module 1 Flashcards
3 mL of the blood is taken, and 1 mL of the blood is in each test tubes. Start two stopwatches as you see the blood in the syringe. Keep the blood in the water bath and check for clotting by tilting each tube at intervals of 30 to 60 seconds. Tilt the tube to greater than 90 degrees
Lee- White method
NV of Lee- White method
blood clots firmly within 4-8
minutes
This test is used to monitor heparin
therapy which prolongs the clotting
time.
Lee- White method
The procedure is carried out at 37 deg Celsius and the tube is tilted after the first minute and thereafter 5-10 seconds intervals until the clot is formed.
Activated coagulation time
NV - Activated coagulation time
coagulation time is complete in
less than 101 seconds
Reagents used in Prothrombin time
Thromboplastin and ionized calcium
when the reagents are added to citrated plasma, these substitute for tissue factor activates factor X in the presence of factor VII involving platelets or procoagulants in the intrinsic pathway.
Prothrombin time
NV - Prothrombin time
10-12 sec
Prolongation of PT when PTT is
normal, occurs only in
factor VII deficiency
Prolonged PT and and PTT occurs in
oral anticoagulation therapy, liver disease, Vit K deficiency and def of
common pathway
compares the local thromboplastic reagent against
international reagent
International normalized ratio (INR)
A normal INR is
1.0.
A normal INR is 1.0. Each increase
of 0.1 means
the blood is slightly
thinner (it takes longer to clot).
INR is related to the
prothrombin time (PT).
If there is serious liver disease and
cirrhosis, the liver may
the liver may not produce
the proper amount of proteins and
then the blood is not able to clot as it
should.