Funeral Director Series - COD Pancreatic Cancer & Liver Failure

What it is -
How to recognize it -
THINGS TO CONSIDER
Embalming -
Fluid selection -
Injection/drainage -
Also -

What it is -
How to recognize it -
THINGS TO CONSIDER
Embalming -
Fluid selection -
Injection/drainage -
Also -

What it is -
How to recognize it -
THINGS TO CONSIDER
Embalming -
Fluid selection -
Injection/drainage -
Also -

What it is - a condition characterized by an excess of
watery fluid collecting in the cavities and tissues of
the body
How to recognize it - the body will appear swollen
and watery, could be localized to the extremities or
certain body cavities
THINGS TO CONSIDER
Embalming - due to the additional watery fluid
collected in the body, arterial fluids will be diluted
upon injection
Fluid selection - consider increasing HCHO content to
counter dilution concerns
Injection/drainage - multipoint injection recommended
carotid + both femoral arteries depending upon
where edema is noted, hypotrochar areas where
fluid distribution is questionable, and to help
dehydrate certain areas
consider allowing edema to drain after embalming,
then reaspirate cavities where fluid has drained
Also - beware of skinslip as tissues will be delicate,
watch for wrinkling as fluids drain out of the body,
do not overincrease HCHO levels as it may cause
dehydration

What it is - dry gangrene; obstruction of arterial blood
supply that may be caused by infection with strepto-
cocci, staphylococci, or other organisms. Limited
bacterial activity due to dryness of tissues
How to recognize it - tissues dry out creating a line
of demarcation. Skin looks like scales on a snake.
THINGS TO CONSIDER
Embalming - hypotrochar the area to ensure good
distribution
Fluid selection - n/a
Injection/drainage - poor distribution due to
damaged capillary beds
Also - subject likely to have other circulatory problems,
problems, watch for arteriosclerosis, heart disease

What it is - excessive accumulation of fat in the body;
increase in weight beyond that considered desirable
with regard to age, height, and bone structure
How to recognize it - BMI (body mass index) test,
pinch test, depth of adipose tissue at incision site(s)
THINGS TO CONSIDER
Embalming - possible need of help with moving
subject
Fluid selection - n/a
Injection/drainage - n/a
Also - n/a

What it is - hardening of the arteries reducing lumen
size
How to recognize it - lumen of the artery will feel
gritty, cannula may be difficult or impossible to
insert
THINGS TO CONSIDER
Embalming - several attempts may be needed for
cannula insertion
Fluid selection - **suggest pre-injection, adding
humectant??**
Injection/drainage - watch closely for distribution as
blockages are likely, may need to consider multipoint
injection, watch for distention and fluid build-up
Also - subject may also present with cellulitis, heart
disease, arteriosclerosis, or other circulatory problems

FLUID CHART
lab reports to specify chemical selection with
reason for selection
Start at 2.00%
- for the following, go to.....
Asphyxia 2.0% Autopsy 2.5% Cancer consider + Decomposition or Frozen 3.0% Dehydration/Emaciation 1.0% Edema consider + HIV (or any commun. disease) 3.0% Jaundice 1.0% Primary flaccidity consider - Tissue Gas 3-5% Trauma 2.5-3%
FLUID CALCULATIONS
C x V = C₁ x V₁
C Concentration of fluid in the bottle (index) X
V Volume of fluid in the bottle (oz) =
C₁ Concentration of fluid to be injected (2%) X
V₁ Volume of fluids to be injected (total in oz)
approx. 1 gallon of fluid/50 lbs of body mass