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LAPORAN PENDAHULUAN KEGAWATDARURATAN

LUKA BAKAR PADA NY. H DI RUANGAN IGD RS. BHAYANGKARA

OLEH :

 NAMA : YOVITA SELA .P

  NIM : P1207031
CI LAHAN CI INSTITUSI

( ) ( )

PROGRAM STUDI ILMU KEPERAWATAN

STIKES GRAHA EDUKASI MAKASSAR 201


1. K!"#$% M$&'#
1.1 D$$"'#'

L*+ ,+*+- +&++/ *$-#+*+" ++ *$/'+"+" +-'"+" +" &'#$,+,*+" !$/
*!"+* &$"+" #4,$- %+"+#5 +%'5 +'- %+"+#5 ,+/+" *'4'+5 '#-'* &+" -+&'+#' (M!$"+&+.
2001)

L*+ ,+*+- 4$-%+*+" 6$&$-+ +" 6*% #$-'" &'/+&+%' %+-+ &!*$-. L*+
 ,+*+- ,$-+ 4$"$,+,*+" 4!-,'&'+# &+" &$-++ 6+6+ +" -$+'$ '"' &',
+"&'"*+" &$"+" 6$&$-+ !$/ #$,+, +'". B'++ +" &',/*+" "* %$"+"+"+""+
%" '"'.

L*+ ,+*+- 4$"$,+,*+" *$/'+"+" '"$-'+# *' &+" + 4$"'4,*+"


$$* #'#$4'* +" #+"+ *!4%$*#. L*+ ,+*+- ,'+#+"+ &'"++*+" &$"+" &$-++
+" &'$"*+ !$/ *$&++4+" *+ ,+*+-. B$-+"+ *+ ,$-+"" %+&+ &++45
+#5 &+"
$+*. S$+'" ,$-+"+ *+ ,+*+-5 4- &+" *$+&++" *$#$/++" %$"&$-'+ #$,$4"+

4$-%+*+" +6!- +" #+"+ 4$4%$"+-/' %-!"!#'# (R. S+4#/'&++5 2010).

L*+ ,+*+- +&++/ *+ +" &'#$,+,*+" !$/ *!"+* &$"+" #/ '"' #$%$-'
+%'5 +'- %+"+#5 '#-'*5 ,+/+" *'4'+ &+" -+&'+#' + !$/ #$,+, *!"+* &$"+" #/
-$"&+/. (M+"#!$-5 A-'. 2000 : 38).

L*+ ,+*+- &+%+ '4, *+-$"+ *' $-%++" *$ #/ '"'5 #!* '#-'* ++
 ,+/+" *'4'+ (C!-9'"5 E'#+,$/5 . 2000 : 8 ).

L*+ ,+*+- 4$-%+*+" *+ +" &'#$,+,*+" !$/ ,$-%'"&+/"+ $"$-'

&+-' #4,$- %+"+# *$ ,/ (E$"&5 C-'#+"'* 5 2000 : 8 ).

L*+ ,+*+- +&++/ *+ +" &'#$,+,*+" !$/ -+"#$- $"$-' &+" #4,$- %+"+# *$
,/. (B-"$- +"& S&+-5 2000 : 73 ).

1.2 E'!!'
• D- H$+
M'#+"+ : '++" +%' +"#" #$%$-' %+&+ *!-,+" *$,+*+-+" &+" %$"$,!4+".
• M!'# H$+
L*+ ,+*+- +" &'#$,+,*+" !$/ +'- %+"+#
• B$"&+;,$"&+ %+"+#
M'#+"+ : !+4 %+"+#5 +#%+ %+"+# ,'#+ 4$"$,+,+*+" *+ ,+*+- &++4
• K'4'+
B+"+* %-!&* *'4'+ +" ,'#+ 4$"$,+,*+" *+ ,+*+- +%+*+/ &$"+" 4$+'
*!"+* +"#" 4+%" 4$+' '"$#'. T'"*+ *$%$-+/+" *+ ,+*+- !$/
*+-$"+ ,+/+" *'4'+ '"' $-+"" &+-' :


