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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Ristocetin Platelet Aggregation

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. Ristocetin Platelet Aggregation  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
RISTO
Test Workstation :
SPCOG
Specimen Type:
Blood
Tube Type:
Blue top (sodium citrate) tube
Collection Volume:
10.0 mL (minimum 5.0 mL)
Cause for Rejection:
Specimen hemolyzed, clotted, or grossly lipemic; platelet count <50,000; specimen from patients who have taken drugs that inhibit platelet function.
Storage:
Ambient
Availability:
Must be scheduled in advance
Methodology:
Biodata Platelet Aggregation Profiler Model PAP-4/Platelet Rich Plasma.
Special Instructions:
Call Centralized Core Lab (3305438416) in advance to schedule test. Testing drawn at Akron Campus only. Special handling is required.
Lab/Phone:
330-543-8416
TAT:
72 hours
Additional Info:
Reference range: Normal Study
CPT Code:
85576
Synonyms:
Aggregometer Test; Platelet Function Studies

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