How do you handle patients who require emergency electroconvulsive therapy (ECT)?

Sample interview questions: How do you handle patients who require emergency electroconvulsive therapy (ECT)?

Sample answer:

Patient Management for Emergency Electroconvulsive Therapy (ECT)

1. Assessment and Preparation:

2. Obtain a comprehensive medical and psychiatric history, including medication use.

3. Ensure patient consent is obtained after thoroughly informing them about the procedure.
4. Establish intravenous access for medication administration.

5. Prepare the patient with appropriate immobilization devices (bite guard, arm and leg restraints).

6. Medications and Administration:

7. Administer anesthesia (e.g., propofol) to induce unconsciousness.

8. Give a muscle relaxant (e.g., succinylcholine) to facilitate muscle paralysis and prevent seizures from spreading.

9. ECT Administration:

10. Position the patient on a padded table with head elevated and airway supported.

11. Apply electrode pads to the scalp according to the prescribed protocol.

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