รายการตรวจยาและสารพิษ ทางห้องปฏิบัติการพิษวิทยา คณะแพทยศาสตร์ โรงพยาบาลรามาธิบดี

Bulletin (April - June 2000 Vol.8 No.2)

ชื่อการทดสอบ	สิ่งส่งตรวจ	Preservative	ปริมาตร (ml)	ค่าปกติ หรือ therapeutic level	ราคา (ภาครัฐ/เอกชน)
Acetaminophen (Paracetamol)	Clotted blood Gastric lavage	- -	5 10	Toxic >250 mcg/ml Negative	240/250 240/250
ALA (Delta-Aminolevulinic acid) in urine	Urine (fresh)	-	50	0-6 mg/L	150/180
ALA-D (Delta-Aminolevulinic acid dehydratase) in blood	Whole blood (fresh)	EDTA	5	132-374 units/ml RBC	240/250
Amikin	Clotted blood	-	5	10-15 mcg/ml	280/300
Amlodipine (Norvasc)	Clotted blood	-	5	10-15 ng/ml	450/500
Amphetamine	Urine	-	50	negative	200/220
Arsenic	ยาสมุนไพร (screening) ้Hair(Quantitative) Nail (Quatitative)	- - -	0.5 gm 0.5 gm	Negative 0.3 mcg/gm 0.3 mcg/gm	150/180 320/350 320/350
Arsenic (Quantitative)	Urine 24 hr Whole blood	Refrigerated EDTA	50 5	50-70 mcg/L 0-30 mcg/L	320/350 320/350
ASA (Salicylate)	Whole blood	-	5	2-10 mg%	120/140
Ativan (Lorazepam)	Clotted blood	-	3	Toxic >2 mcg/ml	280/300
Barbiturate (Phenobarb)	Clotted blood	-	5	15-40 mcg/ml	320/350
Benzene (PhG)	Urine	Refrigerated	20-50	0-17 mg/g Creatinine	250/250
Benzodiazepine (BDZ)	Urine, Gastric lavage Clotted blood	- -	50 3	its depend on drug	280/300
Bromide	Clotted blood	-	10	0-50 mg%	200/220
Cannabinoids (Marijuana)	Urine	-	50	Negative	280/300
Carbamazepine (Tegretol)	Clotted blood	-	5	8-12 mcg/ml	320/350
Carbon nonoxide (Carboxyhemoglobin)	Whole blood	EDTA	3	Nonsmoker = 0.5-1.5% Smoker = 4-9% Toxic >20% Lethal>50%	150/180
Ceruloplasmin	Clotted blood	-	10	25-43 mg%	150/180
Cholinesterase (Serum)	Clotted blood	-	10	40-120 units/ml	200/220
Cholinesterase (Erythrocyte)	Whole blood	EDTA	3	1.0-1.5 PH	200/220
Clonazepam (Rivotril)	Clotted blood	-	3	0.015-0.60 mcg/ml Toxic >0.08 mcg/ml	280/300
Copper (Cu)	Clotted blood Urine 24 hr	- -	5 50	70-165 mcg% 2-80 mcg/L	280/300
Coproporphyrin (CP₃)	Urine (fresh)	-	50	0-200 mcg/L	150/180
Coumadin (Warfarine, Orfarin)	Clotted blood	-	5	1-10 mcg/ml Toxic >10 mcg/ml	320/350
Cyanide (CN)	Whole blood Urine, Gastric lavage	EDTA -	5 50	Negative Nonsmoker <0.1 mcg/ml Smoker >0.1-0.2mcg/ml Acute toxic 0.5 mcg/ml	200/220
Depakine (Valproic acid)	Clotted blood	-	5	50-100 mcg/ml	280/300
Diazepam (Valium)	Clotted blood Urine, Gastric lavage	- -	5 50	0.5-2.5 mcg/ml Negative	280/300
Digoxin (Digitalis)	Clotted blood	-	5	0.8-2.0 ng/ml	280/300
Dilantin (Phenytoin)	Clotted blood	-	5	10-20 mcg/ml	320/350
Drug and Pesticide Screening	Gastric lavage	-	50	Negative	1000/1000
Ethanol	Whole blood	NaF เก็บเลือดในหลอดที่ปิดจุก และพันด้วย parafilm หรือ marking tape	5	0 mg%	200/220
Fluoride	Urine	0.4 M citrate buffer in formaldehyde	50	0-4 mcg/ml	150/180
Formaldehyde	Urine Whole blood	- NaF	50 5	Negative Negative	200/220
