Test Code LMWXA Low Molecular Weight Heparin
Additional Codes
Epic EAP |
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LAB316 Low Molecular Weight Heparin |
Specimen Requirements
Container/Tube Type:
Light Blue (Citrate)
Collection Information:
Tube must be filled to a 1:9 ratio- see tube label for proper amount of blood
Transport Information:
2.7 mL blood in a 3.0 mL tube (min: 1.8 mL blood in a 2.0 mL tube) OR Promptly after collection, the specimen is centrifuged to obtain platelet-poor plasma. The plasma is removed from the cells, placed in an aliquot tube and frozen.
Unacceptable Conditions:
Clotted, Hemolyzed, improperly filled tubes resulting in other than a 1:9 ratio of blood to anticoagulant
Stability Comments:
Platelet Poor Plasma
Centrifuge Specimen
Recommended centrifuge speed is 1500 x G for at least 15 minutes. Be careful that the tubes are evenly balanced when placing them into the centrifuge. When the centrifuge stops, carefully remove and rack tubes. Be aware that an unbalanced centrifugation, speed too slow, or centrifugation for too short of a spin time may all lead to an increase number of cells in the plasma which could contribute to a clotted specimen or erroneous results.
Remove Plasma
To remove plasma, start from the top, gently draw specimen into pipette as you go further down tube. Leaving approximately 0.5mL of plasma will insure that you do not disturb the buffy coat and cell layer.
Second Spin
Plasma separated from cells goes back into the centrifuge for a second spin. Balance and centrifuge the tubes. Failure to perform a second spin will result in plasma containing too many platelets which interfere with some coagulation testing and is a contributing factor for a clotted specimen.
Transfer Plasma to Aliquot Tubes
Pipette plasma from second spin tube into labeled aliquot tubes without disturbing the bottom 0.5mL.
Specimen Storage
Promptly freeze specimens after processing.
Performing Laboratory
Unity Point-Sioux City-Hematology
CPT
85520
Stability
Frozen Stability:
14 days
Ambient Stability:
2 hours
Performance
Daily
Methodology
Chromogenic
Alias
Anti Xa, Anti-10a, Anti-Xa, Low Molecular Weight Heparin