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ANTICOAGULANTS

MLS 1A
University of San Agustin
LEARNING OUTCOMES
1. Describe the role and applications of anticoagulants in
laboratory testing.

2. Identify particular anticoagulants used for specific laboratory


test procedures.

3. Discuss potential problems that may result from misuse of


anticoagulants during testing.
ANTICOAGULANTS
• Prevents coagulation or clotting of blood

• Correct choice and amount of anticoagulant should be used for


testing
CONSIDERATIONS
• Insufficient amount of
anticoagulant

• Excess amount of
anticoagulant

• Incorrect anticoagulant used


for testing
OXALATES
• Combines with calcium
• Forms insoluble calcium oxalate salt

• Commonly used in hematology


CITRATE
• Binds with non-ionized calcium

• Commonly used in hematology


• ESR, Coagulation tests

• Anticoagulant for blood donation


EDTA
• Removes calcium by chelation

• Inhibits LPS activity

• Commonly used for CBC and


chemistry tests
FLUORIDE
• Combines with calcium

• Prevents glycolysis
HEPARIN
• Natural anticoagulant

• Anti-thrombin and anti-


thromboplastin

• Used for blood gas analysis


HANDLING SERUM
• Separate serum from clot
ASAP
• Glycolysis and lipolysis
• Increase in protein
concentration
• Blood gas exchange
• Shift in electrolytes
• Hemolysis
ORDER OF
DRAW
REFERENCES
1. Hoeltke, L.B. (2018). Cengage Learning.

2. Garza, D., Becan-McBride, K. 8th Ed. (2010). Pearson


Education Inc.

3. Fabian – Cruzada, S. L. (2001). Manila, Philippines.

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