A biomedical treatment for severe depression in which a brief electrical current is sent through the brain of an anesthetized patient is Electroconvulsive Therapy (ECT)
Electroconvulsive Therapy (ECT) is done under anesthesia in which currents which are small in magnitude are passed on through the human brain in patients with severe depression.
ECT is used when the patient does not respond to other treatments which involves Electrically stimulating the brain while patient lies in anesthesia.
This stimulation causes a seizure which helps to relieve the symptomatic causes of the depression.
It does not lead to any damage to the brain and its cells.
Thus, it helps to treat the various mental disorders prevailing in the popoulation.
ECT is considered as the last usable option when all the treatments pre given have failed to treat the patient.
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The nurse administers cimetidine to a 75-year-old client diagnosed with a Gastric ulcer the nurse should monitor the client for the following adverse reactions Headache, Sleepiness, Confusion, Dizziness, Nausea which contribute for the change in Metal status.
- Cimetidine is a H
Receptor Antagonist. - Gastric partial cells contains receptors for Histamine.
- Histamine is released from the Enterochromaffin cells upon the stimulation from food intake or from Vagus nerve stimulation.
- Thus Histamine released from Enterochromaffin cells binds to H
receptors on the parietal cells and increases the secretion of HCl.
- Cimetidine has totally opposite effect and decreases the secretion of HCl from the parietal cells.
- Not only on gastric cells H
receptors are also present in CNS where they stimulate brain cells. - The above point justifies the adverse effects of Cimetidine.
- Patients over the age of 50 or those who are severely ill may experience transient confusion while taking H
blockers, particularly cimetidine.
Hence from these points we can conclude that patients who are above 50 years and receiving Cimetidine medication for gastric ulcer should be monitored for the above mentioned adverse reactions.
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Answer:
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