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Laboratory Medicine

Test catalogue

Low Molecular Weight Heparin (LMWH)

Test Name

Low Molecular Weight Heparin (LMWH, Lovenox, Tinzaparin, Fragmin, Enoxaparin or Dalteparin)

Blue Tube Specimen Type / Requirements

Container Type = Blue

Minimum Testing Volume = 9:1 Ratio – Full Draw

Specimen handling

Collection Instructions: Collect blood into blue top vacutainers which contain 3.2% buffered sodium citrate. NOTE: The ratio of blood to anticoagulant is 9 parts blood to 1 part anticoagulant, therefore the blue top vacutainer (citrate) must be filled AT LEAST ¾ in total volume. Must specify Heparin therapy. Haematology consult not required.

Write your initials, date and time of collection on the collection label.

Stability: Stable frozen at -20C for up to two weeks or -70C for up to six months

Transportation: Send sample to core lab as soon as posible. Specimens that cannot be tested within the suitable timeframe (within 2hrs of Collection_) are to be double-spun and send frozen

Laboratory Staff Instructions: Centrifuge the blood sample at 4000 RPM (1500 G) for 8 minutes at room temperature (18-24˚C). Transfer the plasma fraction into a clean 10.0 mL plastic, conical tube. Re-centrifuge the plasma at 1500g for 5 minutes at room temperature (18 - 24˚C). Seperate and store plasma frozen at -70˚C, if testing cannot be performed within 2 hours

Sample Rejection Criteria: Clotted sample, Grossly hemolyzed samples, Unlabeled or Not Sufficient Quantity Samples will be rejected

Required Documentation

Regular HIS order or Haematology requisition required.

Turnaround Time (TAT)

STAT:45min Routine:4hrs

Test Utilization

Once per week

Reference Value

Low Molecular Weight Heparin: 0.60 - 1.10 U/mL (twice/day injection)

Low Molecular Weight Heparin: 1.00 - 2.00 U/mL (once/day injection)

Test Code

LMWH

Methodology

Chromogenic Assay

Testing Location

SMH-Special Coagulation

Other information