Antithrombin III Activity Will reflex to Antithrombin III Antigen when result is below reference range.
Methodology
Spectrophotometric detection of enzymatic lysis of synthetic chromogenic substrate
Rejection Criteria
Hemolysis Refrigerated samples Samples submitted in inappropriate anticoagulant
Reference Range(s)
80-120% Will reflex to Antithrombin III Antigen when result is below reference range.
Specimen Requirements
Preferred Specimen
Sodium citrate (light blue top) tube
Minimum Volume
2 aliquots of 1 mL frozen plasma each
Sample Stability
8 hours room temperature unacceptable refrigerated 1 month frozen at -20 degrees C
Transport Temperature
Critical Frozen
Collection Instructions
1. This test requires 2 frozen plasma aliquots. Fill 2 light blue top tubes as far as vacuum will allow and mix by gentle inversion five to six times. The exact ratio of 1 part sodium citrate to 9 parts blood must be maintained. Inadequate filling of the tubes will alter this ratio and may lead to inaccurate results. 2. Patients WHO have hematocrit values above 55% should have the anticoagulant adjusted to maintain the 1 to 9 ratio. For further instructions on the collection of platelet-poor plasma for patients with hematocrit value of >55%, please contact customer service. 3. To obtain platelet-poor plasma, immediately centrifuge samples at 1500 RCFs for 15 minutes, then pipette the supernatant plasma and transfer to 2 plastic transport tubes. 4. Re-centrifuge plasma in the plastic transport tubes at 1500 RCFs for 15 minutes to ensure that no red cells are present. 5. Pipette the top two-thirds of the supernatant plasma and transfer 2 mL plasma to each of 2 plastic transport tubes. 6. Immediately freeze the plasma at -20 degrees C or lower for transport. 7. When multiple tests are ordered, submit separate tubes for this test. Patient prep: patients should discontinue oral anticoagulant therapy for at least 2 weeks prior to testing, upon the advice of their physician.