily thereafter during treatment.

Specimen Stability

Room temperature: Unacceptable

Refrigerated: 7 days

Frozen: Not defined

Clinical Significance

Lidocaine is used in the therapy of cardiac arrhythmias. After suspected myocardial infarction, monitoring lidocaine in serum during infusions helps to establish and maintain adequate prophylactic or therapeutic drug concentration and avoid toxicity.

Lidocaine concentration determinations are most useful when the result is obtained soon after the sample is drawn, due to the drug's half-life (74 to 140 minutes), and the patient's potentially changing condition (can alter the drug's distribution, metabolism, and elimination).

Reference Range

Therapeutic Range: 1.5 - 5 µg/mL

Rejection Due To

Unlabeled, mislabeled, wrong tube type, > 800 mg/dL hemoglobin, QNS, exceeds specimen/stability requirements.

Day(s) and Time(s) Performed

Daily

Report Available

Same day

Method Name

Homogeneous Enzyme Immunoassay

LOINC

3714-3