Electro-convulsive Therapy

Question 1

True or False

Electro-convulsive therapy (ECT) mechanism of action is unclear at present.

Answer 1

True

Question 2

Voltage applied to the patient

Answer 2

70 – 150 volts

Question 3

Duration of application of ECT

Answer 3

0.5 – 2 seconds

Question 4

Usual number of treatments to produce
therapeutic effect

Answer 4

6 – 12 treatments

Question 5

Frequency of treatments

Answer 5

An interval of 48 hours for each treatment

Question 6

Indications of effectiveness of ECT

Answer 6

Generalized tonic seizure

Question 7

Indication for ECT

Answer 7

Depression
Mania
Catatonic
Schizophrenia

Question 8

Contraindication to ECT

Answer 8

Fever
Increased ICP
Cardiac problems
TB with history of hemorrhage
Recent fracture
Retinal detachment
Pregnancy

Question 9

True or False

Consent is needed prior to ECT

Answer 9

True

Question 10

Medication prior to ECT (Modified type)

Answer 10

11.Atropine Sulfate
2.Anectine (Succinylcholine)
3. Methohexital Sodium (Brevital)

Question 11

Medication given to decrease secretions

Answer 11

Atropine Sulfate

Question 12

Medication given to promote muscle relaxation

Answer 12

Anectine (Succinylcholine)

Question 13

Serve as an anesthetic agent

Answer 13

Methohexital Sodium (Brevital)

Question 14

Medication prior to ECT (Modified type) common side effects

Answer 14

Loss of memory
Headache
Apnea

Question 15

Medication prior to ECT (Modified type) common complications

Answer 15

Fracture of (Long Bones)
Respiratory depression