A carbon monoxide blood test is used to detect poisoning from breathing carbon monoxide (CO), a colorless, odorless, poisonous gas. The test measures the amount of hemoglobin that has bonded with carbon monoxide. This amount is also called the carboxyhemoglobin level. See a picture of carbon monoxide poisoning .

When a person inhales carbon monoxide, it combines with the red blood cells that normally carry oxygen to the body's tissues and replaces the oxygen that is normally carried in the blood. As a result, less oxygen is carried to the brain and other body tissues. Carbon monoxide can cause severe poisoning and death.

Carbon monoxide is made during burning when there is not enough oxygen present for complete combustion. The main sources of carbon monoxide are automobile exhaust fumes, fires burning with poor ventilation (such as gas heaters and indoor cooking fires), factories, and smoking tobacco.

Why It Is Done

A carbon monoxide blood test is used to detect poisoning from breathing carbon monoxide. You might have this test if you have been exposed to the gas or if you have unexplained symptoms, such as:

• Headache, dizziness, or vision problems.
• Nausea or vomiting.
• Muscle weakness.
• Confusion or trouble thinking.
• Extreme sleepiness.

How To Prepare

Do not smoke before you have this test.

Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results may mean. To help you understand the importance of this test, fill out the medical test information form (What is a PDF document?).

How It Is Done

The health professional drawing blood will:

• Wrap an elastic band around your upper arm to stop the flow of blood. This makes the veins below the band larger so it is easier to put a needle into the vein.
• Clean the needle site with alcohol.
• Put the needle into the vein. More than one needle stick may be needed.
• Attach a tube to the needle to fill it with blood.
• Remove the band from your arm when enough blood is collected.
• Put a gauze pad or cotton ball over the needle site as the needle is removed.
• Put pressure on the site and then put on a bandage.

How It Feels

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

Blood test

There is very little chance of a problem from having 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.