Sodium Citrate 1.8 mL Paed (Clear/Pale Blue Inner)
Blood (neonatal)
1.0 mL
Sodium Citrate 1.0 mL Neonate (Pale Blue Top)
COLLECTION NOTES
Accurate filling of specimen tube essential. All collections that include Coagulation testing must be sent to the laboratory in a BLUE specimen bag. If specimen cannot be sent to testing laboratory immediately, maintain specimen at room temperature. Samples must be delivered to laboratory within 4 hrs. Please ask the patient what anticoagulants they are on and the dose, record on request form.
GENERAL NOTES
Because of the D-dimer test's high sensitivity, low specificity and high negative predictive value, the best use of the test is to EXCLUDE VTE and not to CONFIRM it. In a patient with a low clinical probability of having a DVT and a NEGATIVE D-dimer test, the condition can be ruled out with a high degree of certainty. (The same does not necessarily apply for possible pulmonary embolism.) The D-dimer test may remain positive for ~2 weeks after major abdominal surgery; a positive value after 2 weeks may be suggestive of VTE in a patient with symptoms of a DVT or PE