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test 3 Flashcards

1
Q

what is septicemia

A

infection of the bloodstream

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2
Q

possible embalming complications with septicemia

A
  • blood is infectious
  • organs may have pus abscesses
  • rapid decomp
  • dehydration
  • purge
  • skin slip
  • discoloration
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3
Q

embalming options with septicemia

A
  • embalm asap
  • higher than normal arterial
  • co injection with water corrective recommended
  • thorough cavity aspiration (re aspirate)
  • skin discolorations treated by hypodermic injection
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4
Q

what is a stroke

A

hemorrhage in the brain

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5
Q

possible embalming complications with a stroke

A
  • circulation to brain difficult
  • may need to aspirate cranium b/c drainage that leaked into cavity
  • face discolored/swollen
  • arteries in the brain may constrict (usually on opposite side of body that has paralysis)
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6
Q

embalming options with stroke

A
  • use carotid artery and jugular vein
  • pre injection fluid maybe
  • co injection strongly recommended
  • normal concentration of arterial
  • aspirate cranium and inject with cavity fluid, then pack nose with cotton and sealer
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7
Q

what could swelling before death be from

A
  • edema (fluid)
  • decomp (gas gangrene)
  • oxygen intake (air/respirators)
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8
Q

what could cause swelling post death

A
  • decomp (gas)
  • embalming (fluid)
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9
Q

possible embalming complications with swelling

A
  • unnatural looking appearance
  • pressure on vessels may disrupt distribution
  • skin slip
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10
Q

embalming options with swelling

A
  • edema fluid
  • channeling
  • swollen area can be massaged towards entry point to force air/fluid out
  • stronger than normal concentration arterial
  • slow rate of flow
  • use pulsation
  • cotton reducer in channeled areas
  • air or water collars around neck
  • body elevated after embalming
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11
Q

what is tuberculosis

A

contagious bacterial infection of the lungs and other organs

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12
Q

possible embalming complications with tuberculosis

A
  • highly infectious from lungs
  • causes cavities to form in lungs that rupture causing distribution problems
  • purge
  • emaciated/dehydrated
  • coagulated blood
  • weakness of pulmonary arteries
  • edema in lower legs
  • long lifespan outside body
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13
Q

embalming options with tuberculosis

A
  • carotid artery and jugular vein
  • intermittent drainage most effective
  • six point if purge from mouth
  • index of fluid around 2-3%
  • pre injection to increase permeability of cell walls
  • thorough aspiration
  • all instruments thoroughly disinfected
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14
Q

possible complications with embalming an infant

A

vessels for injection are small in size, making insertion of arterial tubes difficult

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15
Q

fluid pack method for infants

A
  • old way
  • fewer viewings with this way
  • infant wrapped in several layers of cotton saturated with concentrated arterial/cavity fluid
  • then placed in closed container and covered with embalming powder
  • “embalming by osmosis”
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16
Q

results for fluid pack approach with infants

A
  • not desirable because of infants fragile tissues
  • excessive dehydration
  • intense wrinkling of skin
  • little/no change to discolorations
  • fluid penetration is minimal
  • risk of decomp
17
Q

soak/submerging method for embalming infants

A
  • use plastic tub with lid
  • fill with enough water to cover infant
  • add double strength arterial fluid
  • possibly use active dye
  • wrap infant in cotton and submerge it
  • maybe turn it every few hours
  • allow soak for 8 hours
  • after place on towel to expose to air
  • allow several hours to dry
18
Q

heart approach for embalming infant

A
  • effective way that utilizes a thoracic incision
  • use if infant has not undergone a post mortem examination
19
Q

heart approach procedure for embalming infant

A
  • make Y incision below clavicles and meet at level of 4th rib then down to lower border of sternum
  • cut ribs and lift up chest plate towards face
  • take heart and open pericardial sac
  • insert medium sized curved arterial tube through wall of left ventricle of heart in direction of aorta
  • drainage from the right atrium by making small incision and holding open with forceps
  • inject 1quart to 3 pints of mild arterial
  • injection pressure not over 1-1.5 lbs
  • after return heart and sternum before closing incision
  • aspirate with infant trocar and inject 8-12 ounces of fluid after
20
Q

other arteries to consider with infants

A
  • carotid if large enough and accessible
  • femoral if large enough, age will affect this
  • abdominal aorta (with inferior vena cava)
21
Q

cavity treatment for infants

A
  • for full term infants
  • same entry point as adult
  • 2-4 ounces of fluid up and down

advanced embalming (4 decks)

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