Gentamicin	Clotted blood	-	5	5-10 mcg/ml	280/300
Hippuric acid (Thinner, Toluene)	Urine	Refrigerated	20-50	0-0.85 g/g Creatinine	220/250
Ibuprofen (Brufen)	Clotted blood	-	3	10-50 mcg/ml Toxic 500 mcg/ml	280/300
Indometacin (Indocid)	Clotted blood	-	3	5 mcg/ml Toxic not known	280/300
Isoniazid (INH)	Clotted blood, CSF	- -	5	1-7 mcg/ml Toxic 20-710 mcg/ml	280/300
Lead (Pb)	Whole blood Urine	EDTA -	3 50	ผู้ใหญ่ 0.40 mcg/dl เด็ก 0-10 mcg/dl 0-80 mcg/L	280/300
Levonorgestrel (Postinor, Madona)	Clotted blood	-	5	-	320/350
Losec (omeprazole)	Clotted blood	-	5	Toxic not known	320/350
Mercury	Urine	-	50	0-35 mcg/g Creatinine	320/350
Methanol	Whole blood Urine	NaF เก็บเลือดในหลอดที่ปิดจุก และพันด้วย parafilm หรือ marking tape -	5 30	0 mg% <2.5 mg/g Creatinine หรือ 15 mg/L	200/220 200/220
Methemoglobin (Met-Hb)	Whole blood	EDTA	3	Total 0-1.5%	150/180
Methotrexate (MTX)	Clotted blood	-	5	: 1-2 week after low dose therapy >0.02 mcmole/L : 24 hr after high dose therapy > 10 mcmole/L : 45 hr after high dose therapy > 1 mcmole/L : 72 hr after hgih dose therapy >0.10 mcmole/L	280/300
Methyl hippuric acid (Xylene)	Urine	-	20-50	0-0.15 g/g Creatinine	250/250
Paraquat (Quantitative)	Whole blood	EDTA	5	0 mcg/ml	205/280
Paraquat (Screening)	Urine, Gastric lavage	-	50	Negative	130/150
Piroxicam (Feldene)	Clotted blood	-	10	-	320/350
Porphobilinogen (PBG) - Screening - Quantitative	Urine (fresh) Urine (fresh)		5 50	Negative Negative	130/150 130/150
Prednisolone	Clotted blood Urine	- -	10 20	Negative Negative	1200/1200 1000/1000
Pyrazinamide	Clotted blood, CSF	-	5	< 45 mcg/ml	280/300
Quinidine	Clotted blood	-	5	2-6 mcg/ml	1200/1200
Quinine	Clotted blood	-	5	3-7 mcg/ml	1200/1200
Rifampicin	Clotted blood	-	5	< 10 mcg/ml	320/380
Screening Drug พิเศษ/ยาเสพติด (Remedi)	Clotted blood Gastric lavage Urine	- - -	5 50 20-50	Negative Negative Negative	1200/1200 1000/1000
Styrene (Mandelic acid)	Urine	Refrigerated	20-50	0-10 mg/g Creatinine Toxic > 1000 mg/g Cr	220/250
Sulfhemoglobin (Sulf.Hb)	Whole blood	EDTA	3	0 %	150/180
Thallium	Urine Gastric lavage	- -	20-50 20-50	Negative Negative	200/220
Theophylline (Aminophylline)	Clotted blood	-	5	10-20 mcg/ml	280/300
Thiocyanate	Clotted blood	-	10	0-12 mg%	150/180
Trichloro-compounds (Trichloroacetic acid, Trichloroethlene)	Urine	-	10	< 10 mcg/ml	240/250
Tricyclic drugs (Screening Drug พิเศษ) - Amitriptyline - Nortriptyline	Clotted blood	-	5	0.12-0.25 mcg/ml 0.05-0.15 mcg/ml	1200/1200
Uroporphyrins	Urine 24 hrs	Na₂Co₃	150	0-26 mcg/24 hrs	320/350
Vancomycin	Clotted blood	-	5	Peak 30 to 40 mcg/ml Tough 5 to 10 mcg/ml Toxic > 80-100 mcg/ml	280/3003
Zinc	Clotted blood	-	5	70-150 mcg/ml	280/300
Zinc phosphide	Gastric lavage	-	50	Negative	130/150
Zpp (Zinc protoporphyrin, FEP)	Whole blood	EDTA	3	17-77 mcg/100 ml of RBC	150/180