EFEKTIVITAS PEMBERIAN COLOADING CAIRAN KRISTALOID TERHADAP TEKANAN DARAH DAN HEART RATE PADA PASIEN SECTIO CAESAREA MENGGUNAKAN SPINAL ANESTESI DI RSUD KOTA SALATIGA

2022-07-03

en

Thesis

text

EFFECTIVENESS OF COLOADING CRYSTALOID FLUIDS ON BLOOD PRESSURE AND HEART RATE IN SECTION CAESAREAN PATIENTS USING SPINAL ANESTHESIA IN RSUD KOTA SALATIGA Ari Ristiyadi Jurusan Keperwatan Poltekkes Yogyakarta Jl. Tata Bumi No.3 Banyuraden, Gamping, Sleman, Yogyakarta, 55293 ABSTRACT Background : Cesarean section delivery is the most commonly performed by spinal anesthesia to prevent complications for the mother and fetus. However, the most common complications of spinal anesthesia in cesarean section patients are hypotension and decreased heart rate, because the two go hand in hand. Cesarean section patients who experience hypotension by 75% at the Salatiga City Hospital. Ephedrine was administered if after induction of spinal anesthesia the patient’s blood pressure fell to 25% of the initial blood pressure. Administration of fluids after spinal anesthetic injection or coloading has been recommended because it can increase intravascular volume during vasodilation to maintain blood pressure. Research Objectives: To know the effectiveness of Coloading Crystalloid Fluid on Blood Pressure and Heart Rate in Sectio Caesarea Patients Using Spinal Anesthesia at the Salatiga City Hospital Methods: The research design used an explanatory research. The study population was all mothers of Sectio Caesarea with spinal anesthesia in the IBS Room of the Salatiga City Hospital. The research sample was 25 respondents using total sampling technique. The instrument used is an observation sheet. The data collection step is to record the results of observations for 30 minutes of blood pressure and pulse on the monitor screen. Data analysis used time series test. Results : The results of the time series test showed that the line pattern of change showed a decrease in systolic blood pressure for 6 minutes and continued to increase again after being given coloading of crystalloid fluid. The pattern of line changes showed a fluctuation between the increase and decrease in diastolic blood pressure after coloading with crystalloid solutions. The pattern of line changes shows a decrease in heart rate after coloading crystalloid fluids Conclusion: coloading crystalloid fluid in spinal anesthesia patients can maintain hemodynamics, namely blood pressure and pulse within normal limits for 30 minutes during cesarean section surgery. Keywords: Spinal anesthesia, Blood pressure, Heart Rate, Sectio Caesarea,