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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