
Overview of Warfarin Therapy and the CoaguChek XS System
1
OVERVIEW
3
The CoaguChek XS System from Roche Diagnostics measures blood-clotting time
for people who are taking anticoagulation medications such as warfarin (for
example Coumadin
®
). Warfarin is an oral anticoagulant that changes the
formation of certain blood factors produced in the liver in such a way that the
clotting time is slowed. (Refer to the latest warfarin package insert for
contraindications.) The goal is to prevent clots from forming or moving. At the
same time, however, it is important to avoid excessive anticoagulation, or blood
thinning, which carries a risk of hemorrhage.
People on warfarin therapy must be monitored closely for two reasons. First, as
indicated above, it is very important to keep blood coagulation time within an
optimal therapeutic, or target range. Second, each individual reacts differently to
warfarin, and the medication’s ability to prevent a clot is affected by a person’s
metabolism, diet, and other medications.
The variability of laboratory results due to reagent differences is a common
problem. The CoaguChek XS System minimizes the variability that is seen with
traditional PT/INR assay reagents. Each lot of test strips is compared to a
reference material by Roche Diagnostics. The strips are then assigned a “code,”
which standardizes the reported result via a mathematical algorithm, thus
minimizing lot-to-lot variability. No manual calibration of the system is required;
each lot of strips comes with a code chip that stores the information needed for
automatic calibration.
The CoaguChek XS System offers significant advantages in both convenience
and reliability. It is a hand-held, battery-operated system that can perform a
PT/INR blood test on a fresh whole blood sample from a fingerstick. A test strip
is inserted into the meter and a blood sample applied to the strip. The test result
is displayed in about one minute. The need for trips to the laboratory or for
venipuncture is virtually eliminated.
The CoaguChek System by Roche Diagnostics has been used successfully since
1994 by healthcare professionals in anticoagulation clinics, physicians’ offices,
and home health agencies and since 1997 for self-testing. Now, there is the
CoaguChek XS System available for self-testing. The materials that follow are
designed to help you select appropriate users and train them to use the
CoaguChek XS System properly.
2
ROC270037 34690 CoagXS PT Mn 1F 4/18/07 8:05 AM Page 2
Kommentare zu diesen Handbüchern