LAB TESTS Flashcards
normal is 150,000 – 400,000 /mm3
Platelet Count
normal is >100,000/mm3
Bleeding Time
tests ability of platelet rich plasma to aggregate in presence of ADP, collagen, epinephrine, thrombin, and ristocetin (which is associated w/ vWD)
Platelet Aggregation Studies
(PT) time it takes for plasma to form a fibrin clot following the addition of complete tissue thromboplastin and Ca2+
Prothrombin Time
(aPTT/PTT) time it takes for plasma to form a fibrin clot
following the addition of Ca2+
,phospholipid reagent, and contact activators (ground glass)
Activated Partial Thromboplastin Time
(TT) times it takes for plasma to form a fibrin clot following the addition ofthrombin
Thrombin Time
A point-of-care coagulation test (bedside, intraoperative)
Activated Clotting Time (ACT)
Designed to measure plasma heparin (unfractionated heparin (UH) and low molecular weight
heparin (LMWH))
Anti-Xa Assay (Heparin Assay)
can be assayed both functionally and immunologically
Reduced in both:
▪ Acquired coagulopathies – DIC, liver dysfunction, fibrinolytic states
▪ Hereditary coagulopathies – afibrinogenemia, dysfibrinogenemia, hypofibrinogenemia
Fibrinogen Levels
fibrinogen levels reduced in both?
acquired coagulopathies
-DIC, liver dysfunction, fibrinolytic states
hereditary coagulopathies
-afibrinogenemia, dysfibrinogenemia, hypofibrinogenemia
If inhibition of Factor X
aPTT & PT are prolonged, normal TT time
If inhibition of Factor IX
aPTT prolonged, and PT is normal
Decreased fibrinogen
all tests prolonged