Why is there more than one test for red blood cell counts?

Page 2 of Breast Cancer Treatment and Low Red Blood Counts

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There are several ways that doctors commonly measure red blood counts:

  • Red blood cell count. This test counts the number of red blood cells in a single drop (a microliter) of blood. As a general guideline, consider the normal range to be 4.2 to 5.4 million for women, 4.5 to 6.2 million for men.
  • Hemoglobin. This test measures the red-pigmented protein that carries oxygen. Normal range for red blood count is 12 to 16 grams per deciliter in women,14 to 18 grams per deciliter in men. When a patient's hemoglobin drops below 10 grams per deciliter, she's considered anemic.
  • Hematocrit. This test measures the percentage of total blood volume made up of red blood cells. Normal range is 35 to 47 percent for women, 40 to 52 percent for men.

A complete red blood count usually includes additional measures of the size, capacity, and number of red blood cells. The doctor will typically order a battery of tests to get a complete picture of the health of her patient's red blood cells. For example, a low hematocrit in combination with low hemoglobin may indicate iron deficiency, while a high hematocrit can indicate dehydration.

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