A. Before initiating ECT, a complete a history and physical and routine laboratory tests (CBC, electrolytes, liver enzymes, urinalysis, thyroid function), EKG, chest X-ray, spinal X-ray series, and brain CT scan should be completed.
B. Informed consent should be obtained 24 hours prior to the first treatment. A second psychiatrist, not involved in the treatment of the patient, must also examine the patient and document the appropriateness of ECT and the patient's ability to give informed consent and.
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