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Test Code DIC or LAB2159 DIC Screen (APTT, Protime, Fibrinogen, D-Dimer, Schistocyte, Platelet)

Profile Information

 

Test ID/Report Name

Available Separately?

Always Performed?

APTT

Y

Y

PTINR Y

Y

FIBR Y

Y

DDMR Y

Y

SCHT

Y

Y

PLTCT

Y

Y

Specimen Requirements

Container Types:

Sodium Citrate (blue top) and EDTA (lavender top)

Optimal Collection Volume:

Blue Top

  • 2.7 mL in solid blue top tube or 1.8 mL in clear blue top tube.  The correct fill volume is indicated by the etched line on the tube.
  • Click here to view the specimen collection guide for blue top (citrate) tubes.

Lavender Top

  • Full tube

Minimum Volume:

  • Blue Top - Full tube
  • Lavender Top - 1 mL whole blood

Collection Instructions:

Blue Top

  1. Mix by gently inverting the sample 5-10 times.
  2. If collected through a blood collection set (butterfly), a discard tube must first be drawn to eliminate dead space from tubing.

Lavender Top

  1. Mix by gently inverting the sample 5-10 times.

Specimen Transport Temperature:

Blue top - Room temperature; frozen if platelet-poor plasma

Lavender top - Refrigerated

Processing Instructions:

Blue Top

  1. Centrifuge sample within 4 hours of collection. Platelet-poor plasma must be obtained per laboratory procedure.
  2. If testing will be delayed >4 hours from collection, aliquot plasma into a separate vial and freeze immediately.

Outpatient collections

  1. Spin down the sample, remove plasma, and spin plasma again to obtain platelet-poor plasma.
  2. Separate the platelet-poor plasma into a screw-top vial.
  3. Freeze plasma immediately.

Lavender Top

  1. Keep the specimen as whole blood for testing.
  2. Store refrigerated before testing.
  3. Allow refrigerated specimens to come to room temperature and mix before analysis.

Specimen Stability

Blue Top

Specimen Type

Temperature

Time

Whole blood

Room Temperature

4 hours

Platelet Poor Plasma

Room Temperature

4 hours

Platelet Poor Plasma

Frozen at -20 C

2 weeks

 

Lavender Top

Specimen Type

Temperature

Time

Whole blood

Refrigerated

48 hours

Room Temperature

24 hours

Specimen Rejection Criteria

Blue top

  • Tube underfilled
  • Refrigerated specimen
  • Clotted specimen
  • Specimen not performed within four hours of collection

 

Lavender top

  • Hemolyzed
  • Clotted specimen

Useful For

Establishing evidence for a diagnosis of Disseminated Intravascular Coagulation.

Methodology

Test ID/Report Name

Methodology

APTT

ACL Top - Coagulometric (Turbidimetric)

PTIN

ACL Top - Coagulometric (Turbidimetric)

FIBR

ACL Top - Clot detection

DDMR

ACL Top - Latex immunoassay

PLTCT

Sysmex XN - Electronic resistance detection

Reference Ranges

Test ID

Reference Range and Reporting Units

APTT*

  • Non Therapeutic: 25-39 seconds
  • Heparin Therapeutic, Cardiac/Neuro: 50-65 seconds
  • Heparin Therapeutic, DVT/PE: 55-85

PT

  • Varies in seconds depending on the lot number of reagent.

INR*

  • 2.0-3.0: Anticoagulation for prophylaxis and treatment of venous thrombosis, pulmonary and systemic embolism, and bioprosthetic heart valve.
  • 2.5-3.5: Anticoagulation for mechanical heart valve or postmyocardial infarction.

FIBR*

  • 200-450 mg/dL

DDMR

  • < 0.50 mcg/mL

SCHT

  • None seen

PLTCT*

  • 140-440 × 109/L

* Please click here to view critical values

Day(s) Performed

24/7

Expected TAT

Same day

Performing Laboratory

Bronson Laboratory, Hematology - Kalamazoo, Battle Creek, Paw Paw, South Haven

Sample Retention Time

7 days

CPT Code

  • APTT - 85730
  • PTINR - 85610
  • FIBR - 85384
  • DDMR - 85380
  • SCHT - 85008
  • PLTCT - 85049

LOINC Code

  • APTT: 14979-9
  • PTINR: 5964-2
  • FIBR: 3255-7
  • DDMR: 48065-7
  • SCHT: 800-3
  • PLTCT: 777-3