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Test Code BILID Bilirubin, Direct, Plasma or Serum

Important Note

Eltrombopag may be used in the treament of thrombocytopenia and/or aplastic anemia. Studies have shown a positive bias in total bilirubin and direct bilirubin results at a therapeutic concentration, 25ug/mL of eltrombopag. Potential clinical impact would be mitigated by correlation to clinical symptomology and additional laboratory testing.

Performing Laboratory

MaineGeneral Medical Center

Specimen Requirements

Submit only 1 of the following specimens:

Preferred:

Plasma

Draw blood in a green-top (lithium heparin) tube(s). For pediatric specimens, draw blood in s green-top (lithium heparin) MICROTAINER(S)®. Label specimen with patient’s name (first and last), date of birth, date and time of draw and the phlebotomist’s initials. Spin down and send 1 mL of lithium heparin plasma refrigerated. Protect specimen from light.

 

Alternate:

Serum

Draw blood in a gold top (serum separater) gel tube. Label specimen with patient’s name (first and last), date of birth, date and time of draw and the phlebotomist’s initials. Spin down and send 1 mL of serum refrigerated. Protect specimen from light.

 

Specimen stability:

8 hours at room temperature when spun

5 days refrigerated at 2-8°C

3 months when frozen at ≤-20°C 

 

Minimum volume:

1 mL

 

Specimen rejection criteria:

Hemolyzed samples are not acceptable.

Day(s) Test Performed

Monday - Sunday

Test Classification and CPT Coding

82248

Reference Values

Newborns:  varies with age in days, prematurity vs. maturity

Adults:  0.00-0.20 mg/dL

Methodology

Photometric, Oxidation