MODULE 8

Question 1

is a procedure, done under General anesthesia in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ____ causes changes in brain chemistry that can quickly reverse symptoms of certain mental health conditions

Answer 1

Electroconvulsive therapy (ECT)

Question 2

Ect procedure routinely takes

Answer 2

5-10 minutes excluding prepation

Question 3

Indications for electroconvulsive therapy

Answer 3

Severe depression
Treatment-resistant depression
Severe mania
Catatonia

Question 4

particularly when accompanied by detachment from reality (psychosis), a desire to commit suicide or refusal to eat

Answer 4

Severe depression

Question 5

severe depression that doesn’t improve with medications or other treatments

Answer 5

Treatment resistant depression

Question 6

a state of intense euphoria, agitation or hyperactivity that occurs as part of bipolar disorder Other signs of ___ include impaired decision-making, impulsive or risky behavior, substance abuse, and psychosis.

Answer 6

Severe mania

Question 7

characterized by lack of movement, fast or strange movements, lack of speech, and other symptoms it’s associated with schizophrenia and certain other psychiatric disorders. In some cases, ___ is caused by a medical illness

Answer 7

Catatonia

Question 8

Risks when performing electroconvulsive therapy

Answer 8

Confusion
Memory Loss
Physical Side effects
Medical Complications

Question 9

occuring immediately after treatment, lasting several minutes to several hours, more severe in older adults

Answer 9

Confusion

Question 10

some clients develop retrograde amnesia (trouble remembering memories before treatment), these problems usually resolve within a few months after completion of therapy

Answer 10

Memory Loss

Question 11

Physical Side effects of ect

Answer 11

Nausea
Headache
Jaw pain
Muscle pain

Question 12

Medical Complications of ect

Answer 12

Tachycardia
Hypertension

Question 13

Is used throughout the procedure to record electrical activity in the brain including episodes of seizures

Answer 13

Electroencephalogram (EEG)

Question 14

important pre-therapy considerations

Answer 14

• client is placed under general anesthesia
• electrode pads are placed on your head
• muscle relaxant is administered
• inducing a brief seizure

Question 15

to prevent potential aspiration and to help minimize bradyarrhythmias in response to electrical stimulants

Answer 15

glycopyrrolate (robinul) or atropine

Question 16

medications to be given during ECT

Answer 16

short acting anesthetic (brevital)
muscle relaxant (succinylcholine)
100% oxygen by mask via positive pressure