PANDUAN PRAKTIK KLINIS (PPK)

PROSEDUR TINDAKAN
RS MITRA KELUARGA CIBUBUR
BEKASI
2016
Prosedur Pemasangan Central Vena Catheter
1. Penge
engert
rti
in
n Kteter #en "entr$ %$& "e'& teter *ng %ite+,t
(De!ni"i) n e%$+ #en 'e"r %i $e&er (#en -g$r intern
t #en -g$r e"tern)  %% (#en "'/$#in)
$engn (#en '"i$i/) t ,& (#en e+r$i").11
2. In%i"i 1. Mnitring Tenn en "entr$ (/entr$ #en" ,re""re
CP)
2. Pe+'erin
Pe+'erin nti'iti/
nti'iti/ intr#en
intr#en -ng3,n-
-ng3,n-ng
ng
4. Pe+'erin
Pe+'erin ntri"i
ntri"i ,rent
,renter$
er$ -ng
-ng3,n-
3,n-ng
ng
5. Ke+t
e+terer,
,ii
. Pe+'erin
Pe+'erin 't't *ng
*ng /en%erng
/en%erng +en*e'
+en*e''n
'n ,&$e'it
,&$e'iti"
i"
%$+ #en ,erier (/"ti/) "e,erti7
• C$/i+ /&$ri%e
• C&e+t&er,*
• 8*,ertni/ "$ine
• Pt""i+ C&$ri%e
• A+i%rne
6. P$"
P$"+
+,&,&er
ere"e"i"
i"
9. Di$*"
$*"i"
:. Trn""
rn""ii %r&
%r& 'er$
'er$ng
ng
;. Ke't&n
e't&n nn "e" intr#
intr#en
en *ng
*ng 'er$ng
'er$ng t ter
ter
" +ener"
10.Ke't&n n t&er,* intr#en "t "e" #en
,erier ti% %i+nginn
4. Kntr In%i
i"i ABSOLUT

• Pen$n %ri ,"ien

• Ine"i %i %er& ,e+"ngn

• ri"i nt+i *ng "$it ,% $"i ,e+"ngn

• S,erir #en /# "*n%r+e (e</e,t e+r$ #en"

$ine)

RELATI=

• Cg$,t&*
• Ine"i "i"te+i

• #entri/$r ""i"t %e#i/e %i"e'e$& nn

• Pre"en/e  in%>e$$ing /t&eter" t ,/ing >ire"

,% %er& ,e+"ngn
5. Per"i,n 1. P"ien %
%
n?t e
e$rg %i
%i-e$"n tt
-n in
in%i"i
+,$i"i %n ,er>tn "e" #en "entr$ ter"e't.
2. Srt ,er"et
,er"et-n
-n tin%
tin%n
n %ii"i %n
%n %itn%t
%itn%tngni
ngni $e&
$e&
%ter ,e$"n tin%n (,ertr) %n
,"ien?e$rg.
4. A$t
A$t *ng
*ng %i"
%i"i
i,
,n
n
 • Steri$e +" g$#e" n% g>n

• Mnitr &e+%in+i

• I $ine ,erier %engn ter,"ng /irn

• Steri$e ,re, "$tin (e.g. /&$r&e<i%ine)

• Steri$e %r,e"

• S,it @+L "teri$e %engn -r+ 2@ r 40 nt

ne"te"i $$

• L/$ ne"t&eti/ ("$$* 1 $i%/ine)

• 22@gge 1.@in/& nee%$e

• 1:@ r 20@gge intr#en" /t&eter (#er  nee%$e)

n  "*ringe r 1:@gge &$$>@'re nee%$e

• Pre""re t'ing

• Guidewire

• N. 11 "/$,e$ '$%e

• Central venous catheter  >it& %i$tr

• 4.0 "tre n /tting nee%$e

5. Pe+"ngn "e" #en "entr$ &en%n* %i$n %i

rng tin%n *ng %i$eng,i %engn +nitr EKG
"ert $t %n 't re""it"i P"ien %i,"i"in gr
$et #en "entr$ $e'i& ",er!"i$ %n +%& %i%,t.
. P% ,e+"ngn "e" %i #.-g$ri" intern t
"'$#i ,"ien +eneng e "i"i 'er$>nn %n ,%
,nggng ntr e% ",$ %i'eri 'nt$ ,enggn-$
"e&ingg $e&er "e%iit e"ten"i.
6. Penggnn $tr"ngr! 'i "e/r $ng"ng "t
,r"e%r +,n ti% $ng"ng ("e'e$+ ,r"e%r)
%,t +e+'nt ,r"e%r ,e+"ngn "e" #en %n
+engrngi +,$i"i.
9. A$t ,e$in%ng %iri +en/, +"er tt, e,$ '-
tin%n %n "rng tngn "teri$ %i"i,n nt
,ertr
. Pr"e%r 1. Ce "e+ ,er$tn "e'e$+ +$i.
 Tin%n 2. Steri$i""i %n tt,i re *ng n %iin"er"i %engn
"ngt &ti@&ti.
4. P$,"i "" "'/$#i$ri" %n /e &'ngnn*
,% in/i"r "tern$i". Bi$ -ri %ite+,tn "e/r
"'/$#i$ri" ,% ,"i"i $ter$ ter%,t "" *ng
 -e$" ntr /$#i/$ %n /"t II. Gern -ri e
r& +e%i$ +en- in/i"r "tern$i" %n -ri n
ter&+'t ,% -ng +e%i$ /$#i/$. Ini %$& +.
"'/$#i" *ng 'er-$n %ri /"t I +en-
,er+n inerir /$#i$ +e+'erin ,$ *ng
'i ,"i"i /"t I %i+n ter$et #en "'/$#i
 te+,e$n ,r'e USG *ng "%& %i$,i"i ,$"ti
"teri$.
5. Letn -ri te$n- ,% in/i"r "tern$i" %n i'
 -ri ,% %er& ,erte+n ntr /$#i/$ %n /"t
I. In!$tr"i ne"te"i $$ ($i%in 1) %engn -r+
2@gge 2 /+ $ter$ i' -ri %n 0 /+ e %$ e
r& /$#i/$ t te,t %i $ter$ %ri in"er"i +.
"'/$#i /"t I.
. en 'er-$n %i '>& /$#i/$ +en- in/i"r
"tern$i". Gnn -r+ 1:@gge *ng &$"
%engn "*ringe  +$ +"n -r+ +en" $it
%i'gin $ter$ i' -ri %n 0 /+ %i '>& /$#i$
*ng %i+"% nt +e+'t ,"i"i &*$ ,%
'gin 'e$ng in/i"r "tern$i". P"i"i -r+
&rint$ (,r$e$ %engn $nti) nt +en/eg&
,ne+t&r" %n 'e#e$ +eng&%, et" t e
r& i ,"ien nt +en/eg& teter +" e
r& $e&er. A",ir"i -r+ $e'i& %$ ,ert&nn
 -r+ "e/r /er+t ,% te,i '>& /$#i$. i
ti% % %r& #en *ng ter",ir"i "ete$&
,en"n "+,i  /+ tri ,e$n@,e$n
"+'i$ %i",ir"i -i +"i& 'e$+ % -g $ngi
"e$i $gi %n ,'i$ +"i& 'e$+ 'er&"i$ ,in%&
e r& ntr$ter$ n tet,i ,eri" t t&r"
%&$ "e'e$+ %i$n nt +e$i&t %n*
,ne+t&r"
6. Bi$ %r& ter",ir"i + ,"i"i #en "'/$#i te$&
%i%,tn %n n$ t -r+
"e$%inger %i,ert&nn ,% ,"i"in* %engn
+nt,
9. S",n >t ,"ng teter t %i$tr %n
teter "e$n-tn* $e,"n >t
:. Ln %engn &ti@&ti nt +eng&in%ri it
+"n* %r nt it "e'in* -ng teter
ti% %i'irn ter'.
6. P"/ Pr"e%r 1. Ce '&> ",ir"i %r& 'e'" +e$$i teter %n
 Tin%n tete"n 'er-$n %engn $n/r.
2. Kntr$ $et teter %engn t t&r".
4. g e'er"i&n te+,t ,e+"ngn CC

