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St. John Health System
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Index:

Procainamide

Order Name PROCAINAMI
Test Number: 3621850
Revision Date 12/12/2022
Test Name Methodology LOINC Code
Procainamide
Immunoassay (IA)  
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 1mL (0.3 mL) Serum Clot Activator (Red Top, No-Gel) Refrigerated
Alternate 1 1mL (0.3 mL) Plasma Sodium Heparin (Green Top / No-Gel) Refrigerated
Instructions Collect as a trough just prior to next dose
Notes: 0.3 mL (Note: This volume Does NOT allow for repeat testing.)
Specimen Type: Red-top tube OR green-top (heparin) tube. DO NO USE A GEL-BARRIER TUBE. The use of gel-barrier tubes is not recommended due to slow absorption of the drug by the gel. Depending on the specimen volume and storage time, the decrease in drug level due to absorption may be clinically significant.
Container Detail: No Gel
Specimen Storage: Refrigerated
Specimen Collection: Transfer separated serum or plasma to a plastic transport tube. Oral treatment: peak: 75 minutes after dose; trough: immediately before next dose. I.V. treatment: immediately after loading dose; 2, 6, 12, and 24 hours after starting I.V. maintenance.
Specimen Stability: Ambient: 2 days, Refrigerated : 14 days, Frozen: 14 days
GENERAL INFORMATION
Expected TAT 2-3 Days 
Clinical Use Procainamide is used to treat a variety of atrial and ventricular arrhythmias. Metabolism of procainamide produces an active metabolite N-Acetylprocainamide (NAPA). The concentration of both procainamide and NAPA levels are monitored to assure adequate therapeutic levels of procainamide are achieved and to avoid toxicity. 
Notes Labcorp Test Code: 007252
CPT Code(s) 80192
Internal Comments 2/5/18 added as trough collection - JK
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Reference Lab