Final answer:
For a decedent with elevated bilirubin levels, embalming should be performed with low index fluids to minimize yellow discoloration due to jaundice.
Step-by-step explanation:
When a decedent exhibits an increased or excessive amount of bilirubin, the embalming is best done with low index fluids. In cases of jaundice or hyperbilirubinemia, using a high index fluid can result in an undesirable fixation of discoloration. Low index fluids are preferable because they are gentler and can help minimize the yellow discoloration associated with jaundice. Embalming with arterial fluids that have a lower concentration of formaldehyde can avoid further yellowing of the tissue.
Juandice involves an accumulation of bilirubin, a yellow pigment that is produced from the breakdown of red blood cells. The liver normally processes bilirubin, but when impaired, such as in hepatic jaundice caused by alcoholism or infections, both conjugated and unconjugated bilirubin levels rise leading to jaundice. Bilirubin's lipophilic nature can cause it to diffuse into tissues, giving a yellow color to the skin and mucous membranes, which can pose challenges during embalming.