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Lead

(continued)

How It Feels

Blood sample from a heel stick

A brief pain, like a sting or a pinch, is usually felt when the lancet punctures the skin. Your baby may feel a little discomfort with the skin puncture.

Blood sample from a vein

The blood sample is taken from a vein in your arm. An elastic band is wrapped around your upper arm. It may feel tight. You may feel nothing at all from the needle, or you may feel a quick sting or pinch.

Risks

Heel stick

There is very little chance of a problem from a heel stick. A small bruise may develop at the site.

Blood test

There is very little chance of a problem from having a blood sample taken from a vein.

  • You may get a small bruise at the site. You can lower the chance of bruising by keeping pressure on the site for several minutes.
  • In rare cases, the vein may become swollen after the blood sample is taken. This problem is called phlebitis. A warm compress can be used several times a day to treat this.
  • Ongoing bleeding can be a problem for people with bleeding disorders. Aspirin, warfarin (Coumadin), and other blood-thinning medicines can make bleeding more likely. If you have bleeding or clotting problems, or if you take blood-thinning medicine, tell your doctor before your blood sample is taken.

Results

This test measures the amount of lead in the blood. Lead is a poisonous (toxic) metal that can damage the brain and other parts of the body. A small amount is present in most people.

The normal values listed here-called a reference range-are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what’s normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab.

Results are usually available within 1 week.

Lead
Normal:

0-10 micrograms per deciliter (mcg/dL) or less than 0.48 micromoles per liter (mcmol/L)

If your blood test result is 10 mcg/dL or higher, your doctor will want you to have another blood test. How soon you will be retested is based on the results of your first test. If the result is only slightly high, you may be retested in a month. If it is very high, your doctor may want to repeat the test within a few days.

Levels of poisoning

There are five classes of lead levels, according to the United States Centers for Disease Control and Prevention. These levels range from class 1 (no lead poisoning, or less than 10 mcg/dL) to class 5 (a medical emergency of at least 70 mcg/dL).

Lead blood level classification
ClassBlood lead levelPossible effects in children

1

1-9 mcg/dL or less than 0.48 mcmol/L

Learning problems

2A

10-14 mcg/dL or 0.48-0.68 mcmol/L

Hearing problems, slowed growth, learning problems

2B

15-19 mcg/dL or 0.70-0.96 mcmol/L

3

20-44 mcg/dL or 0.97-2.1 mcmol/L

Headache, weight loss, nervous system problems

4

45-69 mcg/dL or 2.17-3.33 mcmol/L

Severe stomach cramps, poor production of red blood cells (anemia), seizures

5

More than 69 mcg/dL or more than 3.33 mcmol/L

Severe brain damage leading to death

WebMD Medical Reference from Healthwise

Last Updated: June 21, 2010
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

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