MULTYPLE CASE STUDY: MANAJEMEN PRA ANESTESI SPINAL PADA PASIEN SECTIO CAESAREA DENGAN PREEKLAMPSIA DI RSUD BULELENG Sesilia Ines Lete Boro Fakultas Kesehatan Program Studi D IV Keperawatan ANestesiologi Institut Teknologi Dan Kesehatan Email : [email protected] ABSTRAK Latar Belakang: Preeklampsia adalah timbulnya hipertensi disertai proteinuria dan atau edema pada umur kehamilan 20 minggu atau lebih. Kondisi preeklampsia dapat berkembang menjadi eklampsia dan memiliki komplikasi yang dapat membahayakan ibu dan janin. Pasien dengan preeklamsia memiliki indikasi melakukan pembedahan section caesarea dengan spinal anestesi. Tujuan: Untuk mengetahui manajemen anestesi pada pasien sectio caesarea dengan preeklampsia di RSUD Buleleng. Metode: Desain penelitian ini yaitu deskriptif kualitatif melalui pendekatan studi kasus dengan rancangan multiple case study. Alat pengumpulan data yaitu peneliti sendiri dengan instrument pendukung berupa lembar observasi dengan jumlah partisipan 5 orang. Analisa data menggunakan cross-case analysis. Hasil: Kelima partisipan menggambarkan tatalaksana anestesi meliputi pra anestesi meliputi: persiapan pra anestesi, melakukan pemberian antihipertensi Labetatol dengan dosis 100-200Mg/Oral sesuai kondisi partisipan, melakukan pemberian antikejang MgSO4 4mg dalam cairan NaCl 0,9% dan MgSO4 4mg/iv, melakukan penatalaksanaan pemberian cairan NaCl 0,9% sesuai dengan kebutuhan cairan pada partisipan, pemantauan status hemodinamik dan pemberian oksigen nasal canul 2-3 liter per menit. Kesimpulan: Kelima partisipan diberikan tatalaksana berupa manajemen pra anestesi spinal. Kata Kunci: Sectio Caesarea, Preeklampsia, Manajemen Pra Anestesi Spinal.

MULTYPLE CASE STUDY: PRE-SPINAL ANESTHESIA MANAGEMENT IN SECTIO CAESAREA PATIENTS WITH PREECLAMPSIA AT BULELENG HOSPITAL Sesilia Ines Lete Boro Faculty of Health Diploma IV of Nursing Anesthesiology Program Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background. Preeclampsia is the onset of hypertension accompanied by proteinuria and/or edema at 20 weeks of gestation or more. The condition of preeclampsia can develop into eclampsia and have complications that can endanger the mother and fetus. Patients with preeclampsia have indications for cesarean section surgery with spinal anesthesia. Aim. To determine the anesthetic management of Sectio Caesarea patients with preeclampsia at Buleleng Hospital. Method. The study employed descriptive qualitative with multiple case study design. There were 5 participants recruited as the sample in this study. The data was collected using observation sheet and analyzed using case analysis and cross-case analysis. Finding. The finding showed that the five participants were given anesthetic management including pre-anesthesia such as pre-anesthesia preparation, the administration of Labetatol antihypertension at a dose of 100-200mg/oral according to the participant's condition; next, administering anticonvulsants MgSO4 4mg in 0.9% NaCl solution and MgSO4 4mg/iv, furthermore, administering 0.9% NaCl solution according to fluid requirements to participants, monitoring hemodynamic status and administering nasal cannula oxygen 2-3 liters per minute. Conclusion. In conclusion, all participants were given pre-spinal anesthesia management. Keywords: Sectio Caesarea, Preeclampsia, Pre-Spinal Anesthesia Management