Electro-convulsive therapy

Question 1

ECT is

Answer 1

the induction of a lot or seizure by passing controlled electric current through the brain via metal electrodes across the temples

electrodes can be placed to the head bilaterally or unilaterally

is an effective treatment of patients who cannot respond to medication or other treatment modalities

treatment - 6-12 or 15 treatments in total can be given depending on the result

Question 2

ECT contraindications

Answer 2

heart disease - myocardial infarction

respiratory conditions - pulmonary embolism

brain disease - cerebral tumours

Question 3

Pre care

Answer 3

patient should fast for 6 hours from midnight before ECT and avoid giving mood stabilisers or anti-anxiety drugs a night before ECT

Question 4

Post care

Answer 4

commence post op observations, every 5 minutes for 20 minutes
- patient may move to recovery room when more than on patient and when approved by the anaesthetist
- maintain clear airway and continue with observations until patient gains consciousness
- when patient recovers, take patient to the ward and continue with post op observations
observe patient after gaining consciousness, as patient may need assistance if confused, unsteady and disorientated
- encourage patient to remain in bed until fully alert and conscious
-when patient recovers, offer sips of water, then drinks
- if tolerating drinks give food to patient and medication
- continue to offer support and reassurance as needed

Question 5

ECT side effects

Answer 5

headache
lack of concentration
temporary confusion
memory loss