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close this bookClinical Guidelines for Diagnosis and Treatment of Common Conditions in Kenya (WHO; 2002; 344 pages)
View the documentFOREWORD
View the documentPREFACE
View the documentACKNOWLEDGEMENTS
View the documentABBREVIATIONS
Open this folder and view contents1. ACUTE INJURIES AND TRAUMA & SELECTED EMERGENCIES
Open this folder and view contents2. AIDS & SEXUALLY TRANSMITTED INFECTIONS
Open this folder and view contents3. CARDIOVASCULAR DISEASES
Open this folder and view contents4. CENTRAL NERVOUS SYSTEM
Open this folder and view contents5. DENTAL AND ORAL CONDITIONS
Open this folder and view contents6. EAR, NOSE AND THROAT CONDITIONS
Open this folder and view contents7. ENDOCRINE SYSTEM CONDITIONS
Open this folder and view contents8. EYE CONDITIONS
Open this folder and view contents9. FAMILY PLANNING
Open this folder and view contents10. GASTROINTESTINAL CONDITIONS
View the document11. IMMUNIZATION
Open this folder and view contents12. INFECTIONS (SELECTED) & RELATED CONDITIONS
close this folder13. MENTAL DISORDERS
View the document13.1. ACUTE CONFUSION (Acute Psychosis)
View the document13.2. ALCOHOL WITHDRAWAL (Delirium tremens)
View the document13.3. SUBSTANCE ABUSE RELATED DISORDERS
View the document13.4. ANXIETY
View the document13.5. CHILDHOOD PSYCHIATRIC DISORDER
View the document13.6. CONVERSION SYNDROMES
View the document13.7. DEPRESSION
View the document13.8. BIPOLAR MOOD DISORDER (MANIC EPISODE)
View the document13.9. SCHIZOPHRENIA
View the document13.10. SLEEP DISORDERS
View the document13.11. SUICIDE ATTEMPTS
View the document13.12. VALUE OF ELECTRO-CONVULSIVE THERAPY (ECT)
Open this folder and view contents14. MUSCULOSKELETAL CONDITIONS
Open this folder and view contents15. NEONATAL CARE & CONDITIONS
Open this folder and view contents16. NEOPLASMS
Open this folder and view contents17. NUTRITIONAL AND HAEMATOLOGIC CONDITIONS
Open this folder and view contents18. OBSTETRIC AND GYNAECOLOGICAL CONDITIONS
Open this folder and view contents19. ORTHOPAEDICS
View the document20. POISONING
Open this folder and view contents21. RESPIRATORY DISEASES
Open this folder and view contents22. SIGNS & SYMPTOMS
Open this folder and view contents23. SKIN DISEASES
Open this folder and view contents24. SURGERY
Open this folder and view contents25. Genito-urinary Diseases: Urinary Tract & Renal Conditions
Open this folder and view contentsAnnexes
 

13.12. VALUE OF ELECTRO-CONVULSIVE THERAPY (ECT)

• Shortens hospital average length of stay, where necessary, e.g. elderly patients, puerperal patients

• Alternative treatment where side effect of psychotropic drugs are to be avoided, e.g. elderly patients, pregnant mothers

• Suicidal patients

• Refractory mental illnesses where there is an indication.


Classical indications

• major depressive disorder;

- psychosis

- suicidal attempts

- stupor

• Schizophrenic stupor

• Bipolar mood disorder (manic episode) refractory to pharmacotherapy.


Management of side effect of anti-psychotic drugs

• For extra Pyramidal Side Effects (EPSE) and Anticholinergic side effects, administer tabs Benzhexhol Hydrochloride 2-5 mg TDS PO.

OR

Biperiden tabs 2-4 mg TDS PO.

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