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  Code Test Description
* Indicates send out test
  T735 Digoxin
  Specimen 1 ml serum (No SST)
  Method RIA/TDX (flourescent)
  Schedule 1–2 days
  Indication To monitor Digoxin therapy.
  Interpretive
  Guidelines
Therapeutic serum Digoxin concentrations should be measured once steady state is achieved (at least 6 days after commencing treatment). The optimal therapeutic range for Digoxin levels is 0.8 to 2.0 ng/ml six to eight hours post-administration. Digoxin levels >2.5 ng/ml are commonly associated with toxic signs.
  Comments
  1. The administration of diuretic or angiotensin converting enzyme (ACE) inhibitors, hypokalemia or azotemia will increase the frequency of Digoxin toxicity, therefore, careful monitoring is necessary.
  2. Minimal cross reactivity for oleander toxicity.
  3. Do not use SST.
  S16245 Dilantin
  Specimen 1 ml serum
  Method RIA/TDX (flourescent)
  Schedule 1–4 working days
  Indication To monitor anticonvulsant therapy.
  Interpretive
  Guidelines
Low levels indicate inadequate dosage.
  Comments For best results measure Dilantin and Phenobarbital lavels.
  T555 Distemper Antibody IgG and IgM (Canine)
  Specimen 1 ml serum
  Method IFA
  Schedule 1–2 working days
  Indication A positive result indicates vaccination or infection with canine distemper virus.
  Interpretive
  Guidelines
A serum IgG titer of 1:10 or greater is consistent with a positive immunologic response to vaccination. A four-fold rise in titer over 2–3 weeks is consistent with recent exposure.

An IgM titer of 1:10 or greater is consistent with recent exposure or recent vaccination.
  S16250 Distemper Antigen IFA (Canine)
  Specimen 1 LT
Air-dried, unstained slides from conjunctival scrapings, CSF, respiratory tract secretions (including TTW or BAL fluid) or urine sediment.
  Method IFA
  Schedule 2–4 working days
  Indication For detection of viral inclusions in support of the diagnosis of canine distemper.
  Interpretive
  Guidelines
A negative result does not rule out infection.

Vaccination within 2–4 weeks of draw may cause a false positive.
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