Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychiatry > ECT > Flashcards

ECT Flashcards

1
Q

Indications for ECT x5

A

Catatonia
Severe depression
Treatment resistant mania
Treatment resistant psychosis
Neuroleptic malignant syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Contraindications for ECT x5

A

CVA/ MI
Pheochromocytoma
Intracerenral hemorrhage
Recent brain surgery
Increased intracranial pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Physiological changes that occur during ECT x2

A

Increased blood flow to the brain
Increased BBB permeability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Biochemical changes during ECT x3

A

Increased neurotrophic factors
Changes the way neurotransmitters work
Increase gene expression for different brain proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Structural changes during ECT

A

Increase in size of amygdala

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are neurotrophic factors

A

Biochemicals that support growth, survival and differentiation of developing and mature neurons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How to know if they are having seizures x4

A

EEG
EMG
BP cuff
Muscle movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Initial seizure threshold

A

50-100 mC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which hemisphere is unilateral ECT given

A

Non dominant hemisphere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When is unilateral ECT given x3

A

Previously good response on UECT
Priority to minimize memory impairment
When speed of response is less important

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Side effects of ECT x5

A

Confusion
Headache
Muscle aches
Memory impairment
Injuries to inside of mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How to minimize memory impairment x4

A

Unilateral ECT
Reduce frequency of sessions
Slower dose titrations
Use of brief pulse instead of sine wave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is a prolonged seizure, how is it managed and prevented

A

Seizure> 180 seconds
IV Diazepam 5-10mg
Use of lower dose on next ECT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Classification of ECT x5

A

Anesthesia: direct or modified
Electrode placement: bifrontal, bitemporal, unilateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe where bitemporal lobes are placed

A

5cm of the external canthus of the eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe where bifrontal lobes are placed

A

4cm above the midpoint of the line joining the canthus of the eye and the tragus of the ear

17
Q

Phases of seizures in response to ECT x5

A

Onset
Tonic phase
Clonic phase
Post ictal suppression
Recovery phase

18
Q

How to monitor a seizure x3

A

Cuff method
EEG monitoring
Eye inspection

19
Q

Side effects due to anesthesia x5

A

Nausea and vomiting
Myalgia & headache
Difficult breathing
Airway irritation
Death

20
Q

Side effects of ECT x5

A

Confusion
Memory loss
Emotional blunting
Retrograde amnesia
Cognitive impairment

Psychiatry (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions