University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2021
Views:

347

Pages:

1
Author:

Accinkiquicpqw

ACTIVE LEARNING TEMPLATE: Therapeutic Procedure STUDENT NAME _____________________________________ Patient care for ECT PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________ Description of Procedure Electrical current is used to induce a brief seizure while the client is anesthetized. Indications Major Depressive Episode - Sysptoms unresponsive to medication. - Other treatment higher risk than ECT - Suicidal/Homicidal and need for rapid therapeutic response - Psychotic manifestations Schizophrenia - Catatonic manifestations - Schizoaffective disorder Acute Mania - Rapid cycling - Unresponsive to lithium or antipsychotics Outcomes/Evaluation - Monitor vitals - Assess memory - Assess pain - Monitor symptoms of depression - Monitor symptoms of schitzophrenia Potential Complications - Memory loss - Head aches - Anethesia reactions - Cardiovascular changes including rythem ACTIVE LEARNING TEMPLATES CONSIDERATIONS Nursing Interventions (pre, intra, post) Pre: Eval: - Atropine or glycopyrrolate 30 minute before to reduce secretions - Verify Consents signed - Blood work, ECG, Chest X-ray - Discontinue Benzodiazepines prior - Monitor vitals - Monitor pre existing heart conditions Intra: Eval: - Monitor client - Administer 100% O2 Post: Eval: - Monitor vitals - Monitor pre existing heart conditions - Monitor blood pressure Client Education - 2-3 times weekly for first 6 to 12 treatments - not permanant fix and requires maintenance treatments - May cause memory loss Nursing Interventions - Insert IV and administer fluids - Administer medications - Manage head ache pain - Provide continuous monitoring of vitals - Monitor cardiac rythm - Reorient client as neccesary - Assist with hygeine needs