Prothrombin Time (PT), Index, and INR (International Normalized Ratio)

14 Azn

Prothrombin is a clotting factor secreted by the liver that plays a key role in blood coagulation.

When bleeding occurs, prothrombin is converted into thrombin. Thrombin then converts fibrinogen into fibrin, which forms a clot to stop the bleeding.

The Prothrombin Time (PT) test evaluates fibrinogen, prothrombin, Factor V, Factor VII, and Factor X, which are all essential components of the clotting process.

  • It is recommended to give blood in the morning, 8–14 hours after dinner, on an empty stomach (water is allowed), or 4 hours after a light meal in the afternoon.
  • Avoid increased psycho-emotional and physical stress (e.g., exercise) and alcohol consumption before the test.
  • Screening examination of the blood coagulation system
  • Pathological examination of blood coagulation
  • Screening of blood coagulation factor reactions

Elevated PT (Prothrombin Time):

  • Severe liver diseases
  • Vitamin K deficiency
  • Conditions causing prolonged bile duct obstruction
  • Use of antibiotics
  • Disseminated intravascular coagulation (DIC)
  • In cases of high PT levels, excessive blood transfusion may be required.

Decreased PT (Prothrombin Time):

  • Intake of vitamin K
  • Use of estrogen-containing medications, such as oral contraceptives
  • Transfusion of fresh frozen plasma.