Embalming Chapter 7
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Questions and Answers

What should be done immediately if HCHO is splashed into the eye?

  • Use warm water for flushing
  • Cover the eye with a bandage
  • Use COOL running water for flushing (correct)
  • Apply a salve to the eye

What substance can HCHO be neutralized by?

  • Bleach
  • Sodium Hydroxide
  • Water
  • Ammonia (correct)

What is the index range for fluids that are considered strong?

  • 39 and above
  • 26-38 (correct)
  • 1-15
  • 16-25

How should bottles that are to be destroyed be handled?

<p>Flushed with water before disposal (C)</p> Signup and view all the answers

Which type of fluid is defined as non-cosmetic?

<p>Fluids that contain little or no active dye (C)</p> Signup and view all the answers

What degree of firmness do slow-firming fluids describe?

<p>Slow firmness (A)</p> Signup and view all the answers

What is the TRUE statement regarding pouring chemicals into an embalming tank?

<p>Chemicals should be poured into a filled embalming tank. (D)</p> Signup and view all the answers

What is the classification of fluids with an index of 5-15?

<p>Low (D)</p> Signup and view all the answers

What is the recommended pH range for most arterial fluids?

<p>7.2-7.4 (A)</p> Signup and view all the answers

Which condition is NOT recommended for waterless embalming?

<p>Stable circulation (B)</p> Signup and view all the answers

When diluting arterial fluids, which temperature of water is best when uncertain?

<p>Room temperature water (B)</p> Signup and view all the answers

What happens to the concentration of a solution when salt is added?

<p>It becomes more concentrated (A)</p> Signup and view all the answers

If an arterial solution contains less of a dissolved substance than blood, it is classified as:

<p>Hypotonic (B)</p> Signup and view all the answers

What does the term 'specific gravity' compare?

<p>The density of a substance to the density of water (D)</p> Signup and view all the answers

What is the primary role of buffering fluids to be slightly alkaline in embalming?

<p>To stabilize reactions (C)</p> Signup and view all the answers

What is the term for the dissolved substance in a solution?

<p>Solute (C)</p> Signup and view all the answers

Which of the following is NOT a way to use autopsy (surface) gels?

<p>Pack anal orifice (B)</p> Signup and view all the answers

Which chemical is primarily known as a cautery agent?

<p>Phenol (B)</p> Signup and view all the answers

What is commonly injected into sunken areas of the face to restore contour?

<p>Tissue Builder (C)</p> Signup and view all the answers

Which of the following statements about the removal of tissue builder is true?

<p>It is almost impossible to remove once injected. (D)</p> Signup and view all the answers

What is the primary use of hardening compound in embalming?

<p>To treat cavities of autopsied bodies (A)</p> Signup and view all the answers

Which of the following is an absorbent clay found in dustless hardening compounds?

<p>Bentonite (A)</p> Signup and view all the answers

Which agent is commonly added to embalming powders to inhibit mildew and mold?

<p>Pare-Dichlorobenzene Crystals (C)</p> Signup and view all the answers

What is the purpose of embalming preservative powder?

<p>To control mildews, molds, maggots, &amp; vermin (C)</p> Signup and view all the answers

What condition is characterized by an excessive concentration of bilirubin in the skin and tissues, resulting in a yellow appearance of the patient?

<p>Jaundice (C)</p> Signup and view all the answers

Which term describes the process where solvent moves from a solution of lesser solute concentration to one of greater concentration through a semipermeable membrane?

<p>Osmosis (D)</p> Signup and view all the answers

What is the term for the metabolic by-products containing nitrogen, such as urea and uric acid, that can neutralize embalming chemicals?

<p>Nitrogenous Waste (A)</p> Signup and view all the answers

Which of the following agents is used to prevent the growth of mold?

<p>Mold Preventative (B)</p> Signup and view all the answers

What is known as the accumulation of gas in tissues postmortem, typically caused by anaerobic bacteria?

<p>Tissue Gas (B)</p> Signup and view all the answers

What are the primary functions of active dyes in embalming?

<p>Indicate good distribution (A), Minimize jaundice (C)</p> Signup and view all the answers

What is the purpose of preinjection fluids in the embalming process?

<p>To prepare the circulatory system for preservative injection (C)</p> Signup and view all the answers

When using co-injection fluids, what is the recommended proportion relative to arterial fluid?

<p>Equal amounts of co-injection and arterial fluid (C)</p> Signup and view all the answers

Which of the following statements about co-injection fluids is true?

<p>They may be used in waterless embalming (C)</p> Signup and view all the answers

What is the potential consequence of overusing co-injection fluids during embalming?

