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Journal : java nursing journal

Overview of Blood Pressure After Spinal Anesthesia with Preload and Without Preload 20cc Ringer Lactate in The Operating Room Dedi, Dedi Irawan; Sukmaningtyas, Wilis; Susanto, Amin
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.88

Abstract

Background: Spinal anesthesia is known to affect blood pressure by raising or lowering blood pressure levels, including MAP and pulse rate. While colloidal fluid therapy is indicated for the management of such variations, it remains longer in the intravascular space and supports blood pressure stabilization.  Purpose: This study attempts to analyze the time and amount of Ringer Lactate fluid administration to stabilize blood pressure back to normal levels after spinal anesthesia. Methods: Quantitative research was adopted with an analytical, cross-sectional observation design. Data collection was facilitated using sheets for observing blood pressure and measuring blood pressure using a Tension meter. The study was performed over one month, from July to August, at Awal Bros Batam Hospital. A total of 40 respondents were taken for this study using total sampling. The data collected were analyzed using univariate analytical methods. Results: From the analysis, the mean average time taken for blood pressure changes after spinal anesthesia is 12.15 minutes standard deviation of 3.363. The time taken varied from a minimum of 5 minutes to a maximum of 20 minutes. As for the volume of Ringer Lactate fluid, on average, the volume given was 20 ccc/KGBB. Blood pressure change after spinal anesthesia had a mean of 99.65 standard deviations of 30.783, with the minimum measurement at 22 and the maximum at 167. Conclusion: This study shows the importance of giving Ringer Lactate fluid to stabilize blood pressure following spinal anesthesia, where both time and volume correlate positively with changes in blood pressure
The Effect of Peppermint Aromatherapy (Mentha Piperita Leaf) On Reducing Post Dural Puncture Headache Pain in Post-Spinal Anesthesia Patients Riski Ardi Saputro; Suandika, Made; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.98

