Week 3 MH ECT Flashcards
(55 cards)
What is the primary purpose of Electroconvulsive Therapy (ECT)?
To induce a controlled seizure that helps ‘reset’ brain chemistry in clients with treatment-resistant mental illness.
What are common indications for ECT?
Severe Major Depressive Disorder, Bipolar Disorder (manic or depressive episodes), catatonic schizophrenia, postpartum psychosis, and some neuro disorders.
What must the nurse verify before ECT?
Informed consent is signed, patient is NPO 6–8 hours, dentures/jewelry/contacts removed, and voiding is completed.
Why are anticonvulsants and benzodiazepines held before ECT?
Because they interfere with seizure induction required for therapeutic effect.
What medications are given prior to ECT and why?
Atropine (reduces secretions), methohexital or propofol (anesthetic), and succinylcholine (muscle relaxant).
What is the purpose of placing a BP cuff on one limb during ECT?
To monitor for seizure activity in that isolated limb (isolated limb technique).
What are expected side effects immediately following ECT?
Confusion, disorientation, memory loss, headache, muscle soreness, and nausea.
What is the nurse’s priority post-ECT?
Place patient in a side-lying position, reorient frequently, and monitor VS q15 min.
Why is it important to check the gag reflex after ECT before giving PO fluids?
To ensure the airway is protected and prevent aspiration.
Does ECT cure depression?
No, but it helps stabilize symptoms so other treatments like therapy or meds can be effective.
What is the primary purpose of ECT?
To induce a controlled seizure that ‘resets’ brain chemistry, often used for severe or treatment-resistant psychiatric disorders.
Which three neurotransmitters are increased during ECT?
Serotonin, dopamine, and norepinephrine.
What are two major psychiatric conditions commonly treated with ECT?
Major Depressive Disorder (MDD) and Bipolar Disorder.
What must be done pre-procedure regarding medications?
Hold anticonvulsants and benzodiazepines as they can interfere with seizure induction.
Why is atropine given before ECT?
To reduce secretions and prevent vagal-induced bradycardia.
What medication is used to prevent full-body convulsions during ECT?
Succinylcholine (a muscle relaxant).
What is the nurse’s priority immediately post-ECT?
Place the patient in a side-lying position to prevent aspiration.
Which vital reflex must be checked before giving oral intake post-ECT?
The gag reflex.
What are common temporary side effects of ECT?
Confusion, disorientation, headache, memory loss, nausea.
What is the nurse’s role during the ECT procedure?
Assist providers, monitor airway, vital signs, oxygenation, and observe seizure activity.
What is a relative contraindication for ECT that requires special monitoring?
Increased intracranial pressure (e.g., brain tumor, recent stroke).
How long does the induced seizure typically last during ECT?
15–60 seconds.
Why is reorientation important after ECT?
Patients may be disoriented and anxious due to temporary memory loss.
How often should vital signs be monitored post-ECT?
Every 15 minutes until stable.
