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ECT is used to treat:
Depression that does not respond to antidepressants
- Elderly who experience severe side effects of medications
Can pregnant women receive ECT?
Yes, does not harm fetus.
ECT may also treat:
Actively suicidal clients while waiting for response to medications
Acute manic episodes (rapid cycling with very destructive behavior)
Meds that increase the seizure threshold must be discontinued for several days or decreased.
MAOI and lithium discontinued 2 weeks before.
Must be NPO for 8-12 hours prior ECT.
Use bite guard
Use BP cuff to monitor effects to one side of arm.
ECT causes what?
Increased risk in:
- Recent MI
- Intracrainal mass lesion
ECT is not useful in:
- Developmental disabilities
- Chemical dependence
- Personality disorders
- Situation depression
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