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Bromide, Serum or Plasma
2011436
Ordering Recommendation

Monitor drug therapy or use when  bromide toxicity is suspected  (eg, hyperchloremia with negative anion gap and altered mental status).

Mnemonic
BROMIDE
Methodology
Quantitative Spectrophotometry
Performed
Mon, Thu
Reported
1-5 days
New York DOH Approval Status
This test is New York DOH approved.
Submit With Order
ARUP Consult®
Disease Topics
Specimen Required
Patient Preparation
 
Collect
Plain Red, Lavender (K2EDTA), Lavender (K3EDTA), or Pink (K2EDTA). 
Specimen Preparation
Separate from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL) 
Storage/Transport Temperature
Refrigerated. 
Unacceptable Conditions
Whole blood. Gel Separator Tubes, Light Blue (Sodium Citrate), or Yellow (SPS or ACD Solution). 
Remarks
Please indicate in the supplied fields:
1.  Dose - List drug amount and include the units of measure
2.  Route - List the route of administration (IV, oral, etc.)
3.  Dose Frequency - Indicate how often the dose is administered (per day, per week, as needed, etc.)
4.  Type of Draw - Indicate the type of blood draw (Peak, Trough, Random, etc.) 
Stability
Ambient: 1 week; Refrigerated: 1 weeks; Frozen: Indefinitely 
Reference Interval
Therapeutic Range:
Sedation: 10-50 mg/dL (values greater than 50 mg/dL may be associated with mild toxicity)
                            
Epilepsy seizure control:  75-150 mg/dL (many patients will exhibit toxic symptoms within this range)
Greater than 150 mg/dL: May be associated with debilitating toxicity
Greater than 300 mg/dL: May be fatal
Interpretive Data
The therapeutic range is based on serum pre-dose (trough) draw at steady-state concentration.

Note
CPT Code(s)
80299
Components
Component Test Code*Component Chart NameLOINC
2011437Bromide Dose Frequency
2011438Bromide Route
2011439Bromide Type of Draw49049-0
2011440Bromide, Ser/Pla1984-4
2011441Bromide Dose65818-7
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Triple Bromide