papsmearpres-121023054500-phpapp01 (1).pptx

paps smear

1.  Is obtaining sample of exfoliated cell (dead cells that are shed) @ simple test to look at cervical cells  The specimen should be obtained 2 weeks after the first day of LMP taken by brushing or scraping.

2.  To detect early cancer of the cervix  To determine estrogen activity related to menopause or endocrine abnormalities.

3.  All women have initial pap smear test no later than 21 years old  3 years after onset of sexual intercourse  After initial test, have annually or biannually  After age 30, because screened for 2-3 years unless has high factor developing cervical cancer

4.  Vulva swabbing set •Container  Vaginal speculum - Mask  Receiver -Vaginal speculum  Savlon -Torch light  Perianal drapes -Cytobrush,Thin prep  Sterile glove  KY jelly -Incopad -Swab sticks for HVS  Specimen Form

5. Ayer’s spatula

6.  Nurse should advise patient to make an appointment other than during menstruation  Before appoiment : 1.Avoid intercourse for 2 days 2.Refrain from douching for 1 day 3.Cease the use of vaginal medication for at least 48 hours.

7. 1. Inform and explain the procedure to patient 2. Advice patient to void. 3. Provide privacy. 4. Assistant position Lithotomy to her on examining table 5. Drape patient permit minimal exposure.

8.  Normal: negative means there is no identifiable infection.  ASCUS :presence of a high-risk infection with HPV.  Low-Grade changes : frequently due to infection with HPV, which in some instances can be a risk for cervical cancer.  High-Grade changes : very atypical cells that may result in cancer  Squamous cell carcinoma or adenocarcinoma : cancer is evident and requires immediate attention.

9. 1.Tell patient to inform any excessive bleeding after procedure(a little bid bleeding is normal.) 2.Instruct patient to follow up the procedure at least annually or biannually.(Depend on results)