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Serum Hemoglobin - Hemoglobin


Overview & Description

Hemoglobin is a protein in red blood cells. It carries oxygen from the lungs to cells throughout the body, and carries carbon dioxide from the cells to the lungs. A hemoglobin test measures the level of this protein in a sample of blood.

Who is a candidate for the test?

Often, this test is done as part of a complete blood count, or CBC. Or it may be done:

  • during pregnancy
  • during infancy
  • when a person has symptoms of anemia, such as lack of energy, pale skin, and shortness of breath
  • when a person is being treated for anemia
  • when family history or ethnic or racial background puts a person at risk for a blood disorder. Examples include hemoglobin disorders, sickle cell disease, and thalassemia.
  • How is the test performed?

    Blood for the test is usually taken from a person's forearm. First, a tight band is put on the upper arm to make the veins swell below it. An area of skin on the forearm over the vein chosen is cleansed. Then a needle is inserted into the vein and a sample of blood is collected in a tube.

    Occasionally blood is taken from another site, such as a finger or heel. If so, the skin is cleansed and pricked with a sharp tool called a lancet. Drops of blood are collected in a tiny tube. The blood is analyzed at a lab.


    Preparation & Expectations

    What is involved in preparation for the test?

    Generally, no preparation is needed.


    Results and Values

    What do the test results mean?

    Age, sex, and other factors cause normal ranges for hemoglobin to vary. Generally, healthy test ranges are:

  • newborns - 14 to 24 grams of hemoglobin per deciliter of blood (g/dl)
  • children 6 months to 6 years -- 9.5-14 g/dl
  • children 6 to 18 years - 10 to 15.5 g/dl
  • men 18 or older - 14 to 18 g/dl
  • women 18 or older -12 to 16 g/dl
  • pregnant women -- at least 11 g/dl
  • Low values of hemoglobin generally mean that a person has a low red blood cell count, which is also called anemia. Anemia has many possible causes. Common causes include:

  • excessive menstrual bleeding in women
  • gastrointestinal bleeding, such as that from bleeding peptic ulcers and colon cancer
  • malnutrition
  • increased nutritional needs, which occurs during rapid growth periods of childhood and in pregnancy
  • inherited causes, such as sickle cell disease, a condition that causes abnormally shaped red blood cells
  • Increased hemoglobin levels can occur for several reasons. Common causes include:

  • dehydration, which causes a temporary increase in hemoglobin that goes away once someone becomes re-hydrated
  • chronic obstructive pulmonary diseases, such as emphysema, which is usually due to smoking cigarettes
  • blood cancer, such as a cancer called polycythemia vera
  • Depending on the results of this test and the suspected cause of the results, the healthcare provider may suggest a treatment or further tests.


    Attribution

    Author:Francesca Coltrera, BA
    Date Written:
    Editor:Evans, Gwen, BA
    Edit Date:04/23/00
    Reviewer:Adam Brochert, MD
    Date Reviewed:09/24/01

    Sources

    Anderson KN, Anderson LE, Glanze WD. Mosby's medical, nursing, and allied health dictionary, 5th ed. St. Louis, Missouri: Mosby-Year Book, Inc., 1998.

    Miller BF, Keane, CB. Encyclopedia and dictionary of medicine, nursing, and allied health, 4th ed. Philadelphia, Pennsylvania: WB Saunders Company, 1987.

    Mosby's manual of diagnostic and laboratory tests. Kathleen D. Pagana and Timothy J. Pagana. St. Louis: Mosby, 1998. (256)

    Report of the U.S. Preventive Services Task Force. Guide to clinical preventive services, 2nd ed. Alexandria, Virginia: International Medical Publishing, 1996.


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