ECT INSTRUCTION

ON ECT DAY

1. venflon to all patients(GREEN VENFLON)

2. Check for blocks in venflon prior to procedure
3. Avoid tight fitting dresses( shirt and a skirt for females…)
4. Remove dentures
5. Strict adherence to NPO( 8 hours of fasting for solids and liquids)
6. Bladder should be emptied prior to procedure

PRE ECT PREPARATION

1. Routine blood investigation (CBC,RBS,RFT,LFT,SERUM ELECTROLYTES)
2. Chest x ray
3. ECG
4. Covid testing
5. CT brain
6. Attach FILLED ECT proforma
7. Informed Consent
8. PRE post ECT Scores(scales)
9. Rule out pregnancy if needed
10. DRUGS:
 Antipsychotics can be continued including clozapine
 Antidepressants can be continued
 Lithium either to be stopped a day before OR therapeutic level should be
less than 0.1mEq/L
 Benzodiazepines should be stopped
 Carbamazepine should be stopped
 Antihypertensive continued (taken with a sip of water)
 Oral hypoglycemic drugs morning to be stopped on day of ECT

POST ECT INSTRUCTIONS

1.liquid diet to be started 2 hrs after ECT
2.maintain i.v.access adequate hydration
3.post ECT Scales to be noted
4 if patient is on cmhrs insurance (file for ECT also)
5.watch for myalgia, vomiting,headache