Professional Documents
Culture Documents
Depression
Mania
Schizophrenia
Others-
Anorexia nervosa
Early morning insomnia
OCD
Post partum psychosis
PREFERENCE OF ECT OVER
OTHER TREATMENTS
ABSOLUTE RELATIVE
ABSOLUTE
In Tonic phase
Bleparospasm- a tonic spasm of eyelid muscles is
observed when current is applied.
Mild grimace
In Clonic phase
Babinski refl ex-slow planter fl exion during tonic
phase and fi ne movements of toes in clonic phase
Planter fl exion
Phases Happening Duration Reflexes
Depression:- Pati ent show response aft er few ECT and peak
response aft er 10-12 ECT.
Explanati on of procedure
Informed consent
Detailed medical and psychiatric
history
General and systemic physical
examinati on
Routi ne laboratory investi gati ons (Hb, ESR,urine
routi ne, ECG, chest X ray)
Others like EEG and plasma pseudo cholinesterase (for
those who receive succinyl-choline)
ROLE OF NURSE
.
4.Support the shoulder To prevent fractures.
and arms tightly, restrain
the thigh with the help of
sheet.
To prevent jaw dislocation
5. Hyperextension of head and for patent airway
with support to chin by
the nurse.
6. Give few breaths of oxygen •To help the patient to
to patient. overcome phase of apnea
after convulsions.
Introducti on
Defi niti on
Indicati ons
Contraindicati ons
Types & techniques
Procedure
Complicati ons
Nursing care
RECAPITULATION
Q1.Define ECT.
Q2.What are the indications of ECT?
True or false
1. Succinylcholine is a anesthetic agent.
2. ECT can not be given in pregnancy.
3. Amount of current passed in ECT IS 200-1600mA.
THANK YOU