PHLEB: Categories of additives Flashcards
Categories of additives used in blood collection
- Antiglycolytic agent
- Anticoagulant agent
- Clot activator
- Thixotropic Gel Separator
- Trace Element-Free Tubes
Inhibits the use of glucose by blood cells
Antiglycolytic Agent
Source of energy for RBC
Glucose
Example of Antiglycolytic agent
Sodium Fluoride (Grey Top Tube)
Prevents blood form clotting
Anticoagulant agent
Example of Anticoagulant Agents
- EDTA
- Sodium Citrate
- Potassium Oxalate Monohydrate
- Heparin
prevents clotting through chelation
Potassium Oxalate Monohydrate (Grey Top Tube)
Prevents clotting by forming insoluble salts
EDTA (Lavender Top Tube)
Sodium Citrate (Light Blue & Black Top Tube)
Prevents clotting by preventing the conversion of prothrombin to thrombin
Heparin (Green/Light Green Top Tube)
Helps initiate or enhance the clotting mechanism.
Clot Activator
Examples of Clot Activators
- glass (silica)
- inert clays (celite)
Where is clot activator found?
Red Top Tube
Yellow Top Tube
Inert material that undergoes a temporary change in viscosity during the centrifugation process which enables it to serve as a separation barrier between the liquid (serum and plasma) and cells.
Thixotropic Gel Separator
Purpose for gel separators
Some tests require that the serum is free from even minute amounts RBCs
The barrier in thixotropic gel separators
Gel Matrix
2 types of gel separators
- Serum Separator Tube (SST)
- Plasma Separator Tube (PST)
Where can gel separators be found
Yellow Top Tube
Made of materials that are free of trace element contamination
Trace-Element Free Tubes
Purpose of Trace Element-Free Tubes
- Trace element tests
- Toxicology Studies
- Nutrient Determination
Examples of Trace Element-Free Tubes
Royal-Blue Stoppers
Special-Use Anticoagulants
- Acid Citrate Dextrose (ACD)
- Citrate Phosphate Dextrose (CPD)
- Sodium Polyanethol Sulfonate (SPS)
Components of ACD that:
a) prevents coagulation binding calcium
b) preserves the viability of RBCs
a) aid citrate
b) dextrose
Uses for ACD
- DNA testing
- human leukocyte antigen (HLA) phenotyping
Lab sections that use ACD
- blood banking
- immunohematology
Where is ACD found
Yellow Top Tubes
Components of CPD that:
a) prevents clotting by chelating calcium
b) stabilizes blood pH level
c) provides cells with energy
a) citrate
b) phosphate
c) dextrose
Lab Sections that use CPD
- blood banking
- immnuohematology
special-use anticoagulant that prevents coagulation by binding calcium
\used for blood culture collection
Sodium Polyanethol Sulfonate
Functions of SPS
- Prevents coagulation by binding Calcium
- Reduces bactericidal activity
- It prevents phagocytosis
- Inactivates activity of certain antibiotics
Content of blood culture bottle
- broth (source of food for bacteria)
- SPS (anticoagulant)