Serum Protein Electrophoresis (SPEP)
How It Is Done
The health professional drawing blood
- 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
- Put the needle into the vein. More than one needle stick
may be needed.
- Attach a tube to the needle to fill it with
- Remove the band from your arm when enough blood is
- Apply a gauze pad or cotton ball over the needle site as
the needle is removed.
- Apply pressure to the site and then a
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
There is very little chance of a problem from
having blood drawn 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
- 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.
The serum protein electrophoresis (SPEP)
test measures specific
proteins in the blood to help identify some diseases.
Test results for each protein group are given as a percentage of the total
amount of serum protein. To obtain the actual amount of each fraction, a test
that measures the total serum protein must also be done.
The normal values listed here—called a reference range—are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what's normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab.