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Test Code LMWXA Low Molecular Weight Heparin

Important Note

New test effecitve 12/10/24. 

Useful in the monitoring of low molecular weight heparin such as enoxaparin. 

Additional Codes

Epic EAP
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