GAMBARAN HEMODINAMIK PASIEN SECTIO CAESAREA DENGAN ANESTESI SPINAL YANG DIBERIKAN ELEVASI KAKI RSAD TK.II UDAYANA ABU BAKAR Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang: Anestesi spinal pada sectio caesarea memiliki risiko yang sangat tinggi terhadap keselamatan ibu dan bayi, seperti hipotensi dan bradikardi yang dapat menyebabkan aliran darah ke plasenta terganggu dan dapat menyebabkan depresi janin. sehingga dilakukan tindakan non farmakologi yang lebih seperti elevasi kaki. Tujuan: untuk mengetahui gambaran hemodinamik pasien sectio caesarea dengan anestesi spinal yang diberikan elevasi kaki di RSAD TK. II Udayana. Metode: Metode pada penelitian ini yaitu desain penelitian kuantitatif non eksperimental dengan deskriptif dengan pendekatan cross-sectional. Hasil: Tekanan Darah menit ke lima dalam kategori normal 79,7% dan hipotensi sebanyak, 20,3%, menit ke 10 dalam kategori normal sebanyak 75,4%, dan hipotensi 24,6%, menit ke 15 dalam kategori normal sebanyak 92,8% dan hipotensi 7,2%, dan menit ke 20 dalam kategori normal sebanyak 94,2% dan hipotensi 5,8%. Mean Atrial Pressure menit ke lima dalam kategori normal 79,7% dan rendah 20,3%, menit ke 10 dalam kategori normal sebanyak 65,2% dan rendah 34,8%, menit ke 15 dalam kategori normal sebanyak 82,6% dan rendah 17,4%, dan menit ke 20 dalam kategori normal sebanyak 91,3% dan rendah 8,7%. Heart rate menit ke lima dalam kategori normal sebanyak 91,3%, bradikardi 2,9% dan takikardi 5,8%. menit ke 10 dalam kategori normal sebanyak 97,1% dan brdaikardi 2,9%, menit ke 15 dalam kategori normal sebanyak 92,8%, bradikardi 1,4%, takikardi 5,8%, menit ke 20 dalam kategori normal sebanyak 91,3%, bradikardi 2,9% dan takikardi 5,8%. Kesimpulan: Responden dalam penelitian ini memiliki hemodinamik dalam kategori normal antara lain tekanan darah menit ke lima 79,7%, menit ke 10 sebanyak 75,4%, menit ke 15 sebanyak 92,8%, dan menit ke 20 sebanyak 94,2%. Mean Atrial Pressure menit ke lima 79,7%, menit ke 10 sebanyak 65,2%, menit ke 15 sebanyak 82,6%, dan menit ke 20 sebanyak 91,3%, Heart rate menit ke lima 91,3%, menit ke 10 sebanyak 97,1%, menit ke 15 sebanyak 92,8%, menit ke 20 sebanyak 91,3%. Keyword: Sectio Caesarea, Anestesi Spinal, Elevasi Kaki, Hemodinamik.

THE HEMODYNAMIC OF SECTIO CAESAREA PATIENT THROUGH SPINAL ANESTHESIA WITH FOOT ELEVATION AT RSAD TK.II UDAYANA Abu Bakar Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background: Spinal anesthesia at caesarean section has a high risk toward the safety of the mother and baby, such as hypotension and bradycardia which causes impaired blood flow to the placenta and causes fetal depression. So that more nonpharmacological measures such as foot elevation are carried out. Purpose: To determine the hemodynamic of section caesarea patient through spinal anesthesia with foot elevation at RSAD TK. II Udayana Method: This study employed non experimental quantitative research with crosssectional approach. Result: The finding showed that there were 79.7% had normal blood pressure at the 5th minutes, and 20.3% experienced hypotension. There were 75.4% had normal blood pressure at the 10th minutes and 24.6% experienced hypertension. There were 92.8% had normal blood pressure at the 15th minutes and 7.2% experienced hypotension. There were 94.2% had normal blood pressure at the 20th minutes and 5.8% experienced hypertension. There were 79.7% had normal mean atrial pressure at the 5th minutes and there were 20.3% had low mean atrial pressure. There were 65.2% had normal mean atrial pressure and 34.8% had low mean atrial pressure at the 10th minutes. There were 82.6% had normal and 17.4% had low mean atrial pressure at the 15th minutes. At the 20th minutes, there were 91.3% had normal mean atrial pressure and 8.7% had low mean atrial pressure. There were 91.3% had normal heart rate at the 5th minutes, 2.9% experienced bradycardia and 5.8% experienced tachycardia. There were 97.1% had normal heart rate at the 10th minutes and 2.9% experienced bradycardia. There were 92.8% experienced normal heart rate at the 15th, 1.4% experienced tachycardia. There were 91.3% experienced normal hearth rate at the 20th minutes, 2.9% experienced bradycardia and 5.8% experienced tachycardia. Conclusion: Respondents had hemodynamics in the normal category, including blood pressure in the 5th minute of 79.7%, 75.4% of the 10th minute, 92.8% of the 15th minute, and 94.2% of the 20th minute. Mean Atrial Pressure in the 5th minute is 79.7%, the 10th minute is 65.2%, the 15thminute is 82.6%, and the 20th minute is 91.3%, Heart rate in the 5th minute is 91.3%, minutes 10th minute is 97.1%, 15th minute is 92.8%, 20th minute is 91.3%. Keywords: Section Caesarea, Spinal Anesthesia, Foot Elevation, Hemodynamic