Protein C Activity
General Information
Lab Name
Protein C Activity
Lab Code
PCCLOT
Epic Name
Protein C Activity
Description
Protein C Activity is a quantitative assay to determine the functional protein C levels in plasma using synthetic chromogenic substrate. Acquired or congenital protein C deficiency is associated with increased risk for venous thrombosis. This assay is not affected by heparin, direct thrombin inhibitors or direct Xa inhibitors. Warfarin or other vitamin K antagonists (VKA) reduce protein C levels and patients should wait at least 2 weeks after the last dose of VKA to measure protein C levels.
This is the preferred initial test to evaluate for congenital protein C deficiency.
**Laboratory Medicine resident approval is required for hospital inpatients and patients in the Emergency Department.**
Synonyms
Protein C Chromogenic, Protein C Functional, Protein C Level
Interpretation
Method
Stago STA Stachrom Protein C
Reference Range
Units: %
Female | Male | ||
---|---|---|---|
Age | Range | Age | Range |
0-29d | 20-150 | 0-29d | 20-150 |
1m-2m | 21-150 | 1m-2m | 21-150 |
3m-5m | 28-150 | 3m-5m | 28-150 |
6m-11m | 37-150 | 6m-11m | 37-150 |
1y-5y | 40-150 | 1y-5y | 40-150 |
6y-9y | 45-150 | 6y-9y | 45-150 |
10y- | 65-150 | 10y- | 65-150 |
Effective date: 07/01/2004
Ref. Range Notes
Elevated Protein C is not associated with thrombosis or bleeding.
Interferences and Limitations
This assay is insensitive to hemoglobin (up to 2 g/l), bilirubin (up to 200 mg/l) and triglycerides (up to 4 g/l). PIVKA protein C (PIVKA: protein induced by vitamin K antagonists) present in the plasma of patients receiving oral anticoagulant therapy may be measured by the colorimetric method.
Patients on warfarin therapy may see decrease in protein C activity because of the vitamin K antagonistic effect of the drug. Protein C is a vitamin K dependent factor.
The presence of aprotinin in the plasma may result in an underestimation of the protein C level.
Ordering & Collection
Specimen Type
Collection
3 or 5 mL BLUE TOP (CITRATE) tube
Forms & Requisitions
Outside clients should fill and submit Coagulation Patient Clinical History Form: Coagulation Patient Clinical History Form
Approval Required
Laboratory Medicine resident's approval is required for hospital inpatients and patients in Emergency Department.
Handling Instructions
The Laboratory MUST process specimen, within 4 hrs of blood collection.
Quantity
requested: entire specimen
Processing
**Laboratory Medicine resident's approval is required for hospital inpatients and patients in Emergency Department.** Approval is NOT required for hospital outpatients, clinic patients or outside clients.
UW-MT Instructions: Take specimen to UW-MT Coag lab for processing. Coag tech will freeze plasma sample for transport to HMC Coag."
HMC Instructions: Take specimen to HMC Coag lab for processing.
Note: Order this test (PCCLOT) if "Protein C" is requested; unless the request specifies "Protein C Antigen", then order "PCAG".
Outside Laboratory: Centrifuge for 10 minutes, remove plasma & re-spin plasma for another 10 minutes. Decant & Freeze plasma (minimum 1.0 mL) @ -20°C to -80°C. Send frozen on dry
Performance
LIS Dept Code
Coagulation (COAG)
Performing Location(s)
HMC |
Coagulation
206-520-4600 325 9th Ave, Rm # GWH-47, Seattle, WA 98104-2420 |
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Frequency
Run Monday and Thursday. Reported by end of day.
Available STAT?
No
Billing & Coding
CPT codes
85303
LOINC
Interfaced Order Code
UOW883
Interfaced Result Code
UOW883