Anticoagulants
Sr. no 
 | 
  
Name 
 | 
  
MOA 
 | 
  
The amount required for 10ml blood 
 | 
  
Advantages 
 | 
  
Disadvantages 
 | 
 
1 
 | 
  
EDTA (K or Na salts of ethylenediaminetetraacetic acid) 
 | 
  
Chelates free Ca++ in
  plasma 
 | 
  
10-20  
  mg 
 | 
  
1.Excellent preserving power for six hours 
2.Rec. for routine hematology 
 | 
  
2 mg/ml shrink cells 
 | 
 
2 
 | 
  
Heparin 
 | 
  
Antithrombin and antithromboplastin 
 | 
  
1-2 mg 
 | 
  
1.Used for blood gas analysis 
2.Least effect on size and hemolysis of RBC 
 | 
  
1.Cause clumping of WBCs. 
2.Interfere with stainability of WBCs 
3.Expensive 
4. Will not prevent clotting longer than 8 hrs 
5.Not suitable for prothrombin time test 
 | 
 
3 
 | 
  
Sodium citrate 
 | 
  
Makes insoluble salts of calcium
  citrate 
 | 
  
10-20 mg 
 | 
  
1.Used for blood transfusion 
 | 
  
1. Interferes with many chemical tests. 
2. Prevents clotting for only a few hours. 
3.Shrink cells. 
 | 
 
4 
 | 
  
Potassium oxalate 
 | 
  
Makes insoluble salts of calcium
  oxalate 
 | 
  
20 mg 
 | 
  
Very soluble 
 | 
  
1.Cause 6-8 % shrinkage in cell volume 
2.Poor for PCV and DLC 
3.Interfare with ppt of protein when excess 
 | 
 
5 
 | 
  
Sodium oxalate 
 | 
  
Same as above 
 | 
  
20 mg 
 | 
  
Used mainly for prothrombin time 
 | 
  
Same as above 
 | 
 
6 
 | 
  
Ammonium and potassium oxalate 
 | 
  
Same as above 
 | 
  
1 ml 
 | 
  
1.Used for most hematological procedures. 
2.Produce less distortion and hemolysis of RBC than other
  oxalates 
 | 
  
Potassium oxalate alone shrinks RBC while ammonium oxalate alone
  causes it to swell. 
 | 
 
7 
 | 
  
ACD solution (acid citrate
  dextrose) 
 | 
  
25 ml for 100 ml of blood 
 | 
  
Rec for blood transfusion 
 | 
  

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