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4th Quarter Exams > Embalming 3 Exam 1 > Flashcards

Embalming 3 Exam 1 Flashcards

1
Q

a post mortem evacuation of any substance from an external orifice of the body due to pressure

A

Purge

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2
Q

purge can occur when?

A

prior to embalming, during embalming, after embalming (prevent)

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3
Q

What are the types of purge

A 
stomach
lung
brain
rectal
vascular (false)
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4
Q

Stomach, Lung, Brain, Rectal, and Vascular(false) purge all may contain what?

A

Blood

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5
Q

liquid, has a coffee ground appearance, sour odor, contains acid, sometimes has a brownish color, usually exits through the nose and/or mouth (want to do an excellent job of cavity treatment)

A

Stomach purge

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6
Q

frothy white, no odor, usually exits through the nose and/or mouth, you will see air bubbles in the purge (can be confused with the disinfectant soap used)

A

Lung purge

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7
Q

creamy white, no odor, usually exits through ears, nose, and/or mouth

A

brain purge

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8
Q

how to treat brain purge in an infant case

A

go through the posterior fontanel and use an infant trocar and apply cavity treatment

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9
Q

how to treat brain purge in an adult case

A

use the infant trocar go though the ethmoid bone at the cribaform plate and apply undiluted cavity treatment

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10
Q

feces escaping from the rectum

A

Rectal purge

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11
Q

color and consistency similar to arterial solution, this type of purge is arterial fluid due to the deterioration of the vascular system (usually exits through the nose or mouth due to the type of mouth closure)

A

Vascular (False) Purge

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12
Q

What are the treatment of Purge

A
  1. Prior to Embalming (pre-embalming),
  2. during embalming (concurrent),
  3. following arterial and cavity embalming (post-embalming),
  4. cranial cavity treatment
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13
Q

What is the treatment of purge prior to embalming (pre-embalming)

A
  1. Apply massage cream over the areas which the purge material flows to minimize burning, this should included the lips, cheeks, and neck
  2. Nasal tube aspiration- aspiration of the mouth an nose
  3. Trocar/Scalpel Blade (used only in extreme situations) reduce gas pressure in the abdomen by CAREFUL insertion of the trocar or scalpel at the normal point of insertion of the trocar for cavity embalming, small incision DO NOT insert deep, could cause damage and result in multi-point injection
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14
Q

what is the treatment of purge during embalming (concurrent)

A
  1. all procedure may be followed for prior embalming
  2. IF there is vascular purge; it may result from a break in the vascular system; therefore: a multi-point injection may be needed
  3. sectional injection may be necessary
  4. Hypodermic embalming may be needed to supplement arterial injection
  5. Allow the body to purge
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15
Q

what is the treatment of purge following arterial and cavity embalming (post-embalming)

A
  1. Nasal Tube Aspirator

2. Re-Aspiration and Reinjection until the purge is controlled

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16
Q

What is the treatment of purge of cranial cavity treatment

A
  1. this treatment should be performed if a brain purge is present
17
Q

What are the reasons for drainage?

A
  1. Diminish secondary dilution
  2. Remove intravascular discoloration
  3. Helps prevent distention
  4. Makes additional room for disinfecting fluid (helps to permit disinfection)
18
Q

What are the Components of Drainage?

A
  1. Arterial solution- it has been estimated that 50 % of drainage is actually arterial solution
  2. Liquid blood and blood clots
  3. Lymphatic fluid ( lymph enters blood stream 3/4 of lymph fluid is drained in thoracic duct or r. lymphatic duct)
  4. Interstitial fluid (tissue fluid, bathes and surrounds body tissue, excesses amount of fluid in tissue, seen in serve edema cases)
19
Q

What are the different types of methods of drainage in relation to injection

A
  1. Alternate
  2. Intermittent
  3. Continuous/ Concurrent
  4. Direct Heart Drainage (heart tap)
20
Q
  1. Arterial solution is never injected while drainage is taken
  2. Procedure- arterial solution is injected with no drainage (approximately a quart or two or until the superficial vessels distend)
  3. then injection is stopped and drainage is allowed
  4. this process is continued until the body is embalmed
A

Alternate Method

21
Q

What are the advantages of Alternate Method

A
  1. Develops more uniform intravascular pressure
  2. more of a complete fluid distribution is achieved
  3. Fluid diffusion is enhanced
  4. Final results is a better embalmed body
  5. Prevents short circuiting
22
Q

What are the precautions/ disadvantages of Alternate Method

A
  1. Care must be taken to avoid distention

2. May increase embalming time slightly (remember this is not a timed event)

23
Q
  1. Continuous injection with drainage taken at intervals; use of a drain tube
  2. Compromise between alternate and the concurrent methods
  3. Helps to prevent short circuiting
A

Intermittent Method

24
Q

injection and drainage proceed at the same time throughout the embalming procedure

A

continuous/ concurrent method

25
Q

what are the precautions/disadvantages of Concurrent

A
  1. difficult to attain sufficient pressure to saturate the tissues throughout the body
  2. fluid will follow a point of least resistance developing short circuits
  3. Embalming solution will be lost in the drainage
26
Q
  1. this method is recommended only in special situations where a vein cannot be used for drainage
  2. inject approximately 1/2 to 1 gallon of arterial fluid
  3. insert trocar into the right side of the heart by using the trocar guide for the heart
  4. the trocar may be attached to the hydro-aspirator, however DO NOT turn the hydro-aspirator on full/high
A

Direct Heart Drainage (heart tap) method

27
Q

What are the precautions of Direct Heart Drainage

A

should the trocar puncture the ascending aorta or the arch, it may necessitate a multi-point injection procedure (6 point injection)

28
Q

What are the Techniques on Improving Drainage

A
  1. Selection of a Large Vein
  2. Selection of a Large drainage instrument (large angular forceps; most common choice)
  3. Injection of a pre-injection fluid
  4. Use of massage toward the point of drainage
  5. Increase rate of flow or increase injection pressure
  6. Selection of another drainage site
  7. Intermittent or alternate forms of drainage
29
Q

What are the 4 preparations of an infant case

A
  1. special considerations for non-viewable case
  2. Pre-embalming considerations
  3. Embalming considerations
  4. Post-Embalming considerations
30
Q

Positioning of infant, appearance

methods of preservation

A

Special considerations for non-viewable case (infant)

31
Q

Feature setting

Body positioning

A

Pre-Embalming considerations (infant)

32
Q

Stillborn or shortly after birth
up to 1 year of age
1-5 years of age

A

Embalming considerations (infant)

33
Q

closing and sealing incisions

Cleaning and disinfecting procedures

A

Post-Embalming considerations (infant)

34
Q

Ship-Outs and Ship-ins considerations

A

pre-embalming analysis
embalming considerations
post embalming preparation

35
Q
  1. primary disinfection
  2. Feature setting
  3. Solution strength and volume
A

Embalming considerations (ship-outs & ins)

36
Q
  1. incision closing and sealing
  2. Pac orifices
  3. Shipping techniques
  4. Embalming documentation
A

Post Embalming preparation (ship-outs & ins)

4th Quarter Exams (7 decks)

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