Summary of Initial Elevations in the PT and aPTT

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The page below is a sample from the LabCE course Detecting and Evaluating Coagulation Inhibitors and Factor Deficiencies. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Summary of Initial Elevations in the PT and aPTT

After confirming that pre-examination factors are not responsible for the prolonged coagulation test(s) and that no known medical condition, such as liver disease, vitamin K deficiency, or DIC, is causing the prolongation, a mixing study may be ordered to detect the presence of a possible factor deficiency or coagulation inhibitor.
Knowledge of the coagulation factors monitored by the PT and aPTT tests is necessary to choose the appropriate mixing study that should be performed.