L+4+"+
+#' ,+/+" *!"+* K!"#$"-
*'4'+
 4+/ +-'"+" ,/ +" $-*$"+
 M$*+"'#4$ *$-+ ,+/+" *'4'+ $-#$,
 C!"!/ ,+/+" *'4'+ +" ,'#+ 4$"$,+,*+" *+ ,+*+- < A#+4 *+
(HCL5 +#+4 S- )5 B+#+ *+ ( S!&'4 H&-!='&$). A#+4
*+ 4$"$,+,*+" "$*-!#'# *!++#' &+" "$-' /$,+5 #$&+"*+" ,+#+
*+
"$*-!#'# '*'+*#'5 %$"$-+#'"+ &++4 $+%' "$-' '&+* /$,+.
• L'#-'* 

D'#$,+,*+" !$/ #$"++" '#-'*5 +*',+"+ +*+" #+"+ #$-'# *+-$"+

4$"$,+,*+" *$-#+*+" > *$4+'+" %+&+ #-*- ,/ ,+'+" &++4 #+4%+'
 %+&+ *$/'+"+" #+ ++ $,'/ +"!+ $-+*.
• R+&'+#'
D'#$,+,*+" ,'+ $-%+%+- &$"+" ,+/+" -+&'!+*' &++" 4+/ +" ,+"+*5
4$"$,+,*+" *+ ,+*+- +" #'+"+ -'"+" &+" +-+" 4$"$,+,*+" *$-#+*+"
*' +" %+-+/. D$-++ *$%+-+/+" *+ ,+*+- +*',+ -+&'+#' $-+"" &+-' :
 $"'# -+&'+#'
 +-+* &+-' #4,$- -+&'+#'
 L+4+"+ %+%+-+"
 D!#'# +" &'#$-+%

 K$&++4+" %$"$-+#' %+&+ ,/.


1.1. P+!'#'!!'
K' +&++/ !-+" $-+- ,/ 4+"#'+ &$"+" +# 050284 2 %+&+ &$9+#+. B'+
*' $-,+*+- +*+" $-+&' %$"'"*++" %$-4$+,''+# *+-$"+ -#+*"+ %$4,/ &+-+/
*+%'$-5 &+" +-$+;+-$+ #$*'+-"+. S$/'"+ $-+&' *$,!6!-+" 6+'-+" '"-+*+%'$-
*$ '"$-'#'+ #$/'"+ 4$"'4,*+" &$4 &+" ,+ +" 4$"+"&" ,+"+* $$*-!'.
K' $-,+*+- + ,$-+*',+ *-+""+ 6+'-+" '"-++#*$-. B'+ *' $-,+*+- ?
20@ &+%+ $-+&' #!* /'%!!$4'* &$"+" $++: $'#+/5 %6+5 +*-+
&'"'"5
 ,$-*$-'"+5 "+&' *$6'5 6$%+5 TD 4$"-"5 %-!&*#' -'" ,$-*-+" &+" #$$+/ 
+4 &+%+ $-+&' %$4,$"*+*+". S++ %$4,/ &+-+/ *+%'$- $-%++" #/ '"'5 #$
&+-+/ '* -#+* #$/'"+ ,$-%!$"#' +"$4'+. S$&+"*+" ,'+ *+ ,+*+- $-+&' &'
9++/ &+%+
$-+&' *$-#+*+" 4*!#+ ++" "+%+# *+-$"+ +#+%5 +#5 ++ +% %+"+# +" $-/'-%5
!$&$4+ +-'" 4$"$,+,*+" /+4,++" ++" "+%+# +" 4$"+*',+*+" #$#+* "+%+#5
+*'%"$+5 #-'&!-5 #+-+ %+-+5 &+" &+/+* ,$9+-"+ $+%. S$+'" ' &+%+ + $-+&'
*$-+6"+" +# CO25 *+-$"+ /$4!!,'" '&+* 4+4% 4$"'*+ O 2 &'+"&+' &$"+" $4+#5
 ,'""5 %#'"5 4+5 4"+/ &+" ,$-+*',+ *!4+ ,+/*+" 4$"'"+ &"'+.
L*+ ,+*+- +" '&+* #$-' 4&+/ $-*!"+4'"+#' &+" ,$-$#'*! $-*$"+ '"$*#'
*4+" -+4 () &+" (;) 6!"!/"+ %#$&!4!"+# +$-'"!#+ &' +"&+' &$"+" 9+-"+ /'+
 %+&+ *+#+ %$"% *+ ,+*+-. I"$*#' #" '&+* &++4 ("!" '"+#') &'+"&+' &$"+"
*$-!%$" &+" "+"+/. I"$*#' '"+#' &'+"&+' &$"+" *$-!%$" +" *$-'"5 &+" +-'"+"
"$*-!'*.
B'+ *+ ,+*+- &$-++ I &+" II #$4,/ &+%+ 4$"'"+*+" +-'"+" %+-.
S$&+"*+" %+&+ *+ ,+*+- &$-++ III +*+" 4$"++4' *!"-+*-. P+&+ *+ ,+*+- ,$-+
+*+" &+%+ &'$4*+" '$# %+-+''* &+" #-$## %+&+ *+ ,+*+- ,$-+ '"' +*+" 4&+/
4$"++4' *+* &' 4*!#+ +4," *+* C-'" &+" +%+,'+ '"' ,$-+" *+"
4$"'4,*+" 6# +*',+ "$*-!#'# 4*!#+ +4,". K$6+6++" %+&+ *+ ,+*+- /$,+
$-+4+ %+&+ 9++/ ,$-$#'*! 4$"++4' ,$,+" '9+ +" 4$"'4,*+" +"+" '9+
+" &'#$, schizophrenia.

1.2. M+"'$#+#' K'"'#

M+"'$#+#' *'"'# +" &+%+ &''/+ ,$-&+#+-*+" &$-++ *+ ,+*+- (M+"#!$- :
2000) 1.  G-+&$ I
+.  +-'"+" -#+* /+"+ $%'&$-4'# #++

 ,.  K'"'# +&+ -+#+ "$-'5 9+-"+ *$4$-+/+"


6.  A&+"+ /'%$-+'#'+
&.  A*+" #$4,/ *-+" $,'/ 7 /
+-' 2.  G-+&$ II
+.  G-+&$ II +
1)  +-'"+" *+ ,+*+- #$,+'+" &$-4'#.
2)  K'"'# "$-'5 9+-"+ $#' 4$-+/ > *"'".
3)  K'"'# +"+" $-+&' ,'+ ,+#+/
)  T$# +-4 /'%$- +'$#'+5 *+&+" "!-
4+. 8)  S4,$- 4$4$-*+" 9+* 7 F
1 /+-'
 ,.  G-+&$ II ,
1)  +-'"+" -#+* #+4%+' &$-4'# &'4+"+ /+"+ *$$"+- *$-'"+ #++ +"
4+#'/ /.
2)  K'"'# "$-'5 9+-"+ $#' 4$-+/ > *"'".
3)  T$# +-4 /'%$- +'#'+ .
)  W+* #$4,/ *-+" $,'/ 1 F 12 /+-'
8)  H+#' *' %6+5 4$"*'+%5 *+&+" +&+ #'*+-'* 
3.  G-+&$ III
+.  +-'"+" +" #$-/ &$-4'# &+" $%'&$-4'#.
 ,.  K'"'# 4'-'% &$"+" -+&$ II /+"+ *' ,$9+-"+ /'+4 > *$6!
*++". 6.  T$# +-4 '&+* #+*'.
&.  W+* #$4,/ $,'/ &+-' 21 /+-'.
$.  H+#' *' 4$"+&' #'*-+-'* /'%$--!'

1.3. P$4$-'*#++" P$""+"


 H'" &+-+/ $"*+% : H, (H$4!!,'") -" 4$""**+" +&+"+

 %$"$+-+" &+-+/ +" ,+"+* #$&+"*+" %$"'"*++" $,'/ &+-'


18@ 4$"'"&'*+#'*+" +&+"+ 6$&$-+5 %+&+ H (H$4+!*-') +"
4$"'"*+
4$""**+" +&+"+ *$/'+"+" 6+'-+" #$&+"*+" H -" &+%+ $-+&'
#$/,"+" &$"+" *$-#+*+" +" &'+*',+*+" !$/ %+"+# $-/+&+%
 %$4,/ &+-+/.
 L$*!#' : L$*!#'!#'# &+%+ $-+&' #$/,"+" &$"+" +&+"+ '"$*#' ++

'"+4+#'.
 GDA (G+# D+-+/ A-$-') : U"* 4$"$+/' +&+"+ *$6-'+++" 6$&$-+
'"/++#'. P$"-"+" $*+"+" !*#'$" (P+O2) ++ %$"'"*++" $*+"+" *+-,!"
&'!*#'&+ (P+CO2) 4"*'" $-'/+ %+&+ -$$"#' *+-,!" 4!"!*#'&+.
 E$*-!' S$-4 : K+'4 &+%+ 4$"'"*+ %+&+ +9+ #$/,"+" &$"+"
6$&$-+ +-'"+" &+" %$"-"+" "#' '"+5 "+-'4 %+&+ +9+ 4"*'"
4$"-" *+-$"+ *$/'+"+" 6+'-+"5 /'%$-$-4' &+%+ $-+&' #++ *!"#$-+#'
'"+ &+" /'%!*+$4' &+%+ $-+&' ,'+ 4+' &'-$#'#.
  N+-'4 U-'" : L$,'/ ,$#+- &+-' 20 4E>L 4$"'"&'*+#'*+" *$$,'/+" 6+'-+" 5

*-+" &+-' 10 4EAL 4$"&+ *$'&+*+&$*++" 6+'-+".


 A*+' !#+ : P$"'"*++" A*+' !#+ #$/,"+" &$"+" %$-%'"&+/+"
6+'-+" '"$-#'#'+ ++ +"+" %!4%+5 "+-'4.
 G*!#+ S$-4 : P$"'"'+" G*!#+ S$-4 4$""**+" -$#%!" #-$##.
 A,4'" S$-4 : U"* 4$"$+/' +&+"+ *$/'+"+" %-!$'" %+&+ $&$4+
6+'-+".
 BUN ++ K-$+'"'" : P$"'"'+" 4$""**+" %$"-"+" %$-#' ++ "#'
'"+5 $+%' *-$+'"'" &+%+ 4$"'"*+ *+-$"+ 6$&$-+ +-'"+".
 L!!% +'-+" !4$ : M$4,$-'*+" %$"*+'+" "!";'"+#' $-/+&+% $$* ++
+#"+ 6$&$-+.
 EKG : U"* 4$"$+/' +&+"+ +"&+ '#*$4'+ 4'!*+-&'+ ++ &'#-'4'+.
 !!-+' *+ ,+*+- : M$4,$-'*+" 6+++" "* %$"$4,/+" *+ ,+*+-.

1.. P$"+++*#+"++"
• P$4,$-'+" !,+;!,++" :

P$4,$-'+" !,+ #$%$-' +"','!'6 #%$6-4 +# ,$-+" "* 4$"6$+/ '"$*#'
$-/+&+% %#$&!4!"+# +" &'%+*+' +&++/ !!"+" +4'"!'*!#'&+. "* 
4$"++#' "$-' &',$-'*+" !%'+$ &++4 &!#'# -$"&+/ 4$+' '"-+$"+.
• P$4,$&+/+" :
D'+**+" %+&+ *+ ,+*+- +" +# &$"+" 4$+**+" $*#'#' "* 4$-
+"#+"
 %$-4,/+" +-'"+" ,+- ++ + &$"+" 4$+**+" #*'" -+'"5 %+&+ *+
 ,+*+- &$"+" &$-+ *$&++4+" IV &'4+"+ +-'"+" *' &+" %$""+" &',
+9+/"+ $+/ 4+'5 4+*+ *$4"*'"+" &'+**+" +4%+#' +*+" $,'/ ,$#+-.
• R$##'+#' 6+'-+" à  B+=$-.
D$9+#+ : B+=$-.
RL  66 = BB = @ LB>2 +4.
A"+*: 4+/ -$##'+#'  *$,/+" ++:
RL : D$=-+"  17 : 3
2 66 = BB = @ LB.
K$,/+" ++:
J 1 +/" : BB = 100 66
1 F 3 +/" : BB = 78 66
3 F 8 +/" : BB = 80 66
 à &',$-'*+"  +4 %$-+4+
 à &',$-'*+" 1 +4 ,
$-'*"+. H+-' *$&+:
D$9+#+ : D$=-+" 800 F 2000  D8@ > +,4'".
( 3;=) = 0 = BB  -
  >/-  100
(A,4'" 28@  -+4 =  66) à 1 66>4".
A"+* : D',$-' #$#+' *$,/+" +
+.

• O,#-*#' ++" "++# ,+'+" ++#


O,#$-+#' +&+"+ #+-+ #$-+*5 4$"'"*+"+ ,+* &+" *$'&+*4+4%+"

4$"$+-*+" #$*-$. I",+#' $"&!-+*$+ "* %-!'+*'* 44 &' +**+".


P$-+9++" #%!-' : #6'!"5 %$4,$-'+" +"+$'*+
• O,#-*#' ++" "++# ,+'+" ,+9+/
T+"&+ &+" $++ +"+-+ +'" : S'+"!#'#5 &'#-$## %$-"++#+" ,$-+5 /'%!*#'+ #$-$,-+
 ,$-+.
P$"+++*#+"++" : O*#'$"+#' %$- '"-+$"+ #++ %$-+4+ *+'5 ,-!"*!&'+!- 
 %$-'"-+$"+5 4!"'!-'" /+#' AGD. A"','!'* &'"+*+" '*+ $-+&' '"$*#'.

1.8. K!4%'*+#'
K!4%'*+#' +" #$-'" &'++4' !$/ *'$" *+ ,+*+- +" +# +"+-+
+'": 1.  B-" #/!6* (#/!6* /'%!!$4'*)
M$-%+*+" *!4%'*+#' +" %$-+4+ *+' &'++4' !$/ *'$" &$"+" *+ ,+*+- 
+# *+-$"+ /'%!!$4'* +" '&+* #$$-+ &'++#'.
2.  S$%#'#
K$/'+"+" *' #$,++' %$'"&" 4$"$,+,*+" *' #+"+ 4&+/ $-'"$*#'.
'*+ '"$*#' '"' $+/ 4$"$,+- *$ %$4,/ &+-+/5 &+%+ 4$"+*',+*+" #$%#'#.
3.  P"$4!"'+
D+%+ $-+&' *+-$"+ *+ ,+*+- &$"+" %$"$,+, -+4+ '"/++#' #$/'"+
-!"+ %+- $-'#' !$/ +# (+;+ '"/++#').
.  G++ '"+ +*
 K!"&'#' ++ '"+ +* &+%+ $-+&' *+-$"+ %$"-"+" +'-+" &+-+/ *$ '"+.
 
8. H ' % $ - $ " # '  + - '"  + " + *  
M $ -  % + * + " * ! 4 %  ' * + # ' *!' +" ,'+#+ &'++4' %+#'$" &$"+" *+ ,
+*+- +"
#' &'6$+/5 +*+" $+%' ,'+# &'++#' &$"+" '"&+*+" $-$".
.  K!"-+*- 
 M$-%+*+" +"+" "#' %$-$-+*+".
7.  D$*,'#
T$-+&' *+-$"+ *-+""+ 4!,''#+#' %+&+ %+#'$" &$"+" *+ ,+*+-
+" 6$"&$-" ,$&-$# $-#.
2. K!"#$% K$%$-+9++"
2.1P$" *+'+" P-'4$-
ABC
+. A'-9+
A%+,'+ $-&+%+ *$6-'++" +&+"+ -+4+ '"/++#'5 4+*+ #$$-+ %
+#+" E"&!-+6/$+ T,$ (ET). T+"&+;+"&+ +&+"+ -+4+ '"/++#' +"+-+ +'"
+&++/ :
$-*-" & +4 +%'5 *+ ,+*+- %+&+ 9++/5 , /'&" +" $-,+*+-5 &+"
#%4 +" /'+4.
 ,. B-$+/'"
E#6/+- +" 4$'"*+-' &+&+ &+%+ 4$"/+4,+ %$-$-+*+" &+&+ "* ,$-"+%+#5
#$$-+ +**+" $#6/+-+!4'. P$-'*#+ + +%+*+/ +&+ %"$4!/!-
+=5
/$4$!/!-+=5 &+" -+6-$ 6!#+$.
6. C'-6+'!"
L*+ ,+*+- 4$"'4,*+" *$-#+*+" +-'"+" #$/'"+ 4$"'4,*+" $&$4+5 %+&+
*+ ,+*+- +" +# &+%+ $-+&' #!* /'%!!$4'* *+-$"+ *$,!6!-+" %+#4+
+" +#.

2.2 P$" *+'+" #$*"&$- 


1. T+"+*+" $"+" :
+. P$"$,+, *+ ,+*+- (*'4'+5 $-4+5 '#-'*).
 ,. W+* *+ ,+*+- (%$"'" *+-$"+ *$,/+" -$##'+#' 6+'-+" &'/'"
&+-' 9+* 6'&$-+ *+ ,+*+-5 ,+/*+" &+-' 9+* ',+"+ *+ ,+*+-
5 +-$+
$-,*+ $-%).
6.  A&+"+ 4+#++/ F 4+#++/ 4$&'# +" 4$"$-+'.
&.   A$-' (*/##"+ #+) *+-$"+ ,+"+* +"'4'*-!,'+ *+%'+ 4$"+"&"

#+.
$.  T+"+ $-+*/'- '4"'#+#' $+"#.
.  O,+;!,++" +" &'"+*+" ,$-#+4++".

2.  P$4$-'*#++" '#'* 


+. A*''+#> I#'-+/+
T+"&+ :
1.  P$"-"+" *$*++"5 +/+"+"
2.  K$$-,++#+" -$"+" $-+* %+&+ +-$+ +" #+*'
3.  G+"+" 4+#+ !!5 %$-,+/+" !"#

 ,. S'-*+#'
  T+"&+ (&$"+" 6$&$-+*+ ,+*+- $,'/ &+-' 20 @
APTT) 1.  H'%!$"#' ( #/!6* )
2.  P$"-"+" "+&' %$-'$- &'#+ %+&+ $*#-$4'+# +" 6'&$-+5
+#!*!"-'*#' 44 &$"+" *$/'+"+" "+&'5 *' %'/ &+" &'"'"
( S/!6* '#-'*)
3.  T+*'*+-&' ( S/!6*> +"#'$+#> "$-' )
.  D'#-'4'+( S/!6* '#-'*).
8.  P$4,$"*+" $&$4+ +-'"+" ( #$4+ *+ ,+*+-)
6.  I"$-'+# $!
T+"&+ : +"#'$+#5 4$"+"'#5 *$$-+""+"5 4$"+"*+5 4$"+-' &'-'5
4+-+/.
G$++ : 4+#++/ $"+" *$+-+5 %$*$-++"5 *$+"+"5
*$6+6++" &.  E'4'"+#'

T+"&+ :
1.  H++-+" -"$ 4$"-"> +* +&+ #$+4+ +#$ &+--+5 9+-"+ 4"*'"
/'+4 *$4$-+/+" ,'+ $-+&' 4'!!,'"5 4$"'"&'*+#'*+" *$-#+*+"
!! &++4.
2.  D'-$#'# (#$$+/ *$,!6!-+" *+%'$- &+" 4!,''#+#' 6+'-+"
*$&++4 #'-*+#')
3.  P$"-"+" ,'#'" ##> +* +&+5 */##"+ %+&+ *+ ,+*+- *+"$#
$,'/ ,$#+- &+-' 20 @ #$,++' #-$## %$"-"+" 4!''+#>
 %$-'#+'6+#-'6
$.  M+*+"+" 6+'-
+" T+"&+ :
1.  E&$4+ +-'"+" 44
2.  A"!-$*#'+5 4+> 4"+/
.   N$-!#$"#!-'
T+"&+ :
1.  P$-,+/+" !-'$"+#'5 +$*5 %$-'+*
2.  P$"-"+" -$$*# $"&!" &++4( RTD) %+&+ 6$&$-+ $*#-$4'+#

