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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
HEPARIN Anti-XA
Test CodeLAB6201
CPT Codes
85520
Preferred Specimen
3.2% Sodium Citrate light blue tube
Minimum Volume
2.7 mL
Instructions
1.(1) FULL, light blue-top (3.2 citrate) tube. 2. Draw and discard a tube prior to light-blue (citrate) tube.
Transport Container
3.2% Sodium Citrate light blue tube
Transport Temperature
Refrigerate specimen
Methodology
Mechanical Clot Detection
Setup Schedule
Set up daily; available 1 day
Reference Range
Low Molecular Weight Heparin (LMWH): Enoxaparin (Lovenox) |
(Target Anti-Xa levels measured 4 hours after dosing after 3rd or 4th dose) |
Low Molecular Weight Heparin Therapeutic Ranges (Full anticoagulation): |
Therapeutic twice a day dosing or renally adjusted once a day dosing: 0.6-1.0 IU/mL |
Therapeutic once a day dosing: 1.0-2.0 IU/mL |
Low Molecular Weight Heparin Thrombosis Prophylaxis (Thromboprophylaxis) Range: |
0.2-0.5 IU/mL (Note: Range is for both once a day and twice a day dosing) |
Unfractionated Heparin (UFH) |
(Target anti-Xa levels measured 6 hours after initiation or dose adjustment) |
Unfractionated Heparin Therapeutic Ranges: |
Venous Thrombosis or Pulmonary Embolism: 0.30-0.70 IU/mL |
(For patients with venous thrombosis or pulmonary embolism requiring full intensity heparin anticoagulation. Therapeutic range correlates to GBMC heparin protocols: Acute Thrombosis Treatment and Atrial Fibrillation/Peri-operative Bridging.) |
Moderate Intensity Heparin Anticoagulation: 0.14-0.34 IU/mL |
(For patients requiring moderate intensity heparin anticoagulation. The GBMC Pharmacy and Therapeutics Committee recommends a lower therapeutic range for cardiac patients with acute coronary syndrome, vascular surgery patients and patients requiring heparin for continuous renal replacement therapy. Therapeutic range correlates to GBMC heparin protocols: Acute Coronary Syndrome, Vascular Post-Operative and Continuous Renal Replacement Therapy.) |
Performing Laboratory
GBMC Hematology