Demonstration on hemoglobin test

1. Presented by-
Harsh Rastogi
M.Sc. Nursing 1st 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.

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.

9. 1. HEMOGLOBIN COLOUR SCALE-

10. 2. TEST STRIPS-

11. 3. STERILE GLOVES-

12. 4. BLOOD LANCET-

13. 5. ALCHOL SWAB-

14.  6. WASTE DISPOSAL BAGS-

15.  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.

17.  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.

18.  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.

19.  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.