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ECT
Psych E2
Question | Answer |
---|---|
What is ECT? | Tx in which grand mal seizure lasts 25-60 seconds via electrical currents to head. |
What is ECT's mechanism of action? | Acts like tricyclic antidepressants by releasing prolactin, TSH, Adrenocotricotrpoic hormone, and endorphins. |
What is the usual course of tx? | 6-12 tx 2-3x/week |
Indications for ECT? | Severe depression, bipolar, suicidal/homicidal, poor drug response, Pregnant psychiatric patients, postpartum psychosis, schizophrenia, catatonoia |
Adverse effects of ECT? | Headaches, nausea, muscle soreness, drowsiness, confusion, amnesia |
Nursing Care of ECT | NPO 6-8 hours before tx Remove prostheses, glasses, hearing aids Void before tx Bite block Informed consent After check q15 mins |
Purpose of Robinul or Atropine | Anticholinergic: inhibits salivation and respiratory secretions which prevents aspiration and vagal stimulation |
Purpose of Anectine | Minimize motor response and prevents fractures&dislocations (Ambu bag oxygen needed) |
Purpose of Thiopental or Brevital (methohexital) | Ansesthics; sedation |
Purpose of Benzodiazepines such as Diazepam (Valium) or Pentothal | Given if seizures last too long |
Absolute contraindications | Brain tumor w/ increased intracranial pressure |
Very High Risk | Recent MI, CVA, or intracranial mass lesion |
High Risk | CP, CHF, Severe pulmonary disease or osteoporosis, glaucoma, retinal detachment, thrombophlebitis, pregnancy |