Psych E2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What is ECT? | Tx in which grand mal seizure lasts 25-60 seconds via electrical currents to head.
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| What is ECT's mechanism of action? | Acts like tricyclic antidepressants by releasing prolactin, TSH, Adrenocotricotrpoic hormone, and endorphins.
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| What is the usual course of tx? | 6-12 tx 2-3x/week
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| Indications for ECT? | Severe depression, bipolar, suicidal/homicidal, poor drug response, Pregnant psychiatric patients, postpartum psychosis, schizophrenia, catatonoia
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| Adverse effects of ECT? | Headaches, nausea, muscle soreness, drowsiness, confusion, amnesia
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| 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
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| Purpose of Robinul or Atropine | Anticholinergic: inhibits salivation and respiratory secretions which prevents aspiration and vagal stimulation
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| Purpose of Anectine | Minimize motor response and prevents fractures&dislocations (Ambu bag oxygen needed)
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| Purpose of Thiopental or Brevital (methohexital) | Ansesthics; sedation
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| Purpose of Benzodiazepines such as Diazepam (Valium) or Pentothal | Given if seizures last too long
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| Absolute contraindications | Brain tumor w/ increased intracranial pressure
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| Very High Risk | Recent MI, CVA, or intracranial mass lesion
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| High Risk | CP, CHF, Severe pulmonary disease or osteoporosis, glaucoma, retinal detachment, thrombophlebitis, pregnancy
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