Organ and Tissue Donation Flashcards

1
Q

Does not inhibit the viewing of the deceased.

A

The recovery of arm and leg bones for donation

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2
Q

The time intevral between death and receiving the remains is:

A

Longer than Normal

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3
Q

The time needed to embalm:

A

Is Longer Than Normal

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4
Q
  1. Getting enough arterial fluid to the legs, feet, arms and hands.
  2. Controlling the leakage of fluid after embalming.
A

Embalming Concerns

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5
Q
  • Clean and bathe the body as normal.
  • Disinfect and clean the mouth, nose, and eyes (if not enucleated) as normal.
  • Set features as normal.
A

Pre-Embalming

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6
Q
  • Remove all sutures and open all procurement incisions.
  • Remove any prosthetic devices. The devices remain if they do not interfere with locating and injecting the arteries.
  • Locate the arteries to be used for injection.
  • Raise left and right carotid arteries for injection of the head and trunk. The head and trunk can also be injected through the femoral artery.
  • Do not use a pre-injection fluid; make the arterial fluid stronger than usual for the trunk and limbs.
A

Embalming and Restorative Procedure

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7
Q

Inject using the femoral artery.

  • Start as close to the top of the leg as possible.
A

Legs

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8
Q
  • Clamp off vessels that have been cut during procurement and are now leaking. If the femoral artery has been cut, start the injection below the cut.
  • You will probably not be able to clamp off all leaking vessels, clamp those that are leaking the most.
A

In the Legs

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9
Q

If the lower legs or feet do not recieve fluid, these arteries can be injected.

A

The Anterior or Posterior Tibial Arteries

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10
Q

The dorsalis pedis artery can be raised and injected or the feet can be hypodermically injected using a needle and syringe or a trocar. Trocar holes can be sutured closed, or a trocar button can be used.

A

If the feet do not recieve fluid

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11
Q

Can be injected by using the axillary or brachial arteries.

A

The arms and hands

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12
Q

If the hands do not recieve enough fluid through the axillary or brachial arteries, this artery can be injected.

A

The Radial Artery

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13
Q

The trunk can be embalming using these arteries.

A

The femoral, subclavian or carotid arteries

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14
Q

Inject the head with these arteries.

A

Carotid

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15
Q

Does not need to be as strong as the solution used for the trunk and limbs.

A

The Injection Solution For The Head

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16
Q

Overnight if time permits, but at least a few hours.

A

Allow the body to drain for as long as possible (After Injection)

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17
Q
  • Dry all tissue in the arms and legs
  • If prostetic devices were removed, replace them.
  • Coat the tissues with a preservative and absorbent product.
  • Suture the incisions using a tight suture.
  • After all suturing is complete, wash the entire body.
  • Aspirate the thoracic and abdominal cavities, and cavity inject as normal.
  • Coat all incision lines with mortuary glue and use cotton as a barrier to leakage.
  • Cover the cotton with a strip of plastic sealed on all sides by wide tape as an additional barrier to leakage.
  • Rubber or plastic undergarmets are placed on the arms, legs, and trunk; or a unionall can be used as the final barrier against leakage.
  • Dress and casket
A

After Injection

18
Q

Be generous with this powder. Leave a bed of powder in the bottom of tissue area to absorb any future leakage.

  • In addition to the powder, some embalmers like to use absorbent cotton in the tissue area.
A

Coat the tissues with a preservative and absorbent product.

19
Q

Any opening in these garments, such as sleeves and cuffs, can also be sealed with wide tape.

A

Rubber or plastic undergarmets are placed on the arms, legs, and trunk, or a unionall can be used as the final barrier against leakage.

20
Q

Removal of the entire eyeball.

A

Eye Enucleation

21
Q

There is a greater change of swelling and discoloration if the lids are handled roughtly or squeezed with forceps.

A

Slide an aneurysm hook under the eyelid and raise gently.

22
Q

Gently remove the ______ in the eyesocket.

A

Packing

23
Q

Dry the socket with ______.

A

Cotton

24
Q

Leave this in the socket during embalming.

A

Saturate a small ball of cotton with a drying agent and swab the socket.

25
Q

Place an ___ ____ over the cotton, and close the lids in the proper position.

A

Eye Cap

26
Q

A surface compress consisting of a bleaching agent can be placed on the area.

A

If any area of the eye has been discolored due to the enucleation process.

27
Q

Massage cream should cover all areas of the face on which the fluid may leak.

A

Coat lids and the area around the eyes with massage cream

28
Q

Instead, a normal strength arterial fluid should be used.

A

Do not use a pre-injection fluid (for eye enucleation)

29
Q

Should proceed using a minimum amount of pressure and rate of flow. It may be necessary to inject both carotid arteries this area more slowly than your injection of the body in order to achieve sufficient preservation without swelling.

A

The Injection of The Head

30
Q

If swelling beings, decrease the rate of flow and pressure. Place a pack of cotton saturated with cold water on the area to act as a pressure compress to inhibit swelling. Finger pressure may also be applied during and after injection.

A

Observe the eye areas carefully during injection

31
Q
  • Remove the temporary cotton packing
  • Dry the socket and duplicate the eyeball using cotton or mortuary putty.
  • Place an eyecap on top of the cotton or putty.
  • Eyelids can be glued closed if necessary.
A

After Injection - Eye Enucleation

32
Q

Follow the procedures for eye enucleation with the exception of:

  • It will be necessary to aspirate the flud from the eyeball before embalming.
  • The drying and packing is done inside the empty eyeball instead of the eye socket.
A

Removal of The Cornea Only

33
Q

Usually removed from the back, chest and thighs.

A

Skin

34
Q

The removal of this does not damage any arteries, muscles, joints, bones or other organs needed for embalming.

A

Skin

35
Q

The main concern with regard to embalming after skin procurement is:

A

To control the leakage from the area in which the skin was taken

36
Q
  • Arterially inject the body using the normal procedures.
  • Allow the area affected to drain naturally during the embalming.
A

Injecting bodies where skin has been removed

37
Q

Wash the entire body, including the affected area, and then towel dry.

A

After the arterial injection (skin donation)

38
Q

Should be treated with a surface application of a drying and preservative product such as gel, powder or fluid followed by a waiting time of 30-60 minutes, or longer, if time permits.

A

The area used for skin donation

39
Q

Presents the most difficulty because it usually requires two people to roll and treat this area.

A

Skin Taken From The Back

40
Q

Paint the area with embalming glue and cover it with cotton.

A

Wipe and dry the affected area (skin donation)

41
Q
  • Place a sheet of plastic over the treated area, and seal the edges using wide tape.
  • Place plastic or rubber undergarmets or a unionall on the deceased. Any openings in the garments can be sealed with tape.
  • Dress and casket
A

Finishing the process- skin donation