GAMBARAN HEMODINAMIK PASI EN PADA INDUKSI ANESTESI INTRAVENA DI RUANG INSTAL ASI BEDAH SENTRAL RUMAH SAKIT Tk. II UDAYANA DENPASAR Carles Takandjandji Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Induksi anestesi intravena mer upakan tindakan membuat pasien dari sadar menjadi tidak sadar sehingga memungkinkan dimulainya anestesi dan pembedahan. Induksi anestesi intravena terdir i dari pemberian obat anestesi hipnosis secara cepat melalui intravena. Selama induksi anestesia, tekanan darah, Mean Arterial Pressure (MAP) dan denyut nadi pasien harus selalu dipantau. Pemantuan bertujuan untuk mengenali da n mengevaluasi perubahan- perubahan fisiologis hemodinamik pada saat yang tepat agar segera ditangani. Tujuan Penelitian: Mengetahui gambaran hemodinamik pasien pada induksi anestesi intravena di intalasi bedah sentra l Rumah Sakit TK II Udayana Denpasar. Metode: Desain penelitian deskriptif cross sectional. Sampel pada penelitian ini adalah pasien yang dilakukan induksi anes tesi intravena yang dipilih menggunakan consecutive sampling. Pengumpulan data menggunakan le mbar observasi. Analisis data yang digunakan adalah analisis univariat. Hasil Penelitian: Saat induksi didapatkan se banyak 51 (85.0%) responden mengalami tekanan darah sistolik normal , terdapat sebanyak 33 (55.5%) responden mengalami tekanan darah diastolik rendah, terdapat 43 (71.7%) responden mengalami MAP normal, dan terdapat 44 (73.3 %) responden mengalami nadi normal saat induksi an estesi intravena. Simpulan: Induksi anestesi intravena mempen garuhi perubahan hemodinamik, terdapat sebanyak 33 (55.5%) responden menga lami tekanan darah diastolik rendah pada induksi anestesi intravena. Kata Kunci: Induksi aneste si, Intravena, Hemodinamik

viii THE HEMODYNAMIC DESCRIPTION OF PATIENTS ON INTRAVENOUS ANESTHESIA I NDUCTION IN THE CENTRAL SURGICAL INSTALLATION W ARD AT TK. II UDAYANA HOSPITAL DENPASAR Carles Takandjandji Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Induction of intravenous anesthesia is an act of making the patient from conscious to unconscious to allow the start of anesthesia and surgery. Induction of intravenous anesthesia cons ists of the rapid administration of a hypnotic anesthetic drug intravenously. During induction of anaesthesia, the patient's blood pressure, Mean Arterial Pr essure (MAP) and pulse should always be monitored. Monitoring aims to recognize and evaluate hemodynamic physiological changes at the right time so that they can be treated immediately. Aim: To describe the hemodynamic of patients on induction of intravenous anesthesia at the central surgical installation ward of TK II Udayana Hospital Denpasar. Methods: The study employed descriptive design with cross sectional approach. The sample in this study were patien ts who underwent intr avenous anesthetic induction selected using consecutive sa mpling. The data were collected using observation sheets and analyzed by univariate analysis. Finding: The findings indicated that there were 51 respondents (85.0%) had normal systolic blood pressure, 33 respondents (55.5%) had low diasto lic blood pressure, 43 respondents (71.7%) had normal MAP, and 44 respondents (73.3%) ) had a normal pulse during the induction of intravenous anesthesia. Conclusion: Induction of intravenous anesthes ia affects hemodynamic changes, there are 33 respondents (55.5%) experi ence low diastolic blood pressure on induction of intravenous anesthesia. Keywords: Induction of anesth esia, Intravenous, Hemodynamic