<p>Uneven distribution and blotchy coloring (B)</p> Signup and view all the answers

What is a common characteristic of edema corrective fluids?

<p>They enhance the dehydrating effect of arterial fluid (C)</p> Signup and view all the answers

What has to be considered regarding humectants during the embalming process?

<p>They can cause dehydration if continuous drainage is used (A)</p> Signup and view all the answers

What is the typical volume of cavity fluid injected into abdominal cavities for an average body?

<p>32oz to 48oz (B)</p> Signup and view all the answers

What is the chief ingredient in paraformaldehyde?

<p>Formaldehyde (D)</p> Signup and view all the answers

Which statement about refrigerating mold growth is true?

<p>Refrigeration slows down mold growth. (D)</p> Signup and view all the answers

What is the primary purpose of sealing agents used in restorative procedures?

<p>To prevent leakage from sutured incisions (C)</p> Signup and view all the answers

What does the term 'hypotonic' refer to?

<p>Less solutes than solvent (C)</p> Signup and view all the answers

What defines primary dilution in the context of embalming?

<p>Dilution during arterial injection (B)</p> Signup and view all the answers

What color is associated with bilirubin in the context of jaundice?

<p>Yellow (A)</p> Signup and view all the answers

What is dehydration in body tissues most often caused by postmortem?

<p>Injection of embalming solution (C)</p> Signup and view all the answers

What term describes the abnormal accumulation of fluids in tissue?

<p>Edema (D)</p> Signup and view all the answers

Flashcards

HCHO eye splash treatment

Flush eyes with cool running water immediately.

HCHO skin splash treatment

Flush skin with cool running water immediately

HCHO neutralization

Neutralized by adding ammonia.

Emptying Hazardous Embalm Bottles

Flush bottles with water first before disposal

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Reducing Embalming Fumes

Cover machine tanks and fluid bottles, and always cap them.

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Pouring Chemicals into Embalming Tanks

Do not pour chemicals directly into Tanks already filled with water.

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Cavity Fluid Dilution

Cavity fluid is not diluted.

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Strong Embalming Fluid Index

26-38 and above

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What are jaundice fluids used for?

Jaundice fluids are special solutions designed to remove or mask the yellow discoloration caused by mild jaundice. They typically contain low formaldehyde content.

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What are the three main types of internal bleach and stain removers?

The three main types are:

  1. Phenols: These are the most common.
  2. Peroxides: They are strong oxidizing agents.
  3. Citric Acid: It's a natural, mild acid.
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What's the purpose of preinjection fluids?

Preinjection fluids are used to prepare the circulatory system for the injection of the main preservative fluid. They're also known as capillary washes.

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What are coinjection fluids?

Coinjection fluids are added to the main preservative fluid to enhance its action. They can help with things like tissue firmness, color, and odor control.

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Overuse of coinjection fluids can lead to what?

Overusing coinjection fluids can result in uneven distribution of the dyes in the embalming fluid, leading to blotchy coloring of the body.

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What are three functions of active dyes in embalming fluids?

Active dyes in embalming fluids serve several purposes:

  1. Restore natural color to the body.
  2. Minimize the appearance of jaundice.
  3. Minimize formaldehyde graying.
  4. Help indicate good distribution of the embalming fluid.
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What is the effect of humectants on tissues?

Humectants are designed to attract moisture and keep tissues hydrated. However, if continuous drainage is used, they can actually draw moisture out of the tissues, causing dehydration.

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What are edema corrective fluids and what do they do?

Edema corrective fluids are used to address swelling by enhancing the dehydrating effect of the arterial fluid. They are hypertonic, meaning they draw water out of the tissues. However, overuse can cause dark discoloration and wrinkling.

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Waterless Embalming

A method specifically used for bodies with certain conditions, such as diseases, tissue gas, facial trauma, decomposition, poor circulation, or pre-refrigerated bodies.

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Arterial Solution pH

While the embalmer can adjust the solution, the pH of most arterial fluids is slightly alkaline, typically ranging from 7.2 to 7.4.

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Benefits of Slightly Alkaline Fluids

A slightly alkaline pH in embalming fluids allows dyes to work well, ensures a stable reaction, and minimizes the appearance of HCHO grey.

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Warm Water vs. Cool Water for Dilution

Warm water for diluting arterial fluids is recommended only in specific cases, such as tissue gas or deep decomposition.

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Salt in Solution

Adding salt to a solution makes it more concentrated.

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Solute vs. Solvent

In a solution, the salt is the "solute" (dissolved substance) while the water is the "solvent" (dissolving medium).

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Solution Strength and Solute

The strength of a solution reflects how much solute (dissolved substance) is present.

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Density and Solute Amount

The amount of solute in a solution directly affects its density: more solute, more dense.

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Density of a Solution

Density measures mass per unit volume, often expressed as grams per cubic centimeter.

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Specific Gravity

Specific gravity is a ratio comparing the density of a substance to the density of water.

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Hypotonic Solution

A solution is hypotonic when it contains less dissolved substance than blood.

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Hypertonic Solution

A solution is hypertonic when it contains a greater quantity of dissolved substance than blood.

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Jaundice

A condition caused by a buildup of bilirubin in the blood, leading to a yellowish discoloration of the skin, eyes, and tissues.

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Mold Preventative

Substances that prevent the growth of mold on embalmed remains.

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Nitrogenous Waste

Metabolic byproducts containing nitrogen, like urea and uric acid, which can interact with embalming chemicals.

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Osmosis

The movement of a solvent from a less concentrated solution to a more concentrated solution across a semipermeable membrane.

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Preservative Demand

The amount of preservative (formaldehyde) needed to effectively preserve the body, depending on the condition of the tissues.

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What are some uses of autopsy gels?

Autopsies gels can be used to preserve viscera, disinfect cavities, remove odors, treat burned tissue, and preserve the orbital area after enucleation. They can also be used to pack orifices and are a useful surface preservative when arterial distribution is poor.

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What is the main purpose of Cautery chemicals?

Cautery chemicals, like phenol (carbolic acid), are used primarily to seal and cauterize tissue, preventing further decomposition and minimizing odor.

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Tissue Builder

Tissue builder, a filler, is injected into areas that have lost volume due to weight loss, like the face and hands, to restore a natural contour.

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True or False: Once tissue builder is injected, it is impossible to remove.

TRUE. Tissue builder becomes integrated with the tissue and cannot be easily extracted.

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List the 3 common solvents used in embalming.

The 3 common solvents are: General Solvent, Acetone, and Tissue Builder Solvent. General Solvent is used for skin cleaning, Acetone removes nail polish, and Tissue Builder Solvent cleans tools after using tissue builder.

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What is the main purpose of Hardening Compound?

Hardening compound primarily helps treat the cavities of autopsied bodies. It can also be used for treating viscera that have been returned after an autopsy.

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What substance is used in dust-less hardening compounds?

Bentonite, a heavy absorbent clay, is a key component in dust-less hardening compounds.

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What is added to embalming powder to prevent mildew and mold?

Pare-Dichlorobenzene Crystals are added to embalming powders to help prevent the growth of mildew and mold on the body.

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Paraformaldehyde

The primary ingredient in preservative powder, used to preserve and disinfect tissue.

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Preservative Powders

These powders have drying and absorbent qualities, but not the hardening properties of hardening compounds.

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Refrigeration and Mold Growth

Refrigeration can slow down mold growth but not completely stop it.

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Sealing Agents

They plug leaks in sutured incisions, act as restorative glues, and prevent fluid leakage.

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Primary Dilution

The initial dilution of embalming solution when it's mixed.

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Secondary Dilution

The weakening of the embalming solution as it circulates through the body.

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Bilirubin

A yellow pigment causing jaundice.

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Biliverdin

A green pigment caused by oxidation of bilirubin and associated with jaundice

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Bleaching Agent

A chemical used to lighten skin discolorations.

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Dehydration

Loss of moisture from tissues, occurring both before and after death due to various factors.

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Edema

Abnormal fluid accumulation in tissues or body cavities.

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Hardening Compounds

Powders that absorb fluids, disinfect, and are used in cavity treatment, especially after autopsies.

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Study Notes

Embalming Chapter 7

  • If formaldehyde (HCHO) splashes in the eye, flush with cool water.
  • HCHO reacts with bleach (sodium hypochlorite), a strong oxidizer.
  • If chemicals splash on skin, flush with cool water.
  • Neutralize HCHO with ammonia.
  • Empty bottles/containers should be flushed with water before disposal.
  • Machines and fluid bottles should be covered and capped to reduce fumes.
  • Pour chemicals into an empty embalming tank, avoid filling with water after pouring chemicals into tank.
  • Cavity fluids are diluted to levels between 26-38.
  • Fluids with a high index are 26-38 and above.
  • Fluids with a medium index are 16-25.
  • Fluids with a low index are 5-15.
  • Fluids with no active dye and do not color tissue are considered cosmetic.
  • Fast-firming fluids rapidly firm body tissues.
  • Slow-firming fluids slowly firm body tissues.
  • Soft fluids have minimal firming effect on tissues.
  • Mild fluids have a medium firming effect on tissues
  • Hard fluids have a firming effect on tissues,
  • Humectants add and retain moisture in tissues.
  • Non-humectants do not contain chemicals to add or retain moisture.
  • High-index fluids are used for extreme cases (edema, renal failure, etc)
  • Dehydrating fluids dry out body tissues.
  • Non-dehydrating fluids preserve tissues, but with controlled preservation, to avoid dehydration.
  • Tissue gas fluids arrest results of C. perfringens.
  • Arterial fluid dilution is determined and should not be changed once started.
  • A milder solution (average body) is used to begin cleaning
  • The chemical index is measured in grams dissolved in 100ml of solution.