9. Tingt I?II?III?I
E#i%n/e
:. Tingt A?B?C
Re+en%"i
;. Pene$& Kriti" 1. Dr. A&+% Irn S,.An (K) IC
2. Dr. E%>in R"$i S,.An (K) IC
4. Dr. M. R$* S,.An (K) IC
10.In%itr 1. Rntgen t&r< ,"t tin%n
Pr"e%r 2. Cirn +eng$ir $n/r
 Tin%n 4. Dr& tertri %engn +%&
11.Ke,"tn 1. &tt,7??>>>.,r/e%re"/n"$t./+?+e%i/$@
,r/e%re"?/entr$@#en"@$ine@,$/e+ent@AN@012@
,r/e%re.",<
 2. =n%+ent$ Criti/$ Cre S,,rt =rt& E%itin 2009

PANDUAN PRAKTIK KLINIS (PPK)

PROSEDUR TINDAKAN
RS MITRA KELUARGA CIBUBUR
BEKASI
2016
Prosedur Anestesia Umum
1. Pengertin Ane"te"i U++ %$& tin%n +eni%n r"
(De!ni"i) n*eri?"it "e/r "entr$ %i"erti &i$ngn* e"%rn
%n %,t ,$i& e+'$i (re#er"i'e$). K+,nen ne"te"i
*ng i%e$ ter%iri 7 &i,nti n$ge"i re$""i tt.
2. In%i"i 1. Innt  n "i +%

2. De>" *ng +e+i$i& ne"te"i ++

4. Pe+'e%&nn* $" ? e""ten"i 

5. Pen%erit "it +ent$

. Pe+'e%&n $+

6. Pe+'e%&n %i+n ne"te"i $$ ti% ,rti" t

ti% +e+"n

9. Ri>*t ,en%erit t"i ? $ergi 't ne"te"i $$

:. Pen%erit %engn ,eng'tn ntig$nti

4. Kntr In%i"i Tergntng ee r+$gi ,% rgn *ng +eng$+i
e$inn (&r" &in%rn ,e+in 't t %"i"
%irngi?%itrnn).
• Hepar 7 't &e,tt"i?'t *ng t"i"
ter&%, &e,r.
 •  Jantung 7 't @ 't *ng +en%e,re"i +ir%?
+enrnn $irn %r& rner.
• Ginjal 7 't *ng %ie"re"i %i gin-$.
• Paru 7 't *ng +erng"ng "ere"i
,r?'rn"
• Endokrin 7 &in%ri 't *ng +eningtn %r
g$ %r&? &in%rn ,e+in 't *ng
+erng"ng ""nn "r "i+,ti" ,% %i'ete"
,en*it basedow ren 'i" +en*e''n
,eninggin g$ %r&.
5. Per"i,n )  ANAMNESIS
1. I%enti!"i ,"ien +i"$7 n++r $+t
,eer-n 'gin t'& *ng n %i,er"i ri>*t
,er"i "e'e$+n*
2. Inr+e% Cn"ent.
4. Ri>*t ,en*it *ng ,ern& t "e%ng %i%erit
*ng +ngin %,t +en-%i ,en*$it %$+ ne"te"i
ntr $in 7 ,en*it $ergi ,en*it ,r@ ,r
rni ("+ 'rni$ 'rniti") ,en*it -ntng
&i,erten"i ,en*it &ti %n ,en*it gin-$.
5. Ri>*t 't@'t *ng "e%ng t te$& %ignn
*ng +ngin +eni+'$n inter"i %engn 't@
't ne"te"i.
. Ri>*t ,er"i %n ne"te"i *ng ,ern& %i$+i
,% >t *ng $$ 'er, $i %n "e$ng >t.
A,& "t it +eng$+i +,$i"i "e,erti7 $+
,$i& "%r +e+er$n ,er>tn inten"i ,"/
'e%& %$$.
6. Ke'i"n 'r "e&ri@&ri *ng +ngin %,t
+e+,engr&i -$nn* ne"te"i "e,erti 7 +er
+in+ +in+n 'er$&$ ,e+i nr'.

PEMERIKSAAN =ISIK 
Pe+eri"n e%n gigi@ge$igi tin%n '
+$t $i%& re$ti#e 'e"r "ngt ,enting nt %iet&i
,& n +en*$itn tin%n $ring",i int'"i.
Le&er ,en%e %n  -g n +en*$itn
$ring",i int'"i.
Pe+eri"n rtin $in "e/r "i"te+ti tentng
e%n ++ tent ti% '$e& %i$e>tn "e,erti
in",e"i ,$,"i ,er"i %n "$t"i "e+ "i"te+
rgn t'& ,"ien.
lasi!kasi "tatus #isik 
K$"i!"i *ng $i+ %ignn nt +eni$i
e'grn !"i "e"erng i$& *ng 'er"$ %ri The
 American Society of Anesthesiologists (ASA). K$"i!"i
!"i ini 'n $t ,rirn ri"i ne"te"i ren
%+, "+,ing ne"te"i ti% %,t %i,i"&n %ri
%+, "+,ing ,e+'e%&n.
Ke$" I 7 P"ien "e&t rgni !"i$gi ,"iitri
'ii+i
Ke$" II 7 P"ien %engn ,en*it "i"te+i ringn t
"e%ng.
  Ter+" -g "e+ ,"ien *ng 'er"i :0 t&n.
Ke$" III 7 P"ien %engn ,en*it "i"te+i 'ert
"e&ingg ti#it" rtin ter't".
Ke$" I 7 P"ien %engn ,en*it "i"te+i 'ert ti%
%,t +e$n ti#it" rtin %n ,en*itn*
+er,n n/+n e&i%,n "eti, "t
Ke$"  7 P"ien "ert *ng %i,erirn %engn t
tn, ,e+'e%&n &i%,n* ti% n $e'i& %ri 25
 -+.
P% 'e%& cito  t e+ergen"i 'i"n* %i/nt+n
&r E.

PEMERIKSAAN LABORATORIUM .
1. Dr& 7 8' 8t &itng -eni" $e"it g$ngn %r&
>t ,e+'en %n ,er%r&n.
2. Urine 7 ,rtein re%"i "e%i+en
4. =t t&r 7 tert+ nt 'e%& +*r
5. EKG 7 rtin nt +r  50 t&n
. E$er$it (Ntri+ K$i+ C&$ri%)
6. Di$n ,e+eri"n &"" 'i$ %
in%i"i+i"$7 .EKG 7 ,% n %n %e>" F
50t&n %engn tn%@tn% ,en*it
r%i#"$er. '.=ng"i &ti ('i$ir'in r'i$in
%"'.) 'i$ %i/rigi %n* gnggn ng"i &ti.
/.=ng"i gin-$ (re+ retinin) 'i$ %i/rigi
%n* gnggn ng"i gin-$.
PERSIAPAN DI 8ARI OPERASI .
OPERASI ELEKTI=
1. Peng"ngn $+'ng ,enting nt +en/eg&
",ir"i i"i $+'ng ren regrgit"i ? +nt&.
Unt %e>" %i,"n 6@: -+ "e'e$+
,er"i "e%ng n ? '*i 5@ -+.
2. Gigi ,$" ? ,rte"e $in &r" %itngg$n "e''
%,t +en*+'t -$n n" %n +enggngg.
4. Per&i"n %n "+eti &r" %i$e," ?%i&,"
"e'' n +enggngg ,e+ntn "e$+
,er"i.
5. P"ien +" +r 'e%& +e+i ,in
&"" 'er"i& %n $nggr %n +%& %i$e,".
. Mintn i-in ,er"i %ri ,"ien t e$rgn*.
6. S%& ter,"ng -$r ? "e" intr#en
+enggnn i# /t&eter rn +ini+$ 1: t
+en*e"in e%n ,"ien %i+n %i,i$i&
rn *ng ,$ing +"i+$ 'i" %i,"ng.

. Pr"e%r 1. Di$n ,e+"ngn +nitr tenn %r&

 Tin%n n%i %n "tr"i O2
2. Di$n ,e+eri"n !"i $ng -i %ite+n
,er'&n %n ti% +e+nginn nt
%i$n ,e+'e%&n e$eti + ,e+'e%&n
%,t %itn% nt %i$n ,enge$$n $e'i&
$n-t.
4. i ,"ien ge$i"&?/e+" %i'erin ,re+e%i"i7
.Mi%$+ %"i" 009@01 +g?gBB i# '.P%
 n SA 00100@01 +g?gBB  +i%$+ 01
+g?gBB  et+in 4@+g?gBB i+ t "e/r
intr #en SA 001 +g?gBB  +i%$+ 009
+g?gBB
5. Se'e$+ %i$n in%"i %i'erin "igen 6
$iter?+enit %engn +"er (,re "igen"i) "e$+
 +enit.
. O't in%"i *ng %ignn "e/r intr#en7
.Ket+in (%"i" 1@2 +g?gBB) '.Pent&t$ (%"i"
5@ +g?gBB) /.Pr,$ (%"i" 1@2 +g?gBB)
6. P% ,en%erit '*i t n *ng 'e$+
ter,"ng "e" intr#en in%"i %i$n
%engn in&$"i +e+i gent in&$"i *ng ti%
irit"i t +erng"ng -$n n" "e,erti
&$t&ne t "e#Hrne.
9. Se$+ in%"i %i$n +nitr tn% #it$
(tenn %r& n%i +,n "tr"i "igen).
:. P% "" ,er"i *ng +e+er$n ,e+e$i&rn
 -$n n" %i$n int'"i en%tr/&e$ t'e.
;. Pe+e$i&rn ne"te"i %i$n %engn
+enggnn "" tri" ne"te"i ('$n/e
ne"t&e"i) *it 7 "e%"i n$ge"i %n re$""i.
10.Pe+e$i&rn ne"te"i %,t +enggnn gent
#$ti$e (&$t&ne enHrne +,n i"Hrne)
t TIA (Tt$ Intr#en Ane"te"i) %engn
+enggnn et+in t ,r,$.
11.P% ,e+'e%&n *ng +e+er$n re$""i tt
%i'erin ,e+e$i&rn %engn 't ,e$+,&
tt nn %e,$ri""i.

OPERASI DARURAT (EMERGENC)

1. Di$n ,er'in e%n ++ "e,ti+$
+ngin "e,n-ng ter"e%i >t.
2. Di$n ,e+eri"n $'rtri+ "tn%r% t
,e+eri"n ,enn-ng *ng +"i& +ngin
%,t %i$n.
4. P% ,er"i %rrt %i+n ti% %i+nginn
nt +enngg "ein $+ + ,eng"ngn
$+'ng %i$n $e'i& ti %engn /r
+erng"ng +nt& %engn ,+r!n t
+e+"ng ,i, n"g"tri.
5. Di$n in%"i %engn +et%e r,i% "Jen/e
in%/tin +enggnn ""ini$ $in %engn %"i"
1 2 +g ?gBB.
. Pe+e$i&rn ne"te"i %n +nitring ne"te"i
*ng $inn* "e"i %engn ,er"i e$eti 
6. P"/ Pr"e%r 1. E"t'"i %i$n "ete$& ,en%erit "%r.
 Tin%n 2. Sete$& ,er"i ,en%erit %ir>t %n %i$n
,eng>"n tn% #it$ "e/r ett %i rng
,e+$i&n.
4. Pen%erit %i,in%&n %ri rng ,e+$i&n e
'ng"$ "ete$& +e+en&i riteri (A$%rete "/re 
: nt ,en%erit %e>" t Ste>rt S/re  
nt ,en%erit '*i ? n).
 5. A,'i$ ,"t@,er"i %i,er$n ,eng>"n
&e+%in+i "e/r ett + %i$n %i rng
inten"i (ICU).
9. Tingt E#i%n/e I?II?III?I
:. Tingt A?B?C
Re+en%"i
;. Pene$& Kriti" 1. Dr. A&+% Irn S,.An (K) IC
2. Dr. E%>in R"$i S,.An (K) IC
4. Dr. M. R$* S,.An (K) IC
10.In%itr Pr"e%r  Tn%@tn% $ini" nt e%$+n ne"te"i *ng ti%
 Tin%n +e+%i 7
1. Peningtn tenn %r&.
2. Peningtn reen"i %en*t -ntng.
4. P"ien +engn*&?+ene$n %n +en*eringi.
5. Ter%,t ,ergern.
  . Bereringt.
11.Ke,"tn • D'"n M.B.e%. D&r+ A. Penuntun Praktis
 Anestesi. EGC rt  1;;5
• Gni">r Si$i"ti G. Farmakologi dan Terapi
(Basic Therapy Pharmacology). A$i& B&"7
Bgin =r+$gi =KUI. rt 1;;
• Ltie SA %. Petunjuk Praktis Anestesiologi. E%i"i
Ke%. Bgin Ane"te"i$gi %n Ter,i Inten"i 
=KUI. rt 2010
• ert& M. PokokPokok Anestesi. EGC rt
2010

PANDUAN PRAKTIK KLINIS (PPK)

PROSEDUR TINDAKAN
 RS MITRA KELUARGA CIBUBUR
BEKASI
2016
Prosedur Pemasangan $ahurkar
1. Pengertin  T&e MA8URKAR   12=r. Kteter %'$e?tri,,$e $+en
(De!ni"i) teter %iin%i"in nt &e+%i$i"i" %n ,&ere"i".
8$ ini %irn/ng nt %i$e>ti $irn /irn *ng t
nt %i$i"i" t ,&ere"i" %engn +nt %ri $+en
etig nt in" (tri,,$e $+en).
2. In%i"i 1. P$"+,&ere"i"
2. Di$*"i"

4. Kntr In%i"i ABSOLUT

• Pen$n %ri ,"ien

• Ine"i %i %er& ,e+"ngn

• ri"i nt+i *ng "$it ,% $"i ,e+"ngn

• S,erir #en /# "*n%r+e (e</e,t e+r$

#en" $ine)

RELATI

• Cg$,t&*
• Ine"i "i"te+i

• #entri/$r ""i"t %e#i/e %i"e'e$& nn

• Pre"en/e  in%>e$$ing /t&eter" t ,/ing >ire"

,% %er& ,e+"ngn
5. Per"i,n 1. P"ien %n?t e$rg %i-e$"n t-n in%i"i
+,$i"i %n ,er>tn "e" #en "entr$
ter"e't.
2. Srt ,er"et-n tin%n %ii"i %n %itn%tngni
$e& %ter ,e$"n tin%n (,ertr) %n
,"ien?e$rg.
4. A$t *ng %i"i,n
• Steri$e +" g$#e" n% g>n

• Mnitr &e+%in+i

• I $ine ,erier %engn ter,"ng /irn

• Steri$e ,re, "$tin (e.g. /&$r&e<i%ine)

• Steri$e %r,e"

• S,it @+L "teri$e %engn -r+ 2@ r 40 nt

ne"te"i $$

• L/$ ne"t&eti/ ("$$* 1 $i%/ine)

• 22@gge 1.@in/& nee%$e

• 1:@ r 20@gge intr#en" /t&eter (#er 

 nee%$e) n  "*ringe r 1:@gge &$$>@'re
nee%$e

• Pre""re t'ing

• Guidewire

• N. 11 "/$,e$ '$%e

• $ahurkar dou%le&tripple lumen

• 4.0 "tre n /tting nee%$e

5. Pe+"ngn "e" #en "entr$ &en%n* %i$n

%i rng tin%n *ng %i$eng,i %engn +nitr
EKG "ert $t %n 't re""it"i P"ien %i,"i"in
gr $et #en "entr$ $e'i& ",er!"i$ %n +%&
%i%,t.
. P% ,e+"ngn "e" %i #.-g$ri" intern t
"'$#i ,"ien +eneng e "i"i 'er$>nn %n
,% ,nggng ntr e% ",$ %i'eri 'nt$
,enggn-$ "e&ingg $e&er "e%iit e"ten"i.
6. Penggnn $tr"ngr! 'i "e/r $ng"ng "t
,r"e%r +,n ti% $ng"ng ("e'e$+ ,r"e%r)
%,t +e+'nt ,r"e%r ,e+"ngn "e" #en
%n +engrngi +,$i"i.
9. A$t ,e$in%ng %iri +en/, +"er tt, e,$
'- tin%n %n "rng tngn "teri$ %i"i,n
nt ,ertr
. Pr"e%r 1. Ce "e+ ,er$tn "e'e$+ +$i.
 Tin%n 2. Steri$i""i %n tt,i re *ng n %iin"er"i
%engn "ngt &ti@&ti.
4. P$,"i "" "'/$#i$ri" %n /e &'ngnn*
,% in/i"r "tern$i". Bi$ -ri %ite+,tn "e/r
"'/$#i$ri" ,% ,"i"i $ter$ ter%,t ""
*ng -e$" ntr /$#i/$ %n /"t II. Gern
 -ri e r& +e%i$ +en- in/i"r "tern$i" %n
 -ri n ter&+'t ,% -ng +e%i$ /$#i/$.
Ini %$& +. "'/$#i" *ng 'er-$n %ri /"t I
+en- ,er+n inerir /$#i$ +e+'erin
,$ *ng 'i ,"i"i /"t I %i+n ter$et #en
"'/$#i te+,e$n ,r'e USG *ng "%&
%i$,i"i ,$"ti "teri$.
5. Letn -ri te$n- ,% in/i"r "tern$i" %n
i' -ri ,% %er& ,erte+n ntr /$#i/$
%n /"t I. In!$tr"i ne"te"i $$ ($i%in 1)
%engn -r+ 2@gge 2 /+ $ter$ i' -ri %n
0 /+ e %$ e r& /$#i/$ t te,t %i
$ter$ %ri in"er"i +. "'/$#i /"t I.
. en 'er-$n %i '>& /$#i/$ +en- in/i"r
"tern$i". Gnn -r+ 1:@gge *ng &$"
%engn "*ringe  +$ +"n -r+ +en"
$it %i'gin $ter$ i' -ri %n 0 /+ %i '>&
/$#i$ *ng %i+"% nt +e+'t ,"i"i
 &*$ ,% 'gin 'e$ng in/i"r "tern$i".
P"i"i -r+ &rint$ (,r$e$ %engn $nti)
nt +en/eg& ,ne+t&r" %n 'e#e$
+eng&%, et" t e r& i ,"ien nt
+en/eg& teter +" e r& $e&er.
A",ir"i -r+ $e'i& %$ ,ert&nn -r+
"e/r /er+t ,% te,i '>& /$#i$. i
ti% % %r& #en *ng ter",ir"i "ete$&
,en"n "+,i  /+ tri ,e$n@,e$n
"+'i$ %i",ir"i -i +"i& 'e$+ % -g $ngi
"e$i $gi %n ,'i$ +"i& 'e$+ 'er&"i$
,in%& e r& ntr$ter$ n tet,i ,eri"
t t&r" %&$ "e'e$+ %i$n nt
 +e$i&t %n* ,ne+t&r"
6. Bi$ %r& ter",ir"i + ,"i"i #en "'/$#i
te$& %i%,tn %n n$ t -r+
"e$%inger %i,ert&nn ,% ,"i"in* %engn
+nt,
9. S",n >t ,"ng teter t %i$tr %n
teter "e$n-tn* $e,"n >t
:. Ln %engn &ti@&ti nt +eng&in%ri it
+"n* %r nt it "e'in* -ng teter
ti% %i'irn ter'.
6. P"/ Pr"e%r 1. Ce '&> ",ir"i %r& 'e'" +e$$i teter
 Tin%n %n tete"n 'er-$n %engn $n/r.
2. Kntr$ $et teter %engn t t&r".
5. g e'er"i&n te+,t ,e+"ngn CC

9. Tingt E#i%n/e I?II?III?I

:. Tingt A?B?C
Re+en%"i
;. Pene$& Kriti" 1. Dr. A&+% Irn S,.An (K) IC
2. Dr. E%>in R"$i S,.An (K) IC
4. Dr. M. R$* S,.An (K) IC
10.In%itr Pr"e%r 1. Rntgen t&r< ,"t tin%n
 Tin%n 2. Cirn +eng$ir $n/r
4. Dr& tertri %engn +%&
11.Ke,"tn 1. &tt,7??>>>.,r/e%re"/n"$t./+?+e%i/$@
,r/e%re"?/entr$@#en"@$ine@,$/e+ent@AN@012@
,r/e%re.",<
2. =n%+ent$ Criti/$ Cre S,,rt =rt& E%itin
2009
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