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Psych E2

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
Created by: TedMed