Electroconvulsive Therapy (ECT)

Question 1

ECT

Answer 1

Use of electrical activity to induce a seizure, which may enhance the effects of neurotransmitters in the brain
–Performed 2-3 times a week for a total of 6-12 treatments

Question 2

Indications

Answer 2

Major depressive disorder
(used in conjunction with antidepressants, does not replace medication therapy)
schizophrenia, acute manic episodes

Question 3

Medications

Answer 3

-Anticholinergic (ex: atropine; to decrease secretions and counteract any vagal stimulation effects)
-Short-acting anesthetic (ex: propofol)
-Muscle Relaxant (ex: succinylcholine; to paralyze muscles during seizure and prevent injury)

Question 4

Nursing Care

Answer 4

-Get informed consent prior to procedure
-Treat hypertension and dysrhythmias BEFORE ECT
-Monitor vital signs and mental status before, during, and after procedure
-Provide ongoing CARDIAC MONITORING (ECG, BP, SpO2), as ECT puts stress on the heart during seizures

Question 5

Complications

Answer 5

-Short-term memory loss is expected, and may persist for several weeks
-Relapse of depression, ECT is not a permanent cure.