GAMBARAN HEMODINAMIK PASIEN HIPERTENSI DAN NORMOTENSI PASCA PEMBERIAN ANESTESI SPINAL Ni Made Maha Laxmi Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Anestesi spinal menimbulkan vasodilatasi pembuluh darah sehingga terjadi hipotensi dan penurunan curah jantung yang disertai penurunan denyut jantung. Perubahan ini dapat terjadi pada pasien normal maupun dengan penyakit penyerta seperti hipertensi. Pasien dengan hipertensi berpeluang mengalami perubahan hemodinamik yang lebih besar dibanding pasien normotensi. Tujuan: Untuk mengetahui gambaran hemodinamik pasien hipertensi dan normotensi pasca pemberian anestesi spinal Metode: Penelitian ini merupakan penelitian kuantitatif deskriptif dengan metode cross sectional. Sampel berjumlah 140 responden dengan teknik consecutive sampling. Pengumpulan data menggunakan teknik observasi pada menit ke-15 pasca pemberian anestesi spinal dengan alat pengumpulan data berupa lembar observasi. Hasil: Dari 52 responden hipertensi, sebagian besar responden (76.9%) mengalami penurunan SBP

HEMODYNAMIC IN PATIENTS WITH HYPERTENSION AND NORMOTENSIVE ON POST SPINAL ANESTHESIA Ni Made Maha Laxmi Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Spinal anesthesia causes vasodilation of blood vessels, resulting hypotension and decreased of cardiac output which accompanied by a decrease of heart rate. These changes could occur in normal patients or patients with comorbidities such as hypertension. Patients with hypertension are likely to experience greater hemodynamic changes than normotensive patients. Purpose: To determine the hemodynamic in patients with hypertension and normotensive on post spinal anesthesia. Method: This study employed descriptive quantitative method with cross sectional approach. There were 140 respondents recruited as sample of the study which were selected by using consecutive sampling technique. The data were collected by using observation sheets. The patients observed at the 15th minutes on post spinal anesthesia. Result: The finding showed that, from 52 respondents with hypertension there were (76.9%) of respondents experienced a decrease in SBP