MULTIPLE CASE STUDY : TINDAKAN FARMAKOLOGI DAN NON FARMAKOLOGI DALAM PENANGANAN PONV DI RSD MANGUSADA Ni Made Puspita Dewi Fakultas Kesehatan Program Studi DIV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: PONV (Post Operative Nausea and Vomiting) atau mual muntah post operasi merupakan mual dan atau muntah yang terjadi dalam 24 jam pertama setelah pembedahan. Penanganan PONV dapat dilakukan secara farmakologi dengan obat antiemetic dan non farmakologi Tujuan: Untuk menggali tindakan farmakologi dan non-farmakologi dalam penanganan kejadian PONV. Metode: Penelitian dilakukan pada bulan April 2022 dengan pendekatan kualitatif. Pengumpulan data pada penelitian ini dilakukan dengan wawancara mendalam (depth interview). Partisipan pada penelitian ini berjumlah 3 orang penata anestesi. Data dianalisis secara deskriptif kualitatif. Hasil: Penata anestesi menangani kejadian PONV berkolaborasi dengan dokter spesialis anestesi memberikan terapi farmakologi ondansetron 4mg dan ranitidine 50mg melalui intravena. Penata anestesi tidak melakukan terapi non farmakologi dalam menangani PONV karena terapi farmakologi tergolong lebih cepat dan efektif. Kesimpulan: Tindakan farmakologi dalam penanganan PONV diberikan ondansetron 4mg dan ranitidine 50mg sesuai instruksi dokter spesialis anestesi. Namun, tindakan non farmakologi tidak diberikan dalam penanganan PONV. Kata kunci: PONV (Post Operative Nausea and Vomiting), Farmakologi, Non Farmakologi

MULTIPLE CASE STUDY: PHARMACOLOGICAL AND NONPHARMACOLOGICAL ACTIONS IN HANDLING PONV AT MANGUSADA HOSPITAL Ni Made Puspita Dewi Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background:PONV (Post Operative Nausea and Vomiting) or postoperative nausea and vomiting is nausea andor vomiting that occurs in the first 24 hours after surgery.PONV can be done with pharmacological therapy with antiemetic drugs and non-pharmacological therapy. Purpose:To explore pharmacological and non-pharmacological actions in the management of PONV incident. Method: This research was conducted in April 2022 with a qualitative approach. The data ware carried out by in-depth interviews. There were 3 anesthetists participated in this research. The data were analyzed through descriptive qualitative. Result:Anesthetists dealing with PONV in collaboration with anesthesiologists provide pharmacological therapy on ondansetron 4 mg and ranitidine 50 mg intravenously.Anesthetists did not perform non-pharmacological therapy in treating PONV because pharmacological therapy was faster and more effective. Conclusion:Anesthetists in handling PONV patients are given ondansetron 4 mg and ranitidine 50 mg according to the anesthesiologist's instructions.Anesthetists do not provide non-pharmacological therapy in the management of PONV in the recovery room. Keywords: PONV (Post Operative Nausea and Vomiting), pharmacology, Non pharmacology