Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
Know
remaining cards
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards




share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

ECT

From ANCC Review

QuestionAnswer
ECT is electroconvulsive therapy
ECT does this elicits a grand mal seizure
usual course of ECT 6-12 treatments
ECT is considered as a late option for resistant illness - per Dr. Nickell, good option none the less. Many insurances will not pay until failure of a medication from each class occurs.
3 theories on the mechanism of action of ECT NT Theory Neuroendocrine Theory Anticonvulsant Theory
NT Theory states ECT acts like TCA, increasing DA, 5HT and adrenergic NT
Neuroendorcrine Theory states ECT releases hypothalamic and pituitary hormones, prolactin, TSH, ACTH and endorphins
ACTH is adrenocorticotropic hormone
Anticonvulsant Theory states ECT exerts anticonvulsant effect on brain leading to an antidepressant effect
situations where ECT may be used need for rapid response due to severe psychiatric or medical conditions risks of other tx outweigh risks of ECT hx of poor med response hx of good ECT response pt preference
Insurance wants this ECT as last resort
Contraindications to ECT pre-existing cardiac illness - must be assessed compromised pulmonary status - must be assessed hx of CNS problems medical complications after anesthesia
Adverse effects of ECT CV effects Systemic Effects Cognitive Effects
Systemic Effects include HA, anorexia, muscle aches, drowsiness, nausea
Cognitive Effects include memory disturbance, confusion
Placement of ECT electrodes (3 areas) Right Unilateral Bifrontal Bitemporal
When not to use Right Unilateral Initially When patient is Left Handed (85% of people are right brain dominant). Treatment over the dominant side can make pts delirius.
Right unilateral and bifrontal provide patients with: Good Response and Low Side Effects
Created by: jonquil