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Basic Coagulation Testing
test 3
40
Health Care
Undergraduate 4
03/28/2009

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Cards

Term
Two basic tests of platelet function
Definition
platelet count, bleeding time
Term
what is the capillary fragility test a measure of?
Definition
endothelial maintenance
Term
a large number of petechiae when doing a capillary fragility test is considered...
Definition
abnormal
Term
what would be some causes for an abnormal capillary fragility result?
Definition
thrombocytopenia, von Willebrands disease, vascular defects
Term
what is the anticoagulant used for coagulation tests?
Definition
3.2% sodium citrate
Term
which tube draws 9 parts of blood to 1 part anticoagulant?
Definition
blue top tube
Term
how should a blue top tube full of blood be stored for preservation?
Definition
refrigerated and capped
Term
how does sodium citrate work as an anticoagulant?
Definition
it halts clotting by removing calcium.
Term
how much blood is drawn into a blue top tube containing 0.3 ml of anticoagulant?
Definition
2.7 ml of blood
Term
what method is used to avoid contact activation?
Definition
collect and store blood in plastic or siliconized glass tubes, to avoid contact with negatively charged surface
Term
for how long is the coagulation sample stable if kept cool and capped?
Definition
8 hours
Term
when centrifuging blood for coagulation studies, what settings should be used and why?
Definition
1500 rpm's, 15 min. to remove platelets
Term
what tests are used to test for platelet function?
Definition
platelet count, bleeding time, platelet adhesion test, platelet aggregation tests, clot retraction
Term
normal range for platelet count
Definition
150,000 to 400,000 /mm3
Term
what is the normal range for a bleeding time?
Definition
2 to 9 min.
Term
what kind of test is the aspirin tolerance test?
Definition
bleeding time
Term
3 methods of testing for plasma clotting proteins
Definition
clot endpoint, chromogenic assay, immunologic assay
Term
how are the results of a clot endpoint test read?
Definition
visually by tilting the tube
Term
What method of coagulation testing uses electromagnetic field to detect movement of a metal ball?
Definition
KC1
Term
what method of coagulation testing measures the change in optical density when fibrin is formed?
Definition
photo-optical
Term
a quantitative and functional test of plasma clotting proteins
Definition
chromogenics
Term
which coagulation test uses fluorescent dye?
Definition
chromogenics
Term
which method of coagulation testing uses antibodies to measure the quantity of factor present?
Definition
immunologic
Term
does immunologic testing measure the functional or qualitative activity of the factor?
Definition
No, only the quantity
Term
What factors does the prothrombin time test for?
Definition
Factors II, V, VII, X, and fibrinogen
Term
which pathways are measured by the prothrobin time test (PT)?
Definition
extrinsic and common
Term
What is a normal result for Prothrombin Time (PT) test?
Definition
9-13 seconds
Term
What is in RecombiPlasTin Reagent?
Definition
recombinant human tissue factor, phospholipids, calcium chloride, buffer, preservative
Term
what does INR stand for?
Definition
international normalized ratio
Term
how is INR calculated?
Definition
patient's pt in seconds/mean normal pt in seconds, raised to ISI power
Term
where does the ISI, or international sensitivity index number come from?
Definition
supplied by manufacturer of thromboplastin reagents
Term
what does APTT stand for?
Definition
activated partial thromboplastin time
Term
normal range for APTT
Definition
20-40 seconds
Term
what test is a measure of fibrinogen concentration or anything that blocks thrombin?
Definition
Thrombin Time
Term
what is the normal range for Thrombin Time?
Definition
10-15 seconds
Term
what is a modified thrombin time test that uses commercial reference plasma?
Definition
Fibrinogen assay
Term
what is a quantitative and qualitative test used to determine fibrinogen concentration in mg/dl?
Definition
fibrinogen assay
Term
what is the normal range for fibrinogen assay results, in mg/dl?
Definition
175-350 mg/dl
Term
two tests of the fibrinolytic system?
Definition
FDP, D-dimer
Term
In a D-dimer test or FDP assay, what would indicate a positive result? a negative result?
Definition
positive- rough edge. negative- smooth edge
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