DAFTAR ISI

LEMBAR PERSETUJUAN............................................................................ i

LEMBAR PENGESAHAN..............................................................................ii

KATA PENGANTAR.......................................................................................iii

DAFTAR ISI.....................................................................................................vi

DAFTAR TABEL.............................................................................................vii

DAFTAR GAMBAR........................................................................................viii

DAFTAR SINGKATAN...................................................................................i

DAFTAR LAMPIRAN.....................................................................................x

BAB I PENDAHULUAN

1.1 Latar Belakang..................................................................................1

1.2 Identifikasi Masalah..........................................................................3
1.3 Tujuan Penulisan...............................................................................3
1.4 Manfaat Penulisan.............................................................................4
1.5 Metode Penulisan..............................................................................4
1.6 Sistematika Penulisan........................................................................5

BAB II TINJAUAN PUSTAKA

2.1 Anatomi Fisiologi Tibia.....................................................................6

2.2 Fraktur Tibia......................................................................................7

2.2.1 Definisi......................................................................................7

2.2.2 Klasifikasi..................................................................................7
2.2.3 Etiologi......................................................................................9
2.2.4 Patofisioogi................................................................................9
2.2.5 Pemeriksaan Penunjang.............................................................10
2.2.6 Komplikasi Fraktur Terbuka......................................................11
2.2.7 Penyembuhan Tulang................................................................12
2.2.8 Penatalaksanaan Pembedahan Fraktur Tibia Terbuka...............15
Konsep Dasar Anestesi.....................................................................17
2.3.1 Definisi Anestesi........................................................................17
2.3.2 Anestesi Spinal..........................................................................17

iii
 2.3.3 Klasifikasi ASA.........................................................................21
2.3.4 Obat Anestesi Spinal..................................................................22
2.3.5 Alat Anestesi..............................................................................30

BAB III PEMBAHASAN

1 Keperawatan Anestesi Pada Pasien Fraktur Tibia Terbuka Yang Akan

Menjalani ORIF Dengan Anestesi Spinal........................................32

2 Keperawatan Anestesi Pre Operatif.................................................32

3.2.1 Persiapan Pasien........................................................................32

3.2.2 Persiapan Diri Sendiri................................................................34

3.2.3 Persiapan Alat............................................................................35

3.2.4 Persiapan Obat...........................................................................35

3.2.5 Terapi Cairan Pre Operatif.........................................................36

3 Keperawatan Anestesi Intra Operatif...............................................36

3.3.1 Teknik Spinal.............................................................................36

3.3.2 Obat Anestesi Spinal..................................................................38

3.3.3 Terapi Cairan Intra Operatif.......................................................38

3.3.4 Monitoring Intra Operatif..........................................................39

4 Keperawatan Anestesi Post Operatif................................................40

3.4.1 Pengelolaan Post Operatif.........................................................40

3.4.2 Pemindahan Pasien....................................................................41

BAB IV KESIMPULAN DAN SARAN

4.1 Kesimpulan........................................................................................42

4.2 Saran..................................................................................................43

iv