What is a common pre-operative order before ECT?

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In preparation for electroconvulsive therapy (ECT), it is standard practice to order patients to be NPO (nil per os) after midnight. This means that the patient should not consume any food or fluids. The rationale behind this order is to minimize the risk of aspiration during the procedure, especially since ECT is performed under sedation or anesthesia.

By ensuring that the stomach is empty, it decreases the likelihood of complications that might arise if a patient were to vomit while unconscious. Anesthesia increases relaxation of the throat and airway, making aspiration more hazardous. Thus, adhering to this guideline is critical for patient safety.

Other options, while they may relate to different medical scenarios, do not align with the standard pre-operative protocols specific to ECT. Clear liquids might not provide adequate preparation in this context, and while medication administration could be relevant, it typically refers to medications that might be maintained or adjusted rather than standard pre-operative orders. Bed rest is not a necessary pre-operative precaution for ECT.

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