Collect

5.0 mL blood in plain red top tube(s). Green (sodium heparin), lavender (EDTA) also acceptable. NO Gel Separator. Separate serum/plasma from cells as soon as possible. Refrigerated as soon as possible after collection and stored frozen (-20°C or colder) if NOT analyzed within 24 hours.

Specimen Required

2.0 mL serum/plasma

Specimen Min Vol

1.0 mL serum/plasma

Specimen Preparation

Spin down and separate serum/plasma as soon as possible.

Storage/Transport Temperature

Refer to Specimen stability criteria as shown below

Stability (from collection to initiation)

After Separation from cells:

Ambient

4 hours

Refrigerated

1 week

Frozen

3 months

Unacceptable Conditions

Specimens that exceed stated stability, unlabeled/mislabeled/mismatched specimens, specimens submitted in leaking containers, tube with gel separator

Special Instructions

Time and date of patient's last dose is on the request form.

CPT Codes

80204

Methodology

Enzyme Immunoassay (EMIT)

Performing Location

Chemistry (Toxicology)

Reported STAT

2 - 4 hours

Reported Routine

1 - 2 days

Additional Information

Test developed and performance characteristics determined by University of California Irvine Medical Center, Department of Pathology and Laboratory Medicine. It has not been cleared or approved by the FDA, however, FDA approval is not required for clinical use.

Test set up frequency

Daily

Reference Interval

<0.1 µmol/L Nontoxic drug concentration after 72 hours

Following 4-6 hours Intravenous Methotrexate High Dose Infusion Therapy with dosages ranging  from 50 mg/m2 to to 15 g/m2, a patient is at increased risk of developing toxicity at the following levels:

Toxic Levels:
>10.0 µmol/L 24 hours after high dose therapy
>1.0 µmol/L 48  hours after high dose therapy
>0.2 µmol/L 72 hours after high dose therapy

Additional Information

Test developed and performance characteristics determined by University of California Irvine Medical Center, Department of Pathology and Laboratory Medicine. It has not been cleared or approved by the FDA, however, FDA approval is not required for clinical use.
Collection

Collect

5.0 mL blood in plain red top tube(s). Green (sodium heparin), lavender (EDTA) also acceptable. NO Gel Separator. Separate serum/plasma from cells as soon as possible. Refrigerated as soon as possible after collection and stored frozen (-20°C or colder) if NOT analyzed within 24 hours.

Specimen Required

2.0 mL serum/plasma

Specimen Min Vol

1.0 mL serum/plasma

Specimen Preparation

Spin down and separate serum/plasma as soon as possible.

Storage/Transport Temperature

Refer to Specimen stability criteria as shown below

Stability (from collection to initiation)

After Separation from cells:

Ambient

4 hours

Refrigerated

1 week

Frozen

3 months

Unacceptable Conditions

Specimens that exceed stated stability, unlabeled/mislabeled/mismatched specimens, specimens submitted in leaking containers, tube with gel separator

Special Instructions

Time and date of patient's last dose is on the request form.
Test Info

CPT Codes

80204

Methodology

Enzyme Immunoassay (EMIT)

Performing Location

Chemistry (Toxicology)

Reported STAT

2 - 4 hours

Reported Routine

1 - 2 days

Additional Information

Test developed and performance characteristics determined by University of California Irvine Medical Center, Department of Pathology and Laboratory Medicine. It has not been cleared or approved by the FDA, however, FDA approval is not required for clinical use.

Test set up frequency

Daily
Result Interpretation

Reference Interval

<0.1 µmol/L Nontoxic drug concentration after 72 hours

Following 4-6 hours Intravenous Methotrexate High Dose Infusion Therapy with dosages ranging  from 50 mg/m2 to to 15 g/m2, a patient is at increased risk of developing toxicity at the following levels:

Toxic Levels:
>10.0 µmol/L 24 hours after high dose therapy
>1.0 µmol/L 48  hours after high dose therapy
>0.2 µmol/L 72 hours after high dose therapy

Additional Information

Test developed and performance characteristics determined by University of California Irvine Medical Center, Department of Pathology and Laboratory Medicine. It has not been cleared or approved by the FDA, however, FDA approval is not required for clinical use.
NICU/Pediatric Info