GAMBARAN PERUBAHAN TEKANAN DARAH PADA SECTIO CAESAREA YANG MENGALAMI HIPOTENSI PASCA SPINAL ANESTESI YANG DIBERIKAN EPHEDRINE DI RSU KERTHA USADA KABUPATEN BULELENG Kadek Ayu Sareni W. Fakultas Kesehatan D-IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Pada pembedahan Sectio Caesarea memerlukan teknik pembiusan menggunakan spinal anestesi yang memiliki efek samping yaitu menyebabkan terjadinya hipotensi, untuk mencegah terjadinya hipotensi maka dilakukan treatment pemberian obat vasopressor ephedrine untuk mengatasi terjadinya hipotensi. Tujuan: Untuk mengetahui gambaran perubahan tekanan darah pada Sectio Caesarea yang mengalami hipotensi pasca spinal anestesi yang diberikan ephedrine di RSU Kertha Usada Kabupaten Buleleng. Metode: Penelitian ini menggunakan deskriptif observasional menggunakan penedekan cross sectional. Pengambilan sampel menggunakan teknik consecutive sampling dengan sampel 100 responden ibu operasi Sectio Caesarea yang di berikan ephedrine. Instrument penelitian menggunakan lembar observasi dan analisa data deskriptif statistik Hasil: Tekanan darah sistole diastole terjadi peningkatan tekanan darah sebanyak 100% dengan nilai median pada setiap menit ke-5,10,15 pada tekanan darah sistole yaitu 115,116,124 mmHg dengan nilai minimum dan maksimum secara keseluruhan 90-130 mmHg. Pada tekanan darah diastole nilai median pada menit ke-5,10,15 yaitu 64,67,70 mmHg dengan nilai minimum dan maksimum secara keseluruhan mencapai 60-82 mmHg. Kesimpulan: Pada pemberian vasoppressor ephedrine lebih banyak terjadi peningkataan tekanan darah sehingga sangat efektif untuk digunakan pada pasien-pasien yang mengalami hipotensi pasca spinal anestesi dan sangat perlu memperhatikan faktor-faktor yang menyebabkann terjadinya hipotensi. Kata Kunci: Pemberian ephedrine, tekanan darah, perubahan

BLOOD PRESSURE CHANGES AFTER EPHEDRINE ADMINISTRATION IN CESAREAN SECTIONS WHO EXPERIENCE POST SPINAL ANESTHESIA HYPOTENSION IN KERTHA USADA GENERAH HOSPITAL BULELENG REGENCY Kadek Ayu Sareni W. Faculty of Health Diploma IV of Nursing Anestesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Cesarean section is a surgical procedure that requires anesthesia techniques using spinal anesthesia which has the side effect of causing hypotension. Thus, to overcome hypotension, the patients are treated with ephedrine vasopressor. Aim: To find out the changes in blood pressure after administration of ephedrine in cesarean sections who experience hypotension post spinal anesthesia Kertha Usada General Hospital, Buleleng Regency. Methods: This study employed descriptive observations using cross sectional approach. The sample was selected through consecutive sampling technique. 100 women who gave birth through cesarean sections and were given ephedrine involved as the respondents of this study. The instrument of this study was observation sheets. The collected data were analyzed using descriptive statistics. Results: The study found an increase on both systole and diastole by 100%. The median value of the systole at 5th, 10th and 15th minute was 115, 116 and 124 mmHg with minimum and maximum values overall between 90-130 mmHg. The median value of diastole at the 5th, 10th and 15th minute was 64, 67 and 70 mmHg with minimum and maximum values overall between 60-82 mmHg. Conclusion: The administration of vasopressor ephedrine increases the blood pressure; therefore, it is very effective to be administrated in patients who experience hypotension after spinal anesthesia. It is also necessary to pay attention to associated factors of hypotension. Keywords: ephedrine administration, blood pressure, changes