Term
| Patient misconceptions about ECT therapy |
|
Definition
Shock will be painful
Shock will produce a vegetable like state afterwards
Will have epilepsy after shock therapy |
|
|
Term
| Memory loss will be temporary and is MINIMAL. True or False |
|
Definition
|
|
Term
| NURSE assesmment parameters that is monitored during and post-ECT |
|
Definition
Blood Pressure
Heart Rate
Pulse oximetry |
|
|
Term
|
Definition
| Shock therapy causing an electric shock to the brain that causes seizures |
|
|
Term
| Nursing Responsibilies before ECT |
|
Definition
NPO for at least 6-8 hours
ATROPINE to reduce secretions, given 30-45 minutes before procedure
Have patient urinate before procedure to minimize incontinence
Vital signs
Remove hairpins, dentures, hearing aid, contact lens
Keep positive attitude with patient to decrease anxiety
Thoroughly assess pt's pretreatment level of functioning |
|
|
Term
|
Definition
IV line inserted
Bite block inserted
Methohexital (Brevital) or another short acting anesthesia given to eliminate anxiety
Succinylcholine(Anectine) neuromuscular agent given
Anethesiologist mechanically ventilates and EEG monitored
(reference pg. 572-573) |
|
|
Term
| Nursing responsibilities AFTER ECT |
|
Definition
Reorient to time, place, and person as the patient awakens
O2 therapy continues
Administer Benzodiazapine ( per Dr order for agitation)
Continue to monitor vital signs
Acetaminophen for headaches |
|
|
Term
|
Definition
Major Depression, ECT has rapid response
Used when pt. cannot tolerate medications
Catatonia
Mania
Some types of schizophrenia
(See pg. 575) |
|
|
Term
|
Definition
pg. 576-7
Controversial brain surgery to provide relief from mental disorders that have been resistant to other treatment forms
IRREVERSIBLE |
|
|
Term
| Bright light therapy (phototherapy) |
|
Definition
Exposure to bright light for several hours a day
Best time to do procedure is early morining
Can be used for SEASONAL AFFECTIVE DISORDERS (SAD) PG. 578
Therapeutic effect is mediated by the eyes, not the skin |
|
|
Term
| CONTRAINDICATIONS for Bright Light Therapy |
|
Definition
use of Photosensitivity medications
Glaucoma
Cataracts |
|
|
Term
| Conditions that respond to Bright Light Therapy |
|
Definition
|
|
Term
| How can the nurse determine if Bright Light therapy is successful? |
|
Definition
| Patient states " that mood has improved from sad to normal". |
|
|
Term
| Repetitive Transcranial Magnetic Stimulation (TMS) |
|
Definition
pg. 578
Symptoms of depression can be reduced by TMS of the brain, perhaps by increasing levels of neurotransmitters. |
|
|
Term
|
Definition
Temporary hearing loss
seizures in seizure free patients
headaches |
|
|
Term
| Precautions for TMS therapy |
|
Definition
Patients with metal implanted in their body should be carefully assessed. Ex. include pacemakers, metal plates,
Patients with heart disease or increased cranial pressure should be carefully evaluated |
|
|
