Exam 4- Special Arterial Fluids

Question 1

There is no perfect version of this kind of fluid. Nothing will remove jaundice from the tissue. These fluids attempt to hide it by counter staining or bleaching.

Answer 1

Jaundice Fluids (Icterus Fluid)

Question 2

To prevent the conversion of yellow bilirubin to green biliverdin or the production of some undesirable pigmentation during and following the embalming procedure.

Answer 2

Purpose of Jaundice (Icterus) Fluids

Question 3

The higher the index of the solution:

Answer 3

The Greener the Tissue

Question 4

• Vehicle
• Low HCHO content
• Reducing agent
• Bleaching agent
• Counter staining compound
• Non HCHO co-injection used in combination with special jaundice fluid- 2 step fluid.

Answer 4

Components of Jaundice Fluid

Question 5

Usually under 15 index.

Answer 5

Low HCHO Content

Question 6

Tanning agents plus penetrants.

Answer 6

Reducing Agent

Question 7

Such as phenol and hydrogen peroxide.

Answer 7

Bleaching Agents

Question 8

Usually an abundance of active dye. (Eosin is a common one used).

Answer 8

Counter Staining Compound

Question 9

Utilize the femoral artery as an injection site with two drainage points (one above and one below the heart). This will allow for an even distribution of active dye to the face and hands. Be aware that many jaundice fluids are two-step or combination fluids mixed at use and sold as separate formulations.

Answer 9

General Rule- Jaundice (Icterus) Fluids

Question 10

1. Arterial fluid with dyes
2. Bleaching Agent

Two separate bottles.

Answer 10

Two Steps: Jaundice Fluids

Question 11

Always read the ____ for two step jaundice fluids.

Answer 11

Directions

Question 12

1. Those with an abundance of red active dye, usually Eosin.
2. Those with an abundance of bleaching chemicals that appear to be clear or amber in color.

Answer 12

Two Classification of Jaundice Fluids

Question 13

This is the type of bulb used when using indrect lighting via torchiere lamps for Jaundiced cases.

Answer 13

Red Muggle Bulbs

Question 14

Don’t assume that because the fluid has a low index that it is weak. Other ingredients will make up the difference in strength. “Leather Tanning Acid.”

Answer 14

“Jaundice”

Question 15

Methods to Correct:

• Massage cream and massage
• Apply cold water on face with hose during injection.

Answer 15

Circulation Problems in the Face, Spots Green and Red

Question 16

Switch bulbs to white light and add powder or use purple dimmer lights.

Answer 16

If Face and Hands are Red

Question 17

High index and a low pH (high acidity)

Answer 17

Cause of Conversion of Bilirubin to BIliverdin

Question 18

This is the primary concern for embalming a jaundice case.

Answer 18

Preservation

Question 19

Fluids with an unusually high content of preservative and germicides, usually bolstered by ethanol.

Answer 19

High Index Fluid (Special Preservation Fluid) 30-40 Index

Question 20

Used to treat the following:

• Edema (anasarca)
• Drowning
• Obese cases
• Decomposition
• Restorative art
• Holding remains for long periods prior to disposition; should mix a humectant to minimize dehydration.

Answer 20

Purpose of High Index Arterial Fluid (Special Preservative Fluid)

Question 21

• High HCHO content (30-40 index)
• More anticoagulants than usual
• More germicides than usual

Answer 21

Components of High Index Arterial Fluid (Special Preservative Fluids)

Question 22

Over dehydration- parted eyelids and lips, shriveled finger tips, HCHO gray in surface tissue.

Answer 22

Danger Of High Index Arterial Fluids