Electroconvulsive Therapy
What is ECT? correct answers Induction of a grand mal seizure through the application
of electrical current to the brain
How are the ECT electrodes places? correct answers Bilaterally- frontotemporal region
OR
Unilaterally on the same side as the dominant hand
How is the ECT dose decided? correct answers Based on the client's seizure threshold,
which is highly variable
How long should a seizure last? correct answers At least 15-25 seconds
How often is ECT performed? correct answers Every other day, 3x/week
How many ECT treatments do most clients get? correct answers 6-12
When was the first ECT performed? correct answers 1938 in Rome
What was insulin coma therapy? correct answers Injection of insulin produced
hypoglycemic coma, believes to help sx of schizophrenia
Too many fatalities occured w/ this and its been discontinued
What are the indications for ECT therapy? correct answers Not a first line treatment,
but used when med's don't produce a therapeutic response
Severe depression after meds don't work
Acute manic episodes of bipolar disorder (or those who are ''refractor'' to antimaniac
drug therapy)
Acute schizophrenia
Absolute contraindications for ECT? correct answers Increased ICP:
brain tumor
recent stroke
brain lesions
Other contraindications for ECT: correct answers MI
CVA w/in past 3-6 mos
aortic/cerebral aneurysm
severe HTN
congestive heart failure
What is ECT? correct answers Induction of a grand mal seizure through the application
of electrical current to the brain
How are the ECT electrodes places? correct answers Bilaterally- frontotemporal region
OR
Unilaterally on the same side as the dominant hand
How is the ECT dose decided? correct answers Based on the client's seizure threshold,
which is highly variable
How long should a seizure last? correct answers At least 15-25 seconds
How often is ECT performed? correct answers Every other day, 3x/week
How many ECT treatments do most clients get? correct answers 6-12
When was the first ECT performed? correct answers 1938 in Rome
What was insulin coma therapy? correct answers Injection of insulin produced
hypoglycemic coma, believes to help sx of schizophrenia
Too many fatalities occured w/ this and its been discontinued
What are the indications for ECT therapy? correct answers Not a first line treatment,
but used when med's don't produce a therapeutic response
Severe depression after meds don't work
Acute manic episodes of bipolar disorder (or those who are ''refractor'' to antimaniac
drug therapy)
Acute schizophrenia
Absolute contraindications for ECT? correct answers Increased ICP:
brain tumor
recent stroke
brain lesions
Other contraindications for ECT: correct answers MI
CVA w/in past 3-6 mos
aortic/cerebral aneurysm
severe HTN
congestive heart failure
