Speckled Top (No Anticoagulant w/Clot Activator & Gel)Red Top (Plain w/ no anticoagulant or Purple Top)
Blue Top (3.8% Sodium Citrate)
Gray Top (K Oxalate/Na Fluoride)
Maximum Blood Volume that can be drawn on patients under 14 years of age
Contamination:
Non-additive tubes are drawn before additive tubes to avoid contamination with the
additive. Cross-contamination between different additive tubes can also occur,
resulting in erroneous test values.
Additive-Containing Tubes: Even for tubes with additives, there is a recommended "order of draw" to avoid cross-contamination. This is as follows:
Coagulation:
If a blue-top (3.8% sodium citrate) tube for coagulation testing is the first tube
to be drawn, a 5-ml (2 to 5 ml for pediatric patients) discard tube should be filled
prior in order to eliminate possible thromboplastin contamination from the site
of the venipuncture.