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Capillary nail refill test

Nail blanch test
Nail blanch test

Definition

  

The capillary nail refill test is a quick test performed on the nail beds to monitor dehydration and the amount of blood flow to tissue.


Alternative Names

  
Nail blanch test; Capillary refill time

How the test is performed

  

Pressure is applied to the nail bed until it turns white, indicating that the blood has been forced from the tissue. This is called blanching. Once the tissue has blanched, pressure is removed.

The health care provider will measure the time it takes for blood to return to the tissue, indicated by a pink color returning to the nail.


How to prepare for the test

  

Colored nailpolish should be removed before this test.


How the test will feel

  

There will be minor pressure to the bed of your nail, which should not cause discomfort.


Why the test is performed

  

Tissues need oxygen to survive. Oxygen is carried to various parts of the body by the blood (vascular) system.

This test measures how well the vascular system works in your hands and feet -- the parts of your body that are farthest from the heart.


Normal Values

  

If there is good blood flow to the nail bed, a pink color should return in less than 2 seconds after pressure is removed.


What abnormal results mean

  

Blanch times that are greater than 2 seconds may indicate:


What the risks are

  

No risks are associated with this test.


Special considerations

  


 
Review Date: 6/25/2007
Reviewd By: Arnold L. Lentnek, MD, Division of Infectious Disease, Kennestone Hospital, Marietta, GA. Review provided by VeriMed Healthcare Network.
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