GAMBARAN TEKANAN DARAH PASCA INDUKSI PROPOFOL PADA PASIEN GENERAL ANESTESI Eva Mahalia Nabillah Sanjaya Fakultas Kesehatan Program Studi D IV keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Induksi anestesi merupakan proses menidurkan pasien melalui obat anastesi intravena sampai pasien masuk dalam stadium anastesi. Salah satu obat anestesi intravena yang sering dipergunakan dalam general anestesi adalah propofol. Penggunaan propofol setelah induksi dapat mempengaruhi penurunan tekanan darah. penurunan tekanan darah hingga hipotensi dapat menyebabkan iskemik miokard, hipoksia jaringan, syok hingga kematian. Tujuan: Untuk mengetahui gambaran tekanan darah pasca induksi propofol pada pasien general anestesi Metode: Penelitian ini menggunakan desain deskriptif kuantitatif dengan rancangan Longitudinal. Sampel dalam penelitian ini sebanyak 101 responden dengan menggunakan teknik Consecutive Sampling. Data diperoleh melalui observasi dan dianalisis secara deskriptif. Hasil Penelitian: Responden dengan karakteristik tindakan Orthopedi jenis Open fraktur mengalami penurunan tekanan darah sebesar 29% dengan rata-rata tekanan darah pre induksi sebesar 140 MmHg serta rata-rata tekanan darah pasca induksi sebesar 109 MmHg. Penurunan tekanan darah juga terjadi pada seluruh responden dimulai dari menit ke 5 sampai 10 menit pasca induksi propofol sebesar 19%. Pada MAP (Mean Arterial Pressure) pasca induksi mengalami penurunan sebesar 16%. Dari 101 responden, terdapat 7 responden yang mengalami hipotensi pasca induksi. Kesimpulan: Perubahan tekanan darah akibat pemberian propofol sebagai obat induksi anestesi dapat menyebabkan penurunan tekanan darah hingga kejadian hipotensi. Kata Kunci: Penurunan Tekanan darah, Propofol, Hipotensi

BLOOD PRESSURE OF PATIENTS WITH GENERAL ANESTHETIC POST PROPOFOL INDUCTION Eva Mahalia Nabillah Sanjaya Diploma IV of Nursing Anesthesiology Faculty of Health Institute Technology and Health Bali Email: [email protected] ABSTRACT Background: Anesthesia induction is the process of putting the patient to sleep through intravenous anesthetic drugs until the patient enters the anesthetic stage. One of the intravenous anesthetic drugs that are often used in general anesthesia is propofol. The administration of propofol after induction can affect the decrease in blood pressure. Decreased blood pressure to hypotension can cause myocardial ischemia, tissue hypoxia, shock, and death. Aim: To describe the blood pressure of patients with general anesthesia after propofol induction. Methods: This study implemented a quantitative descriptive design with a longitudinal design. The sample in this study was 101 respondents which were selected through the consecutive sampling technique. The data were collected through observation and analyzed descriptively. Results: Respondents who had undergone an open fracture orthopedic surgery experienced a 29% decrease in blood pressure with an average pre-induction blood pressure of 140 mmHg and average post-induction blood pressure of 109 mmHg. A decrease in blood pressure also occurred in all respondents starting from 5 to 10 minutes after propofol induction by 19%. The post-induction MAP (Mean Arterial Pressure) decreased by 16%. Among the 101 respondents, 7 respondents experienced post-induction hypotension. Conclusion: Changes in blood pressure due to the administration of propofol as an anesthetic induction drug can cause a decrease in blood pressure resulting in the incidence of hypotension. Keywords: Decreased Blood Pressure, Propofol, Hypotension.