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Capillary sample

Blood sample - capillary; Fingerstick; Heelstick

 

A capillary sample is a blood sample collected by pricking the skin. Capillaries are tiny blood vessels near the surface of the skin.

How the Test is Performed

 

The test is done in the following way:

  • The area is cleansed with antiseptic.
  • The skin of the finger, heel or another area is pricked with a sharp needle or a lancet.
  • The blood may be collected in a pipette (small glass tube), on a slide, onto a test strip, or into a small container.
  • Cotton or a bandage may be applied to the puncture site if there is any continued bleeding.

 

How the Test will Feel

 

Some people feel moderate pain. Others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

 

Why the Test is Performed

 

Blood transports oxygen, food, waste products, and other materials within the body. It also helps regulate body temperature. Blood is made up of cells and a fluid called plasma. Plasma contains various dissolved substances. The cells are mainly red blood cells, white blood cells and platelets.

Because blood has many functions, tests on the blood or its components provide valuable clues in the diagnosis of medical conditions.

Capillary blood sampling has several advantages over drawing blood from a vein:

  • It is easy to obtain (it can be difficult to obtain blood from the veins, especially in infants).
  • There are several collection sites on the body, and these sites can be rotated.
  • Testing can be done at home and with little training. For example, persons with diabetes must check their blood sugar several times a day using capillary blood sampling.

Disadvantages to capillary blood sampling include:

  • Only a limited amount of blood can be drawn using this method.
  • The procedure has some risks (see below).
  • Capillary blood sampling may result in inaccurate results, such as falsely elevated sugar, electrolyte, and blood count values.

 

What Abnormal Results Mean

 

Results vary depending on the test done. Your health care provider can tell you more.

 

Risks

 

Risks of this test may include any of the following:

  • Excessive bleeding
  • Fainting or feeling light-headed
  • Infection (a slight risk any time the skin is broken)
  • Scarring (occurs when there have been multiple punctures in the same area)
  • Calcified nodules (sometimes occurs in infants, but usually disappear by 30 months of age)
  • Damage to blood cells from this method of collection can sometimes cause inaccurate test results and the need to repeat the test with blood drawn from a vein.

 

 

References

Garza D, Becan-McBride K. Capillary blood specimens. In: Garza D, Becan-McBride K, eds. Phlebotomy Handbook. 9th ed. Upper Saddle River, NJ: Pearson Prentice-Hall; 2015:chap 11.

Vajpayee N, Graham SS, Bem S. Basic examination of blood and bone marrow. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 22nd ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 30.

 
  • Phenylketonuria test

    Phenylketonuria test - illustration

    Blood is routinely drawn from newborn infants for testing. Blood is obtained by a heel stick and collected on a special blotter paper. Routine testing includes phenylketonuria and blood type. Many hospitals include other tests such as thyroid function, hemoglobin S (sickle cell disease), or may test for other blood disorders (hemoglobinopathies). Testing can be tailored to the local population, taking into account race and ethnic background in determining what routine testing should be done.

    Phenylketonuria test

    illustration

  • Phenylketonuria test

    Phenylketonuria test - illustration

    Blood is routinely drawn from newborn infants for testing. Blood is obtained by a heel stick and collected on a special blotter paper. Routine testing usually includes phenylketonuria, thyroid function, hemoglobin S (sickle cell disease), and may test for other disorders. Newborn screening programs vary from state to state. Testing can be tailored to the local population, determining what routine testing should be done.

    Phenylketonuria test

    illustration

  • Capillary sample

    Capillary sample - illustration

    A capillary sample of blood is obtained by pricking the skin's surface to obtain a drop or several drops of blood for laboratory testing. The usual location of capillary blood sampling is the skin of the finger or heel.

    Capillary sample

    illustration

    • Phenylketonuria test

      Phenylketonuria test - illustration

      Blood is routinely drawn from newborn infants for testing. Blood is obtained by a heel stick and collected on a special blotter paper. Routine testing includes phenylketonuria and blood type. Many hospitals include other tests such as thyroid function, hemoglobin S (sickle cell disease), or may test for other blood disorders (hemoglobinopathies). Testing can be tailored to the local population, taking into account race and ethnic background in determining what routine testing should be done.

      Phenylketonuria test

      illustration

    • Phenylketonuria test

      Phenylketonuria test - illustration

      Blood is routinely drawn from newborn infants for testing. Blood is obtained by a heel stick and collected on a special blotter paper. Routine testing usually includes phenylketonuria, thyroid function, hemoglobin S (sickle cell disease), and may test for other disorders. Newborn screening programs vary from state to state. Testing can be tailored to the local population, determining what routine testing should be done.

      Phenylketonuria test

      illustration

    • Capillary sample

      Capillary sample - illustration

      A capillary sample of blood is obtained by pricking the skin's surface to obtain a drop or several drops of blood for laboratory testing. The usual location of capillary blood sampling is the skin of the finger or heel.

      Capillary sample

      illustration

    A Closer Look

     

      Self Care

       

        Tests for Capillary sample

         

         

        Review Date: 4/21/2015

        Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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