With over a million tests performed, this would be a
difficuult inclusive answer. In general, there are numerous tubes (approxiamtely 20);
however, the most common tubes are lavender, green, gray, "tiger", yellow, red, pink,
navy, lt blue, and lt green.
The lavender is generally used
for hematology tests such as a CBC and contains EDTA. This is an anticoagulant that
chelates calcium. It can be used for come chemistry tests such as glycohemoglobin and
ammonia tests.
The green tube contains either sodium or
lithium heparin (more commonly lithium heparin) and are used for stat chemistry tests.
The additive is an anticoagulant that yields plasma, a perfect choice for stat chemistry
tests. The lt green is similar; however, it contains a gel barrier that separates the
plasma from the cells.
The gray tube is generally used for
chemistry tests such as blood alcohol or glucose tolerance tests. The additive, either
potassium oxalate or sodium flouride, is a preservative that is to preserve the function
of the analyte. In glucose testing, it serves as a glycolytic, in alcohol testing, it
preserves the "content of alcohol" as it was at the time it was
drawn.
The "tiger top" or yellow tube contains a clot
activator and gel barrier known as thixotropic gel. This prevents cellular contamination
when centrifuged and keeps the serum from combining with cells. This is used for all
general chemistry tests such as cardiac panels, BMP, CMP, Thyroid, Iron studies,
etc...
The pink top is generally a blood bank tube and
contains the same as the lavender, EDTA. The main difference is that one is a 4.5 ml
draw and the other an 8-10 ml draw tube.
The lt blue tube
is used to perform coagulation studies. This is generally a PT, PTT, fibrinogen and
maybe a D-dimer. It contains sodium citrate.
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