Forms

  • Use the full page Analysis Request Form for ordering Toxicology Surveys and Therapeutic Drug Monitoring.
  • Use the half page request form or the chain of custody form for ordering Urine Drugs of Abuse testing.

  • For supplies such as forms, containers, bags, etc., contact the lab.

  • For STAT or routine pick-ups, please call the lab (215) 322-9210. 

 Group Tests

  • Panels- Small groups of drugs pharmacologically  related, reported qualitatively.

  • Surveys- Drug and toxic substances screens.

  • Profiles- Groups covered with quantitative  results.

Concentration units used

Concentration Unit

Abbreviation

Equivalent Units

 

grams/Liter

g/L

mg/mL or parts per thousand

 

milligram/Liter

mg/L

mcg/mL or parts per million

 

microgram/Liter

mcg/L

ng/mL or parts per billion

 

gram/100 mL

g/dL

Percent wt/vol

 

nanogram/mL

ng/mL

Microgram/L

         

Report Terminology

Not Detected- The substance sought quantitatively did not register, being not different statistically than an appropriate blank.

Not determined-  Could not test for due to technical problem.

Usual therapeutic range- Inclusive range for the substance/drug being determined based on two or more references and/or laboratory experience.

Detection Limit- The lowest concentration in a given determination which can be reliably and reproducibly reported. 

Panels-Cover small groups of substances related pharmacologically. For panels, qualitative findings are reported.

Surveys- Qualitative screens which are more extensive than panels. Some surveys contain quantitative information.

Profiles- Cover a group of substances all of which are quantitatively determined.

Comprehensive Toxicologies- Extensive searches for specific substances and drug classes.

Parent drug- The term referring to a substance in its prescribed, unmetabolized form.

Metabolite- A biotransformation product of the parent drug. Thus once a medication is administered, a patient may have both parent and metabolite concentrations of clinical significance.

Peak Concentration- In therapeutic drug monitoring where a steady state serum concentration is not obtained, a "peak" refers to the highest concentration of a substance that occurs following administration of dosage, like the peak of a wave. The time after administration for reaching a peak concentration is different for different medications.

Trough Concentration- Like the trough of a wave, this is the lowest concentration of a therapeutic drug, generally assumed to be such immediately before administration of the next dosage of a non-steady state medication.

Drug Class- Certain drugs that are chemically similar may be grouped together and tested for as a class. For example, benzodiazepines refers to a general class of drugs, which includes Librium (chlordiazepoxide), Valium (diazepam), and others. AB-C can test for either a class or a specific agent within a class.

Toxic Concentration- That concentration, usually 3 to 5 times the highest value of the therapeutic range of a substance, which produces life threatening effects.


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