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Complete Blood Count (CBC)

Absolute Neutrophil Count (ANC)

Normal range 2500–7000 cells/µL (2.5–7 10⁹/L SI). Specimen: Whole blood (EDTA).

Also known as: absolute neutrophils.

2500–7000 cells/µLCritical: read below

Reference range

Conventionalcells/µL
25007000
SI10⁹/L
2.57
SpecimenWhole blood (EDTA)
Conventional range2500–7000 cells/µL
SI range2.5–7 10⁹/L
Conversion factor×0.001 (conventional → SI)
Critical value< 500 cells/µL is severe neutropenia (high infection risk)
PanelComplete Blood Count (CBC)

Convert any Absolute Neutrophil Count (ANC) result between units on the unit converter.

What is the normal range for Absolute Neutrophil Count (ANC)?

The standard teaching reference range for Absolute Neutrophil Count (ANC) is 2500–7000 cells/µL in conventional units, or 2.5–7 10⁹/L in SI units. This value is measured in whole blood (edta).

A commonly taught critical (panic) value is < 500 cells/µL is severe neutropenia (high infection risk). Critical results are reported to the provider immediately under your facility's policy.

Source: Adult reference values compiled from Pagana & Pagana, Mosby's Diagnostic and Laboratory Test Reference, and Fischbach & Dunning, A Manual of Laboratory and Diagnostic Tests. Reference ranges vary by laboratory, method, age, sex, and population — always use the range printed on the actual result.

Above the range

Common causes of a high Absolute Neutrophil Count (ANC)

  • Bacterial infection
  • Steroids
  • Physiologic stress

Below the range

Common causes of a low Absolute Neutrophil Count (ANC)

  • Chemotherapy
  • Aplastic anemia
  • Severe sepsis

At the bedside

Nursing considerations

  • ANC = total WBC × (% neutrophils + % bands).
  • Begin neutropenic precautions and treat fever urgently when ANC < 500.

Study aid

Your notes on Absolute Neutrophil Count (ANC)

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