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Psychiatric- SOMATIC
Modality
Electroconvulsive therapy is increasingly being delivered on an outpatient basis and being
administered to seniors as treatment for depression
4. cerebral vascular
malformation
5. clients with intracranial mass
lesions
ELECTROCONVULSIVE THERAPY
Contraindications:
2. Angina pectoris
3. Congestive heart failure
4. Severe pulmonary disease
5. Fractures
7. Glaucoma
PREGNANCY
ECT
Uses
Clients with major
depressive and bipolar
depressive disorders,
especially when psychotic
symptoms are present such
as delusions of guilt, somatic
delusions, and delusions of
infidelity
ECT
Uses
Manic clients whose conditions are
resistant to lithium and antipsychotic
medications and clients who are rapid
cyclers (a client with a bipolar disorder
who has many episodes of mood swings
close together)
Clients with schizophrenia (especially
catatonia), those with schizoaffective
syndromes, and psychotic clients.
ECT
Administer preoperative
medication if prescribed;
glycopyrrolate (Robinul) or
atropine sulfate may be
prescribed to prevent
aspiration and brady-
arrhythmias
ECT: DURING procedure
Intra-procedure
The nurse must obtain an IV
line
BP and Vitals taken