Test Details
Methodology
See individual tests.
Result Turnaround Time
2 - 3 days
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Test Includes
D-dimer; fibrinogen; fibrinogen degradation products (FDP), plasma; platelet count; partial thromboplastin time (PTT); prothrombin time (PT)
Use
Identify the presence and follow the course of disseminated intravascular coagulation (DIC)
Special Instructions
If the patient's hematocrit exceeds 55%, the volume of citrate in the collection tube must be adjusted. Refer to Coagulation Collection Procedures for directions.
Footnotes
References
Specimen Requirements
Specimen
Whole blood and plasma, frozen
Volume
5 mL EDTA whole blood, one citrated whole blood tube, and two transfer tubes with 1 mL frozen sodium citrate plasma in each tube
Container
Lavender-top (EDTA) tube and blue-top (sodium citrate) tubes
Collection Instructions
Blood should be collected in a blue-top tube containing 3.2% buffered sodium citrate.1 Evacuated collection tubes must be filled to completion to ensure a proper blood to anticoagulant ratio.2,3 The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood. A discard tube is not required prior to collection of coagulation samples.4,5 When noncitrate tubes are collected for other tests, collect sterile and nonadditive (red-top) tubes prior to citrate (blue-top) tubes. Any tube containing an alternate anticoagulant should be collected after the blue-top tube. Gel-barrier tubes and serum tubes with clot initiators should also be collected after the citrate tubes. Centrifuge and carefully remove the plasma using a plastic transfer pipette, being careful not to disturb the cells. Transfer the plasma into a Labcorp PP transpak frozen purple tube with screw cap (Labcorp No. 49482). Freeze immediately and maintain frozen until tested.
Please print and use the Volume Guide for Coagulation Testing to ensure proper draw volume.
Storage Instructions
Maintain whole blood at room temperature. Freeze plasma.
Patient Preparation
None
Causes for Rejection
Severe hemolysis; improper labeling; clotted specimen; specimen diluted with IV fluids; samples thawed in transit; improper sample type; sample out of stability
LOINC® Map
Order Code | Order Code Name | Order Loinc | Result Code | Result Code Name | UofM | Result LOINC |
---|---|---|---|---|---|---|
116012 | DIC Profile | 001610 | Fibrinogen Activity | mg/dL | 3255-7 | |
116012 | DIC Profile | 115402 | FDP, Plasma | ug/mL | 30226-5 | |
116012 | DIC Profile | 115107 | INR | 6301-6 | ||
116012 | DIC Profile | 015289 | Prothrombin Time | sec | 5902-2 | |
116012 | DIC Profile | 015116 | aPTT | sec | 14979-9 | |
116012 | DIC Profile | 015172 | Platelets | x10E3/uL | 777-3 | |
116012 | DIC Profile | 115206 | D-Dimer | mg/L FEU | 48065-7 | |
Order Code | 116012 | |||||
Order Code Name | DIC Profile | |||||
Order Loinc | ||||||
Result Code | 001610 | |||||
Result Code Name | Fibrinogen Activity | |||||
UofM | mg/dL | |||||
Result LOINC | 3255-7 | |||||
Order Code | 116012 | |||||
Order Code Name | DIC Profile | |||||
Order Loinc | ||||||
Result Code | 115402 | |||||
Result Code Name | FDP, Plasma | |||||
UofM | ug/mL | |||||
Result LOINC | 30226-5 | |||||
Order Code | 116012 | |||||
Order Code Name | DIC Profile | |||||
Order Loinc | ||||||
Result Code | 115107 | |||||
Result Code Name | INR | |||||
UofM | ||||||
Result LOINC | 6301-6 | |||||
Order Code | 116012 | |||||
Order Code Name | DIC Profile | |||||
Order Loinc | ||||||
Result Code | 015289 | |||||
Result Code Name | Prothrombin Time | |||||
UofM | sec | |||||
Result LOINC | 5902-2 | |||||
Order Code | 116012 | |||||
Order Code Name | DIC Profile | |||||
Order Loinc | ||||||
Result Code | 015116 | |||||
Result Code Name | aPTT | |||||
UofM | sec | |||||
Result LOINC | 14979-9 | |||||
Order Code | 116012 | |||||
Order Code Name | DIC Profile | |||||
Order Loinc | ||||||
Result Code | 015172 | |||||
Result Code Name | Platelets | |||||
UofM | x10E3/uL | |||||
Result LOINC | 777-3 | |||||
Order Code | 116012 | |||||
Order Code Name | DIC Profile | |||||
Order Loinc | ||||||
Result Code | 115206 | |||||
Result Code Name | D-Dimer | |||||
UofM | mg/L FEU | |||||
Result LOINC | 48065-7 |
Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
---|---|---|---|---|---|---|
Reflex 1 | 115109 | INR (Thromborel-S) | 115109 | INR (Thromborel-S) | 6301-6 | |
Reflex 1 | ||||||
Order Code | 115109 | |||||
Order Name | INR (Thromborel-S) | |||||
Result Code | 115109 | |||||
Result Name | INR (Thromborel-S) | |||||
UofM | ||||||
Result LOINC | 6301-6 |
Order Code | Order Name | Result Code | Result Name | UofM | Result LOINC | |
---|---|---|---|---|---|---|
Reflex 1 | 015290 | PT (Thromborel-S) | 015290 | PT (Thromborel-S) | sec | 5902-2 |
Reflex 1 | ||||||
Order Code | 015290 | |||||
Order Name | PT (Thromborel-S) | |||||
Result Code | 015290 | |||||
Result Name | PT (Thromborel-S) | |||||
UofM | sec | |||||
Result LOINC | 5902-2 |