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Folic acid - test
Alternative namesA test that measures the amount of folate in the blood.
How the test is performed
Blood is drawn from a vein, usually from the inside of the elbow or the back of the hand. The puncture site is cleaned with antiseptic, and an elastic band or blood pressure cuff is placed around the upper arm to apply pressure and restrict blood flow through the vein. This causes veins 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 circulation. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
How to prepare for the testFast for 6 hours before the test. The health care provider should be notified if you are using any drugs that can affect test results, including folic acid supplements (see "Special considerations").
Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experiences, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:
How the test will feelWhen 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.
Why the test is performedThis test is used to evaluate for folic acid deficiency . It can be performed on either whole blood or red blood cells, but measuring folate in red blood cells is more accurate.
Folic acid, one of the B vitamins, is necessary for synthesis of nucleotides (which are the building blocks of DNA). A deficiency of DNA synthesis can most easily be seen in rapidly-dividing cells, such as immature red blood cells. Red blood cells that are formed in the presence of insufficient folic acid have shortened life spans, are larger than normal, and have reduced ability to carry oxygen.
Normal ValuesThe normal range is 2.7 - 17.0 ng/ml (nanograms per milliliter)
What abnormal results meanLower-than-normal levels may indicate:
What the risks are
Pregnancy increases the need for folic acid.
Drugs that can decrease folate measurements include alcohol, aminosalicylic acid, birth control pills, estrogens, tetracyclines, ampicillin, chloramphenicol, erythromycin, methotrexate, penicillin, aminopterin, phenobarbital, phenytoin, and antimalarials.
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.
Update Date: 6/1/2003Marcia S. Brose, M.D., Ph.D., Division of Hematology/Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT