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
Message*Take to processing ASAP.
Test Code
30292
Alias/See Also
LAB317
CPT Codes
85520
Preferred Specimen
2 mL frozen plasma collected in 3.2% sodium citrate (light blue-top) tube
Minimum Volume
1 mL
Instructions
Platelet-poor plasma: Centrifuge light blue-top tube for 15 minutes at approximately 1500 g within 60 minutes of collection. Using a plastic pipette, remove plasma, taking care to avoid the WBC/platelet buffy layer and place into a plastic vial. Centrifuge a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/uL). Freeze immediately and ship on dry ice.
Transport Container
Transport tube
Transport Temperature
Frozen
Specimen Stability
Room temperature: Unacceptable
Refrigerated: Unacceptable
Frozen: 30 days
Refrigerated: Unacceptable
Frozen: 30 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis
Methodology
Chromogenic Assay
Setup Schedule
Sun-Fri
Report Available
2-3 days
Reference Range
UFH Therapeutic Range | 0.30-0.70 IU/mL |
LMWH Therapeutic Ranges (target anti-Xa levels measured 4 hours after dosing):
Enoxaparin (Lovenox) | |
Therapeutic bid dosing | 0.6-1.0 IU/mL |
Therapeutic qD dosing | >1.0 IU/mL |
Tinzaparin (Innohep) | |
Therapeutic qD | 0.85 IU/mL |
Dalteparin (Fragmin) | |
Therapeutic qD | 1.05 IU/mL |
For more information on this test, go to: http://education.questdiagnostics.com/faq/FAQ53v1 (This link is being provided for informational/ educational purposes only.)
Clinical Significance
This assay is useful in measuring heparin concentration in patients treated with low molecular weight heparins (i.e. Enoxaparin/Lovenox) or unfractionated heparin. It is not intended for measurement of Rivaroxaban (Xarelto) or Fondaparinux (Arixtra).
Refer to test code 90981 for Rivaroxaban measurement and test code 16103 for Fondaparinux measurement.
Refer to test code 90981 for Rivaroxaban measurement and test code 16103 for Fondaparinux measurement.
Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA |
33608 Ortega Highway |
San Juan Capistrano, CA 92675-2042 |