Anti-Thrombin III Activity
| PATIENT INFO |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Anti-Thrombin III Activity | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
AT3A3
Test Workstation :
ACOAG
Specimen Type:
Blood
Tube Type:
Blue top (sodium citrate) tube
Collection Volume:
2.7 mL (minimum 1.8 mL)
Must use appropriate sodium citrate tube based on volume of blood drawn (1.8 mL or 2.7 mL tube)
Cause for Rejection:
Specimens which have visible hemolysis, are clotted, collected in the wrong tube, diluted with IV fluids, contamination with heparin, tubes that are over or under filled, or specimens received more than 4 hours post collection.
Storage:
Ambient-Whole Blood
Availability:
Daily, 0700-1500
Methodology:
Chromogenic Assay, BCSXP
Special Instructions:
Indicate clearly if a specimen has been drawn from an arterial line or from a line that has been rinsed with hep0arin. If collected at an offsite location, send Whole Blood by STAT courier to Akron Childrens Lab. Must be received within 4 hours
Lab/Phone:
330-543-8416
TAT:
4 hours
Additional Info:
CPT Code:
85300
