Procedure
Into each of 10 meticulously cleansed, 13- × 100-mm test tubes pipet 2.5 mL of
Plasma. Place the tubes in a water bath at 37 ± 0.2
, and to each of nine of them add 0.5 mL of
Assay preparation. Into the tenth tube, to provide the control, pipet 2 mL of
saline TS and 0.5 mL of
Calcium-thromboplastin solution, noting the time, to the nearest second, of adding the latter. While mixing with a wire loop, note the time of the first appearance of fibrin fibers, and record it to the nearest second. The elapsed time is the normal clotting time of the plasma. Pipet into the nine remaining tubes the following volumes, in mL, of
Heparin preparation: 0.43, 0.45, 0.47, 0.49, 0.50, 0.51, 0.53, 0.55, and 0.57, respectively. To each tube add saline TS to make 4.5 mL. Taking the tubes in random order, add 0.5 mL of
Calcium-thromboplastin solution, and note the clotting time in each tube in the same manner as for the control tube.
Calculation
Calculate the number of USP Heparin Units neutralized per mg taken by the formula:
NS / WU,
in which
NS is the number of USP Heparin Units, and
WU is the number of mg of Protamine Sulfate in the last tube prior to the first one in which the clotting time is not less than 2 seconds longer than that in the control tube.