Gambaran Tekanan Darah Saat Intubasi Endotrakeal Dengan General Anestesi Pada Pasien Hipertensi Di Ruang Instalasi Bedah Sentral Rsu Kertha Usada Buleleng Ni Putu Ayu Sintia Sumariyani Fakultas Kesehatan Program Studi Sarjana Keperawatan Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Laringoskopi dan intubasi sering menimbulkan reflek simpatis dan simpatoadernal yang berlebihan yakni respon hemodinamik dan kardiovaskuler, antara lain peningkatan laju jantung (LJ), tekanan darah sistolik (TDS), dan tekanan darah diastolic (TDD). Tujuan Penelitian : Penelitian ini bertujuan untuk mengetahui tekanan darah saat intubasi endotrakeal dengan general anestesi pada pasien hipertensi. Metode : Penelitian ini menggunakan desain deskriptif dengan pendekatan crossectional. Sample berjumlah 97 responden yang sesuai dengan kriteria inklusi, teknik sampling yang digunakan adalah teknik consecutive sampling. Pengumpulan data menggunakan menggunakan lembar observasi dengan mencatat tekanan darah sebelum intubasi endotrakeal dan setelah intubasi endotrakeal pada menit ke-1, ke-2, ke-3, ke-4 dan ke-5. Hasil : Tekanan darah pasien sebelum tindakan intubasi endotrakeal mayoritas normal yaitu sebesar 72,2%. Pada menit ke-1 setelah intubasi endotrakeal tekanan darah pasien mayoritas hipertensi sebesar 80,4%, pada menit ke-2 setelah intubasi endotrakeal tekanan darah pasien mayoritas hipertensi sebesar 79,4%, pada menit ke- 3 setelah intubasi endotrakeal tekanan darah pasien mayoritas hipertensi sebesar 82,5%, pada menit ke-4 setelah intubasi endotrakeal tekanan darah pasien mayoritas hipertensi sebesar 80,4%, dan pada menit ke-5 setelah intubasi endotrakeal tekanan darah pasien mayoritas hipertensi sebesar 87,6% Kesimpulan : Terjadi peningkatan tekanan darah sebelum intubasi endotrakeal dan setelah intubasi endotrakeal pada menit ke-1, ke-2, ke-3, ke-4 dan ke-5. Kata kunci : intubasi endotrakeal, tekanan darah, hipertensi

The Blood Pressure During Endotracheal Intubation With General Anesthesia In Patient With Hypertension In Central Surgery Room At Kertha Usada Hospital Buleleng Ni Putu Ayu Sintia Sumariyani Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background: Laryngoscopy and intubation cause excessive sympathetic and sympathoadrenal reflexes, namely hemodynamic and cardiovascular responses, including the increase of heart rate, systolic blood pressure, and diastolic blood pressure. Purpose: To determine the blood pressure during endotracheal intubation with general anesthesia in patient with hypertension in central surgery room at Kertha Usada Hospital Buleleng. Method: This study employed descriptive design with crossectional approach. There were 97 respondents recruited as sample of this study through consecutive sampling. The data were collected by using observation sheet and wrote the blood pressure before and after endotracheal intubation at first, second, third, forth and fifth minutes. Result: The finding showed that, the majority of the blood pressure of the patient before endotracheal intubation were normal (72.2%). At the first minute after endotracheal intubation, the majority of patients were hypertensive (80.4%), at the second minute after endotracheal intubation, the majority of the patients were hypertensive (79.4%), at the third minute after endotracheal intubation, the majority of the patients were hypertensive (82.5%), at the fourth minute after endotracheal intubation, the majority of the patients were hypertensive (80.4%), at the fifth minute after endotracheal intubation, the majority of the patients were hypertensive (87.6%), Conclusion: There is an increase of blood pressure before and after endotracheal intubation at the 1st, 2nd, 3rd, 4th, and 5th minute. Keywords: endotracheal intubation, blood pressure, hypertension