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Thrombin Time Test Nursing Management

The plasma thrombin date experience measures how instantly a clot forms when a type totality of bovine thrombin is assumed to a platelet insufficient plasma scantling from the resigned and to a typical plasma curb scantling. After thrombin is assumed, the clotting date for each scantling is compared delay the other and narrative. Because thrombin speedily converts fibrinogen to a fibrin clot, the experience (so notorious as the thrombin clotting date experience) allows a lively but imprecise letter of plasma fibrinogen levels, which are a duty of clotting date.
  • To unmask a fibrinogen shortcoming or omission.
  • To aid diagnose DIC and hepatic malady.
  • To mentor the usefulness of heparin or thrombolytic agents.
Patient Preparation
  1. Explain to the resigned that the plasma thrombin date experience determines whether rank clots typically.
  2. Notify the laboratory and physician of drugs the resigned is preface that may assume experience results; it may be wantful to bind them.
  3. Tell the resigned that the experience requires a rank scantling.
  4. Explain who allure transact the venipierce and when.
  5. Explain to the resigned that he may handle scorn disagreeableness from the tourniquet and the wantle pierce.
  6. Inform the resigned that he want not to bind buttress and fluids.
  1. Perform a venipierce and gather the scantling in a 3 to 4.5 ml siliconized tube.
  2. Completely satisfy the gatherion tube and overturn it gently diverse dates to mix the scantling and the anticoagulant in-one. If the tube isn’t satisfyed to the reform dimensions, an debauchery of citrate appears in the scantling.
  3. To checkmate hemolysis, quit debaucheryive severe during venipierce and gruff handling of the scantling.
  4. Immediately put the scantling on ice and despatch it to the laboratory.
Nursing Interventions
  1. Apply influence to the venipierce birth until bleeding has stopped.
  2. If a hematoma develops at the venipierce birth, use frequented influence. If the hematoma is capacious, mentor pulses distal to the phlebotomy birth.
  3. Tell the resigned that he may recommence any medication that was discontinued precedently the experience is ordered.
Normal Results
  • Adults, 140,000 to 400,000/?l (SI, 140 to 400 x 10°/L).
  • Children, 150,000 to 450,000//?l (SI, 150 to 450 x 10°/L).
Abtypical Results
Prolonged Plasma Thrombin Time
  • Heparin therapy
  • Hepatic malady
  • Disseminated intravascular coagulation (DIC)
  • Hypofibrinogenemia
  • Dysfibrinogenemia
  • Acute leukemia
  • Lymphoma
  • Factor shortcoming
  • Shock
Interfering Factors
  • Fibrin deprivation products, fibrinogen, streptokinase, urokinase, web plasminogen activator (TPA), or heparin (practicable extension).
  • To checkmate hemolysis, quit debaucheryive severe during venipierce and gruff handling of the scantling.


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