1:1 Mix
General Information
- Lab Name
- 1:1 Mix
- Lab Code
- MIX1P
- Epic Name
- 1:1 Mix Coag Panel
- Description
A mixing study is used to evaluate the cause of prolonged Prothrombin Time (PT), PTT and/or Thrombin Time. A 1:1 mix of the patient's plasma and normal pooled plasma is performed and the PT and/or PTT is measured again. If the PT and/or PTT corrects, this suggests a factor deficiency. If the PT and/or PTT does not correct, this suggests presence of an inhibitor. If Thrombin Time is prolonged due to the presence of heparin in the sample, a heparin neutralization step is performed before running the mixing tests. A mixing study interpretation may direct further coagulation testing.
- Synonyms
- MIX 1:1 (PRO & PTT & TT & FIBCL)
- Components
-
Code Name MIX1 1:1 Mix PTTPT PTT Patient PTTNOR PTT Normal Pool PTTMIX PTT 1:1 Mix Immediate INCMIX PTT 1:1 Mix Incubated PROPT PT Patient PRONOR PT Normal Pool PROMIX PT 1:1 Mix MIXCOM 1:1 Mix Comment TTPAT Thrombin Time FIBCL Fibrinogen XMIX 1:1 Mix, 2nd tube
Interpretation
- Method
Clot based
- Reference Range
- See individual components
- Ref. Range Notes
For questions regarding interpretation of 1:1 Mix, contact the Lab Med Resident on-call through the paging operator at 206-598-6190.
Ordering & Collection
- Specimen Type
- Blood
- Collection
-
Two 3 mL plastic BLUE TOP (Citrate) Tubes
- Handling Instructions
The Laboratory MUST process specimen, within 6 hours of blood collection.
- Quantity
- Requested: entire sample
Processing
- Receiving Instructions
Take specimen to the Coag bench for processing.
Outside Laboratory: Centrifuge for 10 minutes, remove plasma & re-spin plasma for another 10 minutes. Decant & Freeze plasma (minimum 2.0 mL) @ -20°C to -80°C. Send Frozen on dry ice.
- Misc Sendout
Performance
- Lab Department
- Frequency
- Daily
- Available STAT?
- Yes, Daily 7 am – 10 pm. For other times, contact the Lab Medicine Resident for approval.
- Performing Location(s)
-
HMC Coagulation
206-520-4600325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420
UW-MT Coagulation
206-520-4600Clinical Lab, Room NW220,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195
Billing & Coding
- CPT Codes
- 85384, 85610, 85611, 85670, 85730, 85732
- LOINC
- 18720-3
- Interfaced Order Code
- UOW5033