MULTIPLE CASE STUDY: TEKANAN DARAH ARTERI PASIEN DENGAN HIPERTENSI YANG DILAKUKAN PROSEDUR LARINGOSKOPI DAN INTUBASI ENDOTRAKEA DI RSUD KABUPATEN KLUNGKUNG Ni Kadek Derby Noviasita Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Prosedur laringoskopi dan intubasi endotrakea dapat menstimulasi tubuh dan menyebabkan peningkatan hemodinamik yang tampak lebih jelas pada pasien hipertensi, bahkan dapat menyebabkan iskemik miokard, pecahnya aneurisma, serta stroke hemorrhagic. Tujuan: Untuk mengetahui tekanan darah arteri pasien dengan hipertensi yang dilakukan prosedur laringoskopi dan intubasi endotrakea di RSUD Kabupaten Klungkung. Metode: Desain penelitian ini adalah multiple case study dengan pendekatan deskriptif kualitatif pada 5 orang partisipan dengan hipertensi yang dilakukan prosedur laringoskopi dan intubasi endotrakea. Metode pengumpulan data yang digunakan yaitu wawancara, observasi, dan dokumentasi. Hasil: Seluruh partisipan mengalami peningkatan nilai tekanan darah arteri dan frekuensi denyut nadi saat dilakukan prosedur laringoskopi dan intubasi endotrakea jika dibandingkan dengan baseline. Terdapat satu orang partisipan yang mengalami peningkatan yang lebih signifikan dibandingkan dengan 4 partisipan lainnya karena dilakukan pengulangan prosedur. Seluruh partisipan mengalami penurunan nilai tekanan darah arteri dan frekuensi denyut nadi setelah dilakukan prosedur laringoskopi dan intubasi endotrakea. Kesimpulan: Nilai tekanan darah arteri dan frekuensi denyut nadi selalu berjalan simultan baik pada saat ataupun setelah dilakukan prosedur laringoskopi dan intubasi endotrakea. Penelitian ini dapat digunakan sebagai kajian pengenai pelatalaksanaan pre, intra, dan pasca anestesi bagi pasien hipertensi, serta bagi peneliti selanjutnya diharapkan dapat dikembangkan menggunakan variabel Mean Arterial Pressure (MAP). Kata Kunci: Hipertensi, Intubasi Endotrakea, Laringoskopi, Tekanan Darah Arteri

MULTIPLE CASE STUDY: ARTERIAL BLOOD PRESSURE ON PATIENTS WITH HYPERTENSION WHO WERE DONE LARYNGOSCOPY PROCEDURES AND ENDOTRAKEA INTUBATION IN KLUNGKUNG HOSPITAL Ni Kadek Derby Noviasita Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Laryngoscopy procedures and endotracheal intubation can stimulate the body and cause hemodynamic improvements that is clearly appeared on patients with hypertension. It can cause myocardial ischemia, aneurysm rupture, and hemorrhagic stroke. Purpose: To determine the arterial blood pressure on patients with hypertension who were done laryngoscopy procedures and endotracheal procedure in Klungkung Hospital. Method: This study employed multiple case study with descriptive qualitative approach on 5 participants with hypertension. The procedures of research were laryngoscopy procedures and endotracheal intubation. The data were collected by using interview, observations, and documentation. Findings: All of the participants had an improvement in arterial blood pressure and pulse frequency during laryngoscopy procedures and endotracheal intubation compared with baseline. There was a participant which was experienced significant improvement rather than the other 4 participants because of procedure repetition. All of the participants experienced low arterial blood pressure and pulse frequency after being done laryngoscopy procedures and endotracheal intubation. Conclusion: Arterial blood pressure and pulse frequency always run simultaneously either during or after laryngoscopy procedures and endotracheal intubation. This research can be used as a study of pre, intra, and post anesthesia management for patients with hypertension and for further research is expected to be developed more by using variable Mean Arterial Pressure (MAP). Key Words: Arterial Blood Pressure, Endotracheal Intubation, Hypertension, Laryngoscopy