Click here for more information about laboratory operations and procedures
If you have additional questions regarding this test, please call: 415-353-1667
|Additional information||Recommendations regarding anticoagulation and monitoring of anticoagulation can be obtained from the Adult Hematology Consultation service, which can be contacted at pager 443-4276. For Pediatric Hematology Consultation service, contact pager 443-6966.
For reference purposes, this laboratory manual contains information regarding monitoring of anticoagulation as noted below.
Monitoring of Unfractionated Heparin Therapy:
Usual method: Click here for PTT
Special circumstances: Click here for Heparin Level
Click here for Heparin Laboratory/Dosing Algorithm
Monitoring of Low Molecular Weight Heparin:
Click here for Heparin Level (LMWH)
Monitoring of Fondaparinux:
Click here for Fondaparinux
Monitoring of Direct Thrombin Inhibitors (i.e. Argatroban, Bivalirudin):
Click here for PTT
For Argatroban a specific assay is available: Click here for Argatroban
No specific assay is available on site for measurement of Bivalirudin. Recommendations for bivalirudin therapy and monitoring are available through the Hematology Consultation services: for adults pager 443-4276 and for pediatrics pager 443-6966. [Bivalirudin may be monitored by aPTT or by ACT (only available for patients monitored at point of care). For additional information on detection or measurement of bivalirudin, please contact the hematology laboratory at 415-353-1747 and ask for the laboratory medicine resident (regular working hours) or ask to be connected to the laboratory medicine resident on-call.
Monitoring of Warfarin:
Click here for Prothrombin Time/INR
Monitoring of Target Specific Oral Anticoagulants (TSOACs) including dabigatran, apixaban, edoxaban, and rivaroxaban:
These medications are generally used without monitoring.
For Rivaroxaban a specific assay is available:
Click here for Rivarobaxan
See also information available at the UCSF CareLinks Website, which includes guidelines, protocols, and order forms for anticoagulation:
|Last Updated||6/23/2015 12:04:05 PM|