Dilutions and Examples

  • 2% dilution of 25 index fluid: 10 oz arterial fluid + 118 oz water
  • 2% dilution of 20 index fluid: 13 oz arterial fluid & 115 oz water
  • 3% dilution of 20 index fluid: 16 oz arterial fluid & 90 oz water
  • 3% dilution of 25 index fluid: 15 oz arterial fluid & 113 oz waters

Determining Strength of Solution

  • 10 oz of 20-index fluid added to a full gallon of water is a 1.4% strength solution.

Embalming Process Effects of Medications.

  • Four different areas are impacted: drug effect on preservative solution, damage to body protein, damage to organs/kidney causing ammonia and urea to build up and damaging cell membranes.

Points to Consider

  • Patient's weight
  • Protein levels
  • Cause of death

Embalming Chemicals, Supplies, and Procedures

  • Warm water is used to dilute arterial fluids (special cases only).
  • Adding salt to a solution makes it more concentrated.
  • In a solution, salt is the solute, and water is the solvent.
  • The strength of the solution indicates how much is present.
  • The more solute present, the higher the density.
  • The ratio between the density of a substance and water is its specific gravity.
  • Hypotonic solutions have less solute than blood.
  • Hypertonic solutions have more solute than blood.
  • Slightly hypotonic solutions are optimal for arterial solutions
  • A more hypotonic solution is used when less concentrated solution is used.
  • If arterial solution is hypertonic, tissues become "waterlogged."
  • When a solution is too hypertonic, it removes moisture,

Other notes

  • Embalmers should start with a mild solution and increase once distribution is established
  • Water is not a good preservative.
  • Waterless embalming is used for cases (diseases, traum, decomposition, poor circulation, pre-refrigerated)
  • Arterial fluid pH is slightly alkaline (7.2-7.4).
  • Buffered fluids are slightly alkaline
  • Temperature of water used to dilute arterial fluids should be cool or room temperature.

Additional Topics

  • Edema corrective fluids enhance arterial fluids dehydrating effects and is hypertonic.
  • Cavity fluid is injected into thoracic, abdominal and pelvic cavities.
  • Fumeless cavity and arterial fluids can be used but should be used with caution/with perfuming agents
  • Accessory embalming chemicals are used for different purposes other than arterial embalming
  • Cautery chemicals (phenol) are for burning tissue in certain conditions.
  • Tissue builder filler is used in sunken areas of the face and hands.
  • Tissue builder is difficult to remove from area
  • Three solvents are useful: General solvents, Acetone, and tissue builder solvents.
  • Hardening compound is used to treat cavities in autopsied cases
  • An absorbent clay (bentonite) is contained in dustless hardening compounds.
  • Preservative powder should be used with caution as it may contain high amounts of formaldehyde
  • Preservative powders do not have the absorbent qualities of hardening compounds
  • Refrigeration may not fully stop mold growth
  • Sealing agents prevent leakage
  • Some restorative procedures use sealing agents
  • Mold is prevented with Mold Preventative agents
  • Nitrogenous wastes occur metabolically, such as urea.
  • Bilirubin causes yellow discoloration and biliverdin causes green discoloration, from oxidation.
  • Dehydration is the loss of moisture from body tissues
  • Edema is abnormal fluid accumulation in the body
  • An excessive concentration of bilirubin causes jaundice.
  • Hardening compounds are used to absorb and disinfect.
  • Hardening compounds, such as Pare-Dichlorobenzene Crystals, are added to embalming powders to arrest mildew and mold growth.
  • Secondary dilution weakens embalming solution

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Description

This quiz covers essential safety protocols and chemical properties related to embalming as outlined in Chapter 7. Key topics include the reactions of formaldehyde with other substances, proper disposal methods, and fluid classifications based on their firming effects. Understanding these concepts is crucial for safe and effective embalming practices.

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