Demonstration on hemoglobin test

Demonstration on hemoglobin test

1. Demonstration on Hemoglobin Test Presented by- Harsh Rastogi M.Sc. Nursing 1 st year KING GEORGE’S MEDICAL UNIVERSITY, LUCKNOW

2. Estimation of the level of hemoglobin ( Hb ) is essential for the following: To check for the presence of anemia &, if present, to what degree. Hemoglobin Estimation

3. For the further management, prevention &/or treatment of anemia, in so far as the administration of iron-folic acid (IFA) tablets is considered. If the anemia is severe, the women may need referral for taking injectable iron preparation or undergo a blood transfusion.

4. For the diagnosis of postpartum hemorrhage (PPH) in an anemic women, in whom a smaller amount of blood loss is taken as PPH.

5. Estimate the Hb levels of pregnant women at the initial antenatal visit & again at 28 weeks. The initial Hb level will serve as a baseline to compare with the later results at 28 to 30 weeks. An Hb level below 11g/dl at any time in pregnancy in considered to be anemia; an Hb level of 7 to 11g/dl as moderate anemia & less than 7g/dl as severe anemia.

6. If the woman is found to be anemic, start her on the therapeutic dose. Estimate the Hb level; refer the women after 1 month. If there is no rise in the Hb level, refer the woman to a higher facility with a good laboratory infrastructure & trained personnel to find out the cause of anemia.

7. The level of hemoglobin is estimated by using a World Health Organization (WHO) approved. HOW TO MEASURE HEMOGLOBIN:

8. 1. HEMOGLOBIN COLOUR SCALE- ARTICLES REQUIRED

9. 2. TEST STRIPS-

10. 3. STERILE GLOVES-

11. 4. BLOOD LANCET-

12. 5. ALCHOL SWAB-

13. 6. WASTE DISPOSAL BAGS-

14. The hemoglobin color scale is simple, reliable & inexpensive tool developed by WHO to screen for anemia in the absence of laboratory-based hemoglobinometry . The hemoglobin color scale comprises a small card with six shades of red that represent the Hb levels at 4,6,8,10,12 & 14g/dl. The device is simple to use. HEMOGLOBIN COLOR SCALE:

15. Use only approved test strips. Add a drop of blood to one end of the test strip, just enough to cover an aperture in the color scale. FOLLOW THESE INSTRUCTIONS WHILE USING THE SCALE:

16. Wait for about 30 seconds; then immediately read by comparing the blood stain with the color scale to find the best color match. If the blood stain matches with one of the shades of red exactly, record the lower value.

17. Discard the test strip after use. Wipe the back surface of the scale at the end of each session or if it becomes soiled during use.