Abstract

Background: Post-Dural Puncture Headache (PDPH), as observed clinically, is one of the most common complications of spinal anesthesia. It generally develops within 12-72 hours of the procedure. Though there are pharmacological treatments, these have largely been overshadowed by several tried-and-tested non-pharmacological techniques, which include peppermint aromatherapy, in relieving symptoms of PDPH. Purpose: This study was aimed at determining the effectiveness of peppermint aromatherapy in reducing head pain associated with PDPH among post-spinal anesthesia patients at Cilacap Regional General Hospital. Methods: A quasi-experimental study design with one group and pretest-posttest design was conducted on 39 patients experiencing PDPH. Pain was measured using the Numeric Rating Scale (NRS) prior to and post-administration of peppermint aromatherapy. The intervention was two drops of peppermint aromatherapy mixed with 100 ml of mineral water and inhaled through the humidifier for 15 minutes. Wilcoxon tests were done for statistical analysis. Results: The mean PDPH pain level before the intervention was 5.69. After inhaling peppermint aromatherapy, the mean pain level dropped significantly to 1.64 (p < 0.05). The results are interpreted with respect to the significance indicated by this difference in levels while comparing PDPH symptoms before and after treatment with peppermint aromatherapy. Conclusion: Hence, peppermint aromatherapy is a highly effective treatment modality for both patients suffering from PDPH and those who have undergone spinal anesthesia. It could be recommended as a non-pharmacological adjunct therapy in the management of PDPH. Further validations of the findings are needed through a larger sample size and controlled groups.
Co-Authors Abdurrohman Rasyid Achmad Fadilah, Rizal Adiratna Sekar Siwi Adriani, Prasanti Adriyani, Fauziyah Hanum Nur Agus Dwi Yulianto Agustriliani, Ricke Pramesti Alfarizi, M Rizqy Diaz Alifiani, Azizah Putri Amin Susanto Amin Susanto Apriyanti, Meli Ardan, Achmad Area Dhiatamaa, Sketsa Areksah, Recy Ariani Putri Hidayat Aris Nur Rahmat Asmat Burhan Asmat Burhan Assyifa, Ibnu Atun Raudotul Awal Tunis Yantoro Awal Tunis Yantoro Ayunda Frisqi Herlianingsih Azizah, Wafa Nur Bunga Evaliana Burhan, Asmat Canra Taufiqurahman Danang Tri Yudhono Danang Tri Yudono Dea Oktria Nur Dedi, Dedi Irawan Depi Anggara Devi Ratna Puspitasari Dewi, Hefty Kusuma Didik Dhani Irawan Dilla Ainun Nurjanah Divya Deynilisa Dwi Atika Safitri Dwi Novitasari Dwi Septi Wulandari Dwi Wahyuni Dzuhuri, Muh Adnan Elfi Aprilia Farhan Fawwaz Fauziah Hanum Nur Ardiyani Febriyanti, Vivin Dwi Feti Kumala Dewi Fhadilah Putri Syiva Alifa Fifi Sephia Nika Firdaus, Eza Kemal Fitrianingsih Fitrianingsih Gangsar Haryo Narendra Gita Afriyani R Gulo, Sinansari Hanum NA, Fauziah Hapsari, Amelya Prabawati Heriyani Heriyani Hikmal Akbar Hikmal Akbar Hikmanti, Arlyana Hilda Nesa Dwiningrum Hilda Nesa Dwiningrum ibadillah yusmana Ibrahim, Nawal Iis Setiawan Ikhlas Mapolawa Ikhwan Yuda Kusuma Ikit Netra W Indri Heri Susanti Indri Heri Susanti Irawan, Didik Dhani Jaylening Wintri Dao Juarsa, Salsabila Saila Karmana, Dede Linda Yanti M Rizqy Diaz Alfarizi Made Suandika Madyo Maryoto Madyo Maryoto Magenda Bisma Yudha Marfuatus Solikhah Maria Paulina Irma Susanti Mariah Ulfah Maya Safitri Maya Safitri Meliana Hardian Rahmawati Mirzam Mirzam Mixrova Sebayang, Septian Muhamad Iksan Ramadhansyah Muhammad Def Muhammad Pandu Wira Sena Isnantopo, Noor Nensyi Ardiani Lorensa Nika, Fifi Sephia Nofyanto, Deden Noor Rochmah Ida Ayu TP Novita Sari Nur Aini Mahmudah Nur Wahyuni Nuraeni Nuraeni Nurinnisa Shiddiqiyah Nurmalita Ayu Savitri Ocha Rajabia Rahmah Pramudya Gurensky, Ganea Rada, Muh Husein Rafi Dwi Kusuma Rahmanto, Edwin Teguh Rahmat Danus Rahmat Danus Rahmawati, Arni Nur Rahmi Zahra Akyunin Ramlan Ramlan Refa Teja Muti Reni Dwi Setyaningsih Restu Pujianto Retno Kristanti Retno Monicha Sari Ria Anggrina Ria Anggrina Ricky Irawan Riski Ardi Saputro Riski Saputra Risky Hidayat Riyan Makhfudin Rizki Fauzi Rizkiaturrahma, Farah Rizqi Nur Azkiyah Roro Lintang Suryani S.Pd. M Kes I Ketut Sudiana . Sahrani, Atifah Syifa Salsabila Putri Hendrila Sari, Finda Antika Savitri, Nurmalita Ayu Sekar Pertiwi Sekar Siwi, Adiratna Septi Ajeng Nur Prihatini Septian Mixrova Sebayang Septian Mixrova Sebayang Setyawati, Martyarini Budi Shiddiqiyah, Nurinnisa sinta desiyanti Sintya Dwi Utami Siti Haniyah Siti Robi'ah Yuniatun Sri Rahayu Sri Wahyuni Suci Khasanah suci khasanah Sugiharti, Rosi Kurnia Sulistianingrum, Andini Sunarti Sunarti Suryo Ediyono Susanto, Amin Susilo Rini Syalaisha Amani Fatiha Talakua, Yoan Tika Thopan Heri Wibowo Tiara Octa Afrilya Tin Utami Tin Utami Topan Heri Wibowo Tophan Heri Wibowo Tophan Heri Wibowo Tophan Heri Wibowo Tri Rastuti Tri Sumarni Tri Sumarni Triyudono, Danang Ulfah , Mariah Wahyu Dwi Rahmawati Wahyu Hidayat Wahyuni, Tika Wasis Eko Kurniawan Wibowo, Tophan Heri Wijaya, Aditya Windiarti, Prahesti Anita Wirakhmi, Ikit Netra Wiwit Arif Hidayat Wulandari, Dwi Septi Yanrin, Adzana Salsabila Nezga Pratama Yantoro, Awal Tunis Yudono, Danang Tri Yunita Bonis Zidan, Fahmi