3.  A*''+# *$+" ( #/!6* '#-'*)


.  L+#$-+#' *!-"$+5 *$-#+*+" -$'"+5 %$"-"+" *$++4+" %$"'/
++" (#/!6* '#-'*)
8.  R%- 4$4,-+" '4%+"' ( #/!6* '#-'*)
.  P+-+'#'# ( 6'&$-+ '#-'* %+&+ +'-+" ++-+)
G$++ : +-$+ ,$,+#5 *$#$4+"
.   N$-'> K$"+4+"+"
G$++ : B$-,++' "$-'5 6!"!/ *+ ,+*+- &$-++ %$-+4+ #$6+-+
$*#-$4$ #$"#'' "* &'#$"/5 &'$*+"5 $-+*+" &+-+ &+" %$-,+/+"
#/5 *+ ,+*+- *$$,++" #$&+" &$-++ &+ #+"+ "$-'5 #$4$"+-+
-$#%!" %+&+ *+ ,+*+- &$-++ *$ &+ $-+"" %+&+ *$/+" "
#+-+5 *+ ,+*+- &$-++ '+ '&+* "$-'
/.  P$-"++#+"
T+"&+ :

1.  S$-+*5 ,+* 4$"'5 %+-'*$ *+-,!" &++4 #%45 *$'&+*4+4%+"


&++4 4$"$+" #$*-$#' !-+5 &+" #'+"!#'#5 '"&'*+#' '"/++#'
2.  P$"$4,+"+" /!-+*# 4"*'" $-,++# %+&+ +&+"+ *+ ,+*+- 
'"*+- &+&+.
3.  ++" "++# ++# #-'&!-> 4$"' (!,#-*#' #$/,"+" &$"+" +-'"
#%+#4$5 $&$4++-'"$+)
.  B"' "++# : $4$-'6'* ( $&$4+ %+-)5 #-'&!- ( $&$4+ +-'"$+) #$*-$
 ++" "++# &++4 ( -!"*/')
G$++ : T$-*-" &++4 -+" $-%5 $-%++" +4+
(*$4"*'"+" 6'&$-+ '"/++#'
'.  K$+4+"+"
T+"&+ :
1.  K' : 44 : &$#-*#' +-"+" &++4 4"*'" '&+* $-,*' #$+4+
3;8 /+-' #$/,"+" &$"+" %-!#$# -!4,# 4'*-!+#*$- %+&+
 ,$,$-+%+ *+
2.  A-$+ *' +* $-,+*+- 4'"*'" &'"'" ++ $4,+,5 %6+ &$"+"
 %$"'#'+" *+%'$- +4,+ %+&+ +&+"+ %$"-"+" 6-+/ +""

#$/,"+" &$"+" +&+"+ *$/'+"+" 6+'-+" ++ #+# #/!6* 


3.  C'&$-+ +%' : -$-&+%+ +-$+ 6'&$-+ 6+4%-+" &++45 #$/,"+" &$"+"
+-'+#$ '"$"#'+# %+"+# +" &'/+#'*+" ,$*+" $-,+*+-5 , /'&"
!#!"5 4*!#+ /&" &+" 4 *$-'"5 4$-+/ :$%/ %+&+ +-'"
 %!#$-'!-5 $&$4+ '"*+' 4 &+" '"*+- "+#+
.  C'&$-+ *'4'+ : +4%+* *+ ,$-+-'+#' #$#+' +$" %$"$,+,
8.  K' 4"*'" 6!*+ *$*"'"+" &$"+" $*#- #$%$-' *' #$4+* 
/+#5 $%/5 *#5 "$*-!#'# ++ +-'"+" %+- $,+. C'&$-+ #$6+-+
44 $,'/ &++4 +4%+*"+ #$6+-+ %$-*+" &+" *$-#+*+"
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