Sceening test

8/7/2019 Sceening test

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Purpose of screening test

To check for cervical changes.

Finding and treating abnormal cells to preventcervical cancer.

Helps to detect cancer early where treating is

more likely to be effective.


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Pap smear

Is sometimes called Pap test or cervical smear.

It is a simple test to look at the cervical cells.

The test is not painful.

Is usually done in a clinic during a pelvic

exam.


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Equipments

Vulva swabbing set

Bed pan

ReceiverSavlon

Perineal drape

KY jelly

Mask

Vaginal speculum

Torch lightCytobrush, Thinprep

Incopad

Swab sticks for HVS


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What they do in Pap smear

The doctor scrapes a small sample of cells from the

ectocervix ( cervical os) and the smears the cells

on a glass slide and look under the microscope.

New type of Thin-Prep test (liquid-based Pap test),

the cells are rinsed into a small container of liquid.


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Pap smear.

A special machine puts the cells onto slides. For both

types of pap smear test a lab technologist checks the

cells under microscope for abnormalities.

Women should begin having Pap tests the years after

they begin having sexual intercourse

Pap test at least once every 3 years.


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Pre-procedure

Inform and explain the procedure to patient

Ask patient to void before positioning her on the

examining table

Drape patient to permit minimal exposure

Adjust light for maximum focus


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Position of pt. Dorsal


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Other than Pap smear

Colposcopy

Cervical biopsy

HPV test


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What is a Colposcopy?

Colposcopy means an exam with a special

microscope called colposcope.

This microscope does not touch or go inside patient.

It allows the doctor to look at the cervix under

magnification.

A speculum similar to that for a Pap test will be used

to do this.


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Why is it done?

The reason for Colposcopy is because abnormal cells

were found on patients Pap test.

This does not mean patient have cancer, It does

mean these cells could turn into cancer in some

women if not treated.


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How is it done? The doctor will spray patients cervix with a weak

vinegar solution.

The vinegar will make any abnormal area look white.

Patient will feel a mild stinging sensation when thevinegar is sprayed on the patients cervix

The doctor may take a tiny sample (biopsy) of thisarea. If a biopsy is done, patient may feel a periodtype cramp.


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Cone biopsy


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HPV test

Human papillomavirus

HPVs establish productive infections only in

the stratified epithelium of the skin or mucous

membranes.

Lead to cancers of the cervix, vulva,vagina,

and anus in women or cancers of the anus

and penis in men.


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Nursing responsibility Nurses should give health education to patient

Nurses should prepare patient emotionally and alsopsychologically

Nurses should be able to identify the apparatus and also theinstrument for the test

Nurses should know the way of insertion of instrument and theway the test is carried out

Nurses should know the interventions before ,during, and after theprocedure

Nurses should be extra careful if patient is bleeding

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Sceening test