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Alternative Names Return to top
Nail blanch test; Capillary refill timeDefinition Return to top
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.
How the Test is Performed Return to top
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.
While the patient holds their hand above their heart, the health care provider measures 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 Return to top
Remove colored nail polish before this test.
How the Test Will Feel Return to top
There will be minor pressure to the bed of your nail, which should not cause discomfort.
Why the Test is Performed Return to top
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 Results Return to top
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 Return to top
Blanch times that are greater than 2 seconds may indicate:
Risks Return to top
No risks are associated with this test.
Update Date: 5/7/2009 Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
