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Phlebotomy test tube
| Tube Color | Additive | Mode of action | Uses |
|---|---|---|---|
| Gold Top | None | Serum seprator tube (SST) contains a gel at the bottom to separate blood from serum on centrifuge | Chemists, Immunology and serology |
| Light Gray Top | Sodium flouoride and potassiun oxalate | Antiglycolytic agent preserves glucose up to 5 days | Glucoses, requires FULL DRAW (May cause hemolysis if short draw) |
| Yellow Top | ACD (Acid-citrate-dextrose) | Complement inactivation | HLA tissue typing, paternity testing, DNA studies |
| Yellow-Black Top | Broth mixture | Preserves viability of microorganisms | Microbiology - aerobes, anaerobes, fungi |
| Black Top | Sodium citrate (buffered) | Forms calcium salts to remove calcium | Westergen Sedimentation Rate; requires FULL DRAW |
| Orange Top | Thrombin | Quickly clots blood | STAT serum chemistires |
| Light Green Top | Plasma Separating Tube (PST) with lithium heparin | Anticoagulates with lithium heparin; Plasma is separated with PST gel at the bottom of the tube | Chemistries |
| Purple Top | EDTA | Forms calciun salts to remove calcium | Hematology (CBC) and blood bank (Crossmatch); requires FULL DRAW- inver 8 times to prevent clotting and platelet clumping |
| Light Blue Top | Sodium citrate | Forms calcium salts to remove calcium | Coagulation tests (protime and prothrombin time), FULL DRAW required |
| Light Brown Top | Sodium heparin | Inactivates thrombin and thromboplastin; Contains virtually no lead | Serum lead determination |
| Pink Top | Potassium EDTA | Forms calcium salts | Molecular/viral load testing |
| Green Top | Sodium heparin or lithium heparin | Inactivates thrombin and thromboplastin | For lithium level, use sodium heparin For ammonia level, use sodium or lithium heparin |
| Red Top | None | Blood clots, and the serum is separated by centrifugation | Chemists, Immunology, and Serology, Blood Bank |
| Dark Blue Top | EDTA | Tube is designed to comtain no contaminating metals | Trace element testing (Zinc, lead,copper, mercury)and toxicology |