Studi Kasus Penatalaksanaan Hipotensi Pada Pasien Sectio Caesarea (SC) Dengan Spinal Anestesi Menggunakan bupivakain Di RSUD Karangasem Lalu Sohibul Rahman Jumilang Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Hipotensi pasca spinal adalah salah satu dampak yang paling sering terjadi pada pasien operasi dengan menggunakan teknik spinal anestesi. Hipotensi yang terjadi dapat diatasi dengan posisi Trendelenberg. Pemberian cairan melalui infus, dan pemberian obat-obat vasopressor. Tujuan: Untuk mengetahui bagaimana penatalaksanaan hipotensi pada pasien sectio cesaria dengan spinal anestesi menggunakan bupivakain. Metode: Penelitian ini merupakan penelitian deskriptif kualitatif dengan pendekatan multiple case study. 5 (lima) partisipan dengan menggunakan teknik purposive sampling. Instrumen penelitian yaitu peneliti sendiri dilakukan dengan menggunakan lembar observasi. Analisa data dilakukan menggunakan, case analysis dan cross case analysis. Hasil: Penatalaksanaan hipotensi yang dilakukan pada kelima partisipan sectio caesarea sebelum diberikan bupivakain yakni pemberian posisi lateral decubitus dan pemberian cairan preloading. Penatalaksanaan hipotensi yang dilakukan setelah diberikan bupivakain yakni pemberian cairan coloding, elevasi kaki, dan pemberian obat vasopresor ephidrin. Kesimpulan: Gambaran penatalaksanaan hipotensi yang dilakukan pada pasien sectio caesarea untuk mengatasi hipotensi intra anestesi dengan cara pemberian cairan preloading, posisi lateral decubitus, pemberian cairan coloding, elevasi kaki, dan pemberian obat vasopressor ephidrine. Kata Kunci: Anestesi spinal, hipotensi, sectio caesarea

A CASE STUDY OF HYPOTENSION MANAGEMENT ON CAESAREA SECTION PATIENTS WITH SPINAL ANESTHESIA BY USING BUPIVACAINE AT KARANGASEM HOSPITAL Lalu Sohibul Rahman Jumilang Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Post-spinal hypotension is one of the most common effects in surgical patients by using spinal anesthesia techniques. Hypotension can be treated by Trendelenberg position, administer fluids through infusion, and administer vasopressor. Purpose: To identify hypotension management on Caesarea section patients with spinal anesthesia by using bupivacaine. Method: This study employed descriptive qualitative design with multiple case study approach. There were 5 participants recruited as the samples which were chosen by using purposive sampling technique. The instrument used in this research was observation sheet. The data were analyzed by using case analysis and cross case analysis. Findings: The hypotension management on five respondents with Caesarea section before being given bupivacaine was administering lateral decubitus position and administering preloading fluid. The hypotension management on five respondents with Caesarea section after being given bupivacaine was administering co-loading fluid, elevating legs, and administering vasopressor ephedrine. Conclusion: Hypotension management on Caesarea section patients to treat intra-anesthesia hypotension by administering preloading fluids, lateral decubitus position, administering co-loading fluids, elevating legs, and administering ephedrine vasopressor. Keywords: Spinal Anesthesia, Hypotension, Caesarea Section