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Embalming3qtrCOBRA
TJK study guide 3rd QTR
| Question | Answer |
|---|---|
| Reasons blood drained | slow down decomp.- make room for arterial fluid-disinfect body-cut down on secondary solution-flush out discoloration- neutralize PH-remove sources of decomp. excess fluid |
| Location of blood- AM PM | AM 85% in capillaries PM separates and goes to venuoles veins |
| Injection/Drainage Methods | Concurrent/continuous (least effective most popular/no back pressure) Alternate - Restrictive-most efficient w/ back pressure Intermittent - continuous injection/ intermittent drainage |
| Heart Tap/ Dangers | Rt. atrium-might hit aorta,trocar gets clogged |
| PM blood clot (3) | chicken fat, cruor, white fibrous |
| Stimulating blood drainage | anticoagulants,pressure,massaging |
| Cavity treatment def. & purpose | direct trreatment of the body cavity contents thru aspiration and injection /arterial fluid doesnt hit, need stronger fuid because if different tissue type in viscera,clotting in viscera |
| 4 region abdomen | 4 quadrants lt upper/lower rt upper/lower |
| 9 region planes abdomen | Superior center epigastric rt/lt hypochondriac Medial center umbilical rt/lt lateral lumbar Inferior center hypogastric rt/lt inquinal iliac |
| 4 trocar guides | stomach- intercostal 5 & lt midaxillary cecum- down to rt. between pubic syn. & ant. sup. iliac spine urinary bladder- underneath pubic syn. Rt. Atrium- line from Lt. ASIS to Rt. earlobe |
| REPEAT Cavity Treatment | ascites-blood infection-Crones disease- pulmonary infections-obese-ship ins |
| Autopsy arteries clamped/ligated | cranial- internal carotids |
| Reattaching calavarim | drill 3 pairs of holes-wire and twist shut-fill saw cut w/ putty-paint inside of scalp w/ auropsy gel if not pink- suture from Rt. side |
| Autopsy arteries from Ab. cavity to inject lower extremities | Inject Lt. side first legs- int. or ext. iliac |
| Purge def./causes | PM evacuation of any substance from any external opening-caused by gas,increase in bacteria,intestinal blockage, corrosions of tissue |
| Purge Types | Stomach-(semi)liquid- sour odor Lung- white/frothy/odorless Brain-white/creamy/sticky/odorless |
| Purge Treatment | allow purge to continue-protect skin from acid find source to eliminate decomp cranial aspiration/pentrate cribiform plate |
| Skin slip- desquamation/causes | decomp.-glue(rete-mucosum) disappears and epidermis slidesslides off |
| Skin-slip conditions | edema,heat blisters,frost bite,various burns, vitamin C difficiency |
| Skin-slip Treatment | higher fluid index 3%,hypo areas, surface pack w/ cavity fluid,cover & tape off |
| Dehydration cases | Hemmorrage,febrile disease,fever,chronic disease,persistant vomiting or prolonged diarrhea,burns |
| Dehydration -arterial treatment | slow rate of flow w/ high index & humectants,back pressure on drainage,pulsator,thin coat of massage cream |
| Edema "Dropsy"/reasons | excess fluid accumulation/chemo w/ longer hosp. stays,algonal periods |
| Edema solid/pitting | solid-cells take on water over long period of time,doesnot respond well, strong fluid w/ dehydrating effect Pitting-water effect of spongy,squishy/too much water between cells |
| Anascara | wide spread edema |
| Ascites | hydroperitoneum (water in abdomen) |
| Hydropericardium | increase of water in heart sac |
| Hydrothorax | pleurisy, increase in water in thoracic cavity |
| Hydroperitoneum | Ascites |
| Hydrocele | increase of water in scrotum |
| Anascara Causes | conjestive heart failure,renal failure, arteriosclerosis,burns(hyperthermia),alcoholism, CO poisoning,chemotherapy |
| Edema (embalming problems) | Distention,increase in 2nd dilution,skin slip,leakage,restricted fluid distribution |
| Edema treatments-mechanical | Elevate extremities(shoulder block/head block),massage limbs,elastic bandages,hypodermic to inject facial fluid and squeeze water out of face thru hole,electric spatula on face |
| Tissue Gas | condition in which gaseous products of putrefication and fermentation appear in tissues (living body-gas gangrene) |
| Tissue Gas (bacteria) | Clostridium perfringens- causes "crepitation" or the rice crispies effect |
| Tissue Gas Factors/Cases | compromised immune system,intestinal peerferation/cancer/infections,septicemia,gunshot/stab/laceration/puncture/dirt contaminated wounds, |
| Tissue Gas Embalming | high index/special arterial fluid, cavity fluid@55%, hypo into gas & surrounding areas,if gas appears after embalming use strongest fluid to reinject |
| Arteriosclerosis | buil up of calcium in arteries- hardening of arteries |
| Atherosclerosis | fatty plaque builup in arteries |
| Aneurysm | bulge in artery- fusiform,saccular,dissecting |
| Thrombus | blood clot |
| Embolus | traveling piece of clot |
| Decomposition 5 signs/products | gas,color,odor,purge,skin-slip ammonia products (hydrogen,hydrogen sulfide,mercaptans,carbon dioxide,methane,sulfuric & phosphoric acid,amino acids) |
| Speedier Decomp Cases | peritonitis,edema,burns,gangrene,ulcers,refrigeration,cancer drugs,systemic infections |
| Decomp Embalming | Add 1% for each sign,use coinjection,6 point, Advanced-body bag w/ embalm powder,disan,use trocarinject wherever |
| Discolorations | Yellow-Green-Blue/Black-Black w/ Red streaks |
| Addisons Disease | bronze pigmentation |
| Leukemia | red spots which turn purple |
| Jaundice | yellow |
| Sulpha drugs | discolor area around infection/ hemolysis causing stain |
| Atabrine | yelllow like jaundice topical treatment |
| Methylene Blue | chemical applied for skin disorders,kidney infections can turn body green, use jaundice fluid |
| Infant Embalming Ages | Stillborn- fetus dead prior to delivery(topical if small aorta) Infant- live birth to 18 mos.(aorta) Toddler- 18 to 48 mos.(aorta) Child- 4yrs. to puberty(femoral) |
| Infant aspiration | focus on liver and brain(cranial for sure) |
| Stillborn topicals (2) | Osmosis- body wrapped in cotton/25-32 index saturation-cavity aspiration Container- embalming powder around but not touching body for 12hrs. w/ lid on |
| Infant Embalming incision | non-autopsied/horizontal 1/2" in neck wrinkle 1yr.-aorta/1-2" above umbilicus Sternum-parralel 2-3ribs cut use arch (Lt.) |
| Lanugo | (peach fuzz) downy hair of a fetus, child,woman |
| Tuberculosis "Consumption" | White Plague-Embalmers Disease (Mycobacterium tuberculosis)bacilli w/ high lipid/waxy content to cell wall which promotes resistance transmission-inhalation/injestion |
| Tuberculosis symptoms | emaciation, fever |
| Cavitation | bacteria form colonies in the lungs which harden into tubercles and irritate/ coughing rips off the lung tissue which causes a cavity (CAVITATION) |
| Lupus Vulgaris | Tuberculosis of the skin- patches break down and ulcerate leaving scars on healing |
Created by:
bobweyrauch
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