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Pap smear
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Pap smear

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  • 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 -Incopad KY jelly -Swab sticks for HVS Specimen Form
  • 5. Ayer’sspatula
  • 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 patient2. Advice patient to void.3. Provide privacy.4. Assistant position Lithotomy to her on examining table5. 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)

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