GAMBARAN TEKANAN DARAH PASIEN GENERAL ANESTESI SETELAH PEMBERIAN INDUKSI PROPOFOL DENGAN COINDUKSI FENTANYL DI RUANG INSTALASI BEDAH SENTRAL RUMAH SAKIT TINGKAT II UDAYANA DENPASAR I Made Bagus Hariadana Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Induksi anestesi merupakan proses menghilangkan kesadaran menggunakan obat anestesi intravena. Salah satu obat anestesi intravena yang sering dipergunakan dalam general anestesi adalah propofol. Penggunaan propofol dapat dikombinasikan dengan agen opioid seperti fentanyl. Penggunaan propofol dan fentanyl dapat menyebabkan penurunan tekanan darah, penurunan tekanan darah hingga hipotensi dapat menyebabkan iskemia miokard, hipoksia jaringan, syok hingga kematian. Tujuan: Untuk mengetahui gambaran tekanan darah pasien general anestesi sebelum dan 5 menit setelah pemberian induksi propofol dengan coinduksi fentanyl Metode: Penelitian ini menggunakan desain dekriptif kuantitatif dengan rancangan longitudinal. Sampel dalam penelitian ini sebanyak 132 responden dengan menggunakan teknik convenience sampling. Data diperoleh melalui observasi dan dianalisis secara deskriptif Hasil Penelitian: Sebelum induksi didapatkan 93 responden (70,5%) memiliki tekanan darah sistolik normal dan 117 responden (88,6%) memiliki tekanan darah diastolik normal. 5 menit setelah induksi terdapat 50 responden (37,9%) memiliki tekanan darah sistole hipotensi dan 74 responden (56,1%) memiliki tekanan darah diastole hipotensi. terdapat 123 responden (93,2%) memiliki kategori MAP Normal sebelum induksi, namun 5 menit setelah induksi sebanyak 59 responden (44,7%) memiliki kategori MAP rendah. Kesimpulan: Pemberian induksi propofol dengan coinduksi fentanyl dapat menyebabkan penurunan tekanan darah. Kata Kunci: Penurunan Tekanan darah, Induksi Propofol, Coinduksi Fentanyl

THE BLOOD PRESSURE OF PATIENTS WITH GENERAL ANESTHESIA AFTER PROPOFOL INDUCTION WITH FENTANYL CO-INDUCTION IN THE CENTRAL SURGICAL UNIT OF TINGKAT II UDAYANA HOSPITAL, DENPASAR I Made Bagus Hariadana Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Induction of anesthesia is the process of switching off consciousness using intravenous anesthetic drugs. One of the intravenous anesthetic drugs that often used in general anesthesia is propofol. The use of propofol can be combined with opioid agents such as fentanyl. The use of propofol and fentanyl can cause a decrease in blood pressure and potentially lead to hypotension which can cause myocardial ischemia, tissue hypoxia, and shock to death. Aim: To find out the blood pressure of patients with general anesthesia before and 5 minutes after given propofol induction with fentanyl co-induction. Methods: This study employed a quantitative descriptive design with a longitudinal design. The sample in this study were 132 respondents, selected through convenience sampling technique. The data were collected through observation and then analyzed descriptively. Results: Before induction, 93 respondents (70.5%) had normal systolic blood pressure and 117 respondents (88.6%) had normal diastolic blood pressure. 5 minutes after induction there were 50 respondents (37.9%) had hypotensive systole blood pressure and 74 respondents (56.1%) had hypotensive diastole blood pressure. 123 respondents (93.2%) had a normal MAP before induction, but 5 minutes after induction, 59 respondents (44.7%) had a low MAP. Conclusion: Propofol induction with fentanyl co-induction can cause a decrease in blood pressure. Keywords: decrease in blood pressure, propofol induction, fentanyl co-induction