Heparin Lab Values. Guidelines were developed using data from the mcmaster group studies showing a heparin level of 0 2 to 0 4 iu ml by protamine assay was equivalent to a level of 0 35 to 0 70 iu ml using a factor xa heparin assay. The correct assay must be requested for the type of heparin the patient is receiving or the results will be off by a factor of 2 to 3. The aptt range that corresponds to the heparin therapeutic range 0 2 0 4 u ml by protamine titration is the established heparin therapeutic range 56 84 seconds in this example. 9 this relationship formed the basis for recommendation of a 0 3 to 0 7 iu ml therapeutic range for uh using an anti xa assay.
11 however anti xa heparin assays are not harmonized. The therapeutic range for anticoagulation with lmw heparin has been reported to be 0 5 1 0 u ml and the prophylactic range as 0 2 0 4 u ml when measured by the anti xa method with samples drawn 3 4 hours after sq administration of either dalteparin or enoxaparin. The plasma cannot be treated for heparin removal. Individual heparinized patient plasma has aptt measurement y axis as well as heparin concentration x axis determined. The test cannot distinguish between unfractionated and low molecular weight heparin. The aptt range that corresponds to the heparin therapeutic range 0 2 0 4 u ml by protamine titration is the established heparin therapeutic range 56 84 seconds in this example.
The test cannot distinguish between unfractionated and low molecular weight heparin.
Guidelines were developed using data from the mcmaster group studies showing a heparin level of 0 2 to 0 4 iu ml by protamine assay was equivalent to a level of 0 35 to 0 70 iu ml using a factor xa heparin assay. The therapeutic range for anticoagulation with lmw heparin has been reported to be 0 5 1 0 u ml and the prophylactic range as 0 2 0 4 u ml when measured by the anti xa method with samples drawn 3 4 hours after sq administration of either dalteparin or enoxaparin. The plasma cannot be treated for heparin removal. 9 this relationship formed the basis for recommendation of a 0 3 to 0 7 iu ml therapeutic range for uh using an anti xa assay. The correct assay must be requested for the type of heparin the patient is receiving or the results will be off by a factor of 2 to 3. Heparin is a drug that inhibits blood clotting anticoagulant and is used to treat people who have developed dangerous blood clots thrombi or have a high risk of developing them this test indirectly measures the amount of heparin in a person s blood by measuring its inhibition of factor xa activity one of the proteins involved in blood clot formation known as heparin anti xa activity.