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RBC count

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Contents of this page:

Illustrations

Blood test
Blood test
Formed elements of blood
Formed elements of blood
High blood pressure tests
High blood pressure tests

Alternative Names    Return to top

Erythrocyte count; Red blood cell count

Definition    Return to top

An RBC count is a blood test that tells how many red blood cells (RBCs) you have.

RBCs contain hemoglobin, which carries oxygen. How much oxygen your body tissues get depends on how many RBCs you have and how well they work.

How the Test is Performed    Return to top

Blood is drawn from a vein, usually on the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and an elastic band is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins below the band to fill with blood.

A needle is inserted into the vein, and the blood is collected in an air-tight vial or a syringe. During the procedure, the band is removed to restore blood flow. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.

For an infant or young child:

The area is cleansed with antiseptic and punctured 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 to Prepare for the Test    Return to top

No special preparation is necessary for adults.

How the Test Will Feel    Return to top

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.

Why the Test is Performed    Return to top

This test can help diagnose anemia and other conditions affecting red blood cells.

The RBC count is almost always part of the CBC (complete blood count) test.

Normal Results    Return to top

Normal results vary, but in general the range is as follows:

What Abnormal Results Mean    Return to top

Damaged RBCs do not live as long as normal. Injury inside the blood vessels, such as that caused by artificial heart valves or peripheral blood vessel disease, can damage RBCs.

Higher-than-normal numbers of RBCs may be due to:

Lower-than-normal numbers of RBCs may be due to:

Additional conditions under which the test may be performed:

Risks    Return to top

Considerations    Return to top

Pregnancy can cause a decrease in RBCs.

Your RBC count will increase for several weeks when you move to a higher altitude. Dehydration also increases the RBC count.

Drugs can increase the RBC count include:

Drugs that can decrease the RBC count include:

References    Return to top

McPherson RA and Pincus MR. Henry's Clinical Diagnosis and Management by Laboratory Methods. 21st ed. Philadelphia, Pa: WB Saunders; 2007:461-2.

Hoffman R, Benz Jr. EJ, Shattil SJ, et al., eds. Hematology: Basic Principles and Practice. 4th ed. Philadelphia, Pa: Churchill Livingston; 2005:2733.

Update Date: 3/8/2007

Updated by: Mark Levin, MD, Hematologist and Oncologist, Newark, NJ. Review provided by VeriMed Healthcare Network.

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