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Care of Patient With ECT

ECT involves electrically stimulating the brain to induce seizures for therapeutic purposes. Key steps in ECT include: 1) Evaluating the patient's medical and psychiatric history and obtaining informed consent. 2) Positioning electrodes and administering anesthesia and muscle relaxants while monitoring vitals. 3) Inducing a seizure and monitoring the patient. 4) Providing post-procedure care like monitoring for confusion and preventing injury until the patient has recovered.

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Sanket Telang
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852 views1 page

Care of Patient With ECT

ECT involves electrically stimulating the brain to induce seizures for therapeutic purposes. Key steps in ECT include: 1) Evaluating the patient's medical and psychiatric history and obtaining informed consent. 2) Positioning electrodes and administering anesthesia and muscle relaxants while monitoring vitals. 3) Inducing a seizure and monitoring the patient. 4) Providing post-procedure care like monitoring for confusion and preventing injury until the patient has recovered.

Uploaded by

Sanket Telang
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Chapter 5 TherapeutiC Modalities and Therapies used in Mental Disorders 139

the Nurse The place(s) of electrode placement


Role of should be cleaned with normal-saline or
Pre-trealment Evaluation
25%bicarbonate solution, or a conducting_
Detailed medical
and >sychiatric history, gelapplied
,

inchuding history ofallergies


Monitorvaltage(mtensityandduratior of
Assessment of patients' and
families electrical stimulus given.
knowledge o1 indications, (side-effects, Monitorseizure activity using cuff method
therapeutic effectsand riskS
associated 100percentoxygen should be provided.
with ECT During seizure monitor vital signs, ECG,
should be taken.
. An informed consent oxygen saturation, EEG, etc.
Allay any unfounded fears and anxieties Recorg the findings and medicines given
regarding the procedure in the patient's chart.
Assess baselinevital signs
, Ratient should be on empty stomach fòr Post-procedure Care
4-6 hours prior to
ECT
which Monitor vital signs
ithhold night doses of drugs Continue oxygenation till spontaneous
increase seizure threshold)lik hazepam,
respiration starts
Jarbiturates and gticonvulsants
Withhold oralmedications in the morning Assess for post-ictalconfusion and restless-
Head shamnpooing in the morning since oil ness
causesimpedance of passage of electricity .Takesafety precautions to prevent injury

to brain (side-lying position and suctioning to


prevent aspiration ofsecretidiñs, use ofside
Anyjewelleryprosthesis,adentures, contact
Tens metallic objects and tight clothing> rails to prevent falls)
should beremoved from the patient's body .Ifthere is severe post-ictal confusion
and restlessness, IV diazepam may be
Empty bladder and bowel just before ECT
Administration of 0.6 mg atropine IM. or administered
SC 30 minutes before ECT, or IV just before .(Reorientthe patient after recovery and stay
ECT with him until fully oriented
Document any findings as relevant in the

Intra-procedure Care patient's record.

Place the patient comfortably on the ECT LIGHT THERAPY


table insupine position
Stay with he patientto allay anxiety and Light therapy, sometimes called photot-
fear involves the patient to an
herapy, exposing
Assist in administering theanesthetic artificial light source during winter months
agent (thiopentalsodium3-5 mg/kg body to relieve seasonal depression. The light
weight) and pscle relaxant (1 mg/kg source must be very bright, full-spectrum
body weight ofsttccynylcholine) light, usually 2,500 lux.
Since the muscle relaxant paralyzes all
muscles including respiratory muscles,
Indications
patent airway should be ensured and
ventilatory support should be started Bulimia

OUth gag should be inserted to prevent Sleep maintenance insomnia


possible tongue bite Scasonal depression.

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