(Fetal HR 120-160) RR -30 90-130 Infant 30-60 -10 80-120 Toddler 20-30 -10 70-110 Preschooler 16-22 Temperature ºF = (1.

8 * ºC) + 32 (Think of them as being ~ 2º apart) 37ºC = 98.6º F 38ºC=100.4º F 39ºC=102.2º F 40ºC =104 º F Na (135-145) K (3.5-5) Mg (1.5-2.5) Ca (9-11) Cl (96-106) Phos (3-4.5) Endocr: BUN (7-22 or to remember put the buns in the oven for 10-20 min) Cr (0.5-1.5) Urine Spec Gravity (1.005-1.030) Glucose: Nml 80-110 Fasting <110 Infant BG 50-90 (<45=hypoglycemia-high pitch cry) HgbA1c= 4-6% (or <7%) Thyroid: T3 (60-180) T4 (5-11) TSH (0.5-5) or 0.5-2 for hypothyroid pts Free T4: 0.8-2.7 ( I remember it .8-2.8 easier to memorize) Hypothyroid: TSH ;¯ T3 & T4 Hyperthyroid: ¯ TSH ; T3 &T4 ABGs: PH 7.35-7.45 pO2 80-100 pCO2 35-45 HCO3 22-26 ROME: With Acidosis the PH is always ¯ and PH is always in Alkalosis Respiratory Opposite; Metabolic Equal Blood: RBC 4.2-6.1 million WBC 5000-10000 (or 4500-11000) Plt 150,000 – 450,000 Hgb F: 12-16 M: 14-18 Hct F: 37-47% M: 42-52% Amylase: 53-123 Albumin: 3-4.3 Alk Phosphate: 14-100 NH3 (35-65)

4-6yr Hep A 12-23 mo (2 doses. 4-6yrs. 1-2. Indirect: 0. 4-6yr Varicella 12-15. 6. 12-15 Pneumo 2. 6-18mo Hib 2.3) Phenylalanine: Newborn < 2 Adult < 6 Antidotes Digoxin ® Digiband Tylenol ® Mucomist (17 doses + loading dose) Heparin® Protamine Sulfate Benzodiazepine ® Flumzaemil (Romazicon) Coumadin®Vit K DI ®¯ ADH. ¯ u/o. 4. 6 Influenza at 6 mo and then yearly after Random Stuff Thiazides BG Neupogen = Neutrophil Epogen = RBC/Erythocyte Lofenalac Formula = for PKU infants Ototoxic drugs = loop diuretics (Lasix) and Platinol-AO TB Meds (RISE) Rifampin INH Streptomycin Ethambutol GCS Eyes (4 points) Verbal (5 points) Motor (6 points) Max = 15 (<8=coma) APGAR Score .12-15 Dtap 2. urine spec gr Vaccines Hep B 0. Na (think Na = urine spec gr) SIADH® think syndrome of ed diuretic hormone ADH.3-1. 6-18.1-0. 4. ¯ Urine Specific Gr. 6 mo apart) Mening 9-11 yrs Rota 2. 4-6yr MMR 12-15. 4. Direct 0. 4.8. 6. 6.Blood Osmol 280-300 Lipase 14-280 Bilirubin (Total: 0.2-0. Td q 10 yrs IPV 2. 15-18. u/o. 4.

chest: 12-13in Umbilical cord falls off in 1-2 weeks Stool: 1st stool (Mecconium) – black + tarry (passes w/in 12-24 hrs). Hemophilia A (Females are carriers in these diseases and males are affected by the disease) At Term: Nml = wt: 6-9lbs. < 100. weak cry. limp] Resp [strong cry. no cry] FETAL © Strips REMEMBER: VEAL CHOP Variable is Cord Early is Head Acceleration is Ok Late is Placental Insufficiency Hypoventilation => Resp Acidosis ( CO2) “Retain CO2” Hyperventilation=> Resp Alkalosis (¯ CO2) “Blow off CO2” (think of preg breathing) Lasix/Bumex = K+ Wasting (can cause hypokalemia) Aldactone = K+ Sparing (can cause hyperkalemia) Tx of DIC = Heparin (safe during preg) Post Masectomy Care: BREAST BP NOT on affected side Reach Recovery Elevate affected side Abduction and external rotation – no initial exercise (initial is extension/flexion) Self Breast Exam (1x month – 7 day after period) Try to promote a (+) self-image Autosomal Recessive: Cystic Fibrosis. PKU. grimace. no response] Activity [flexed.At 1 and 5 min after birth (1st score is the transitional score and 2nd is planning care of newborn) 8-10 = ok 210 Appearance [All pink. pink&blue. Sickle Cell Dx. Albinism. Galactetsemia Autosomal Dominant: Huntington’s Disease. 13-14 in. formula feedings (1-2 pale yellow/light brown stools) or breast feeding (loose golden yellow stools with sour milk odor) . blue/pale] Pulse [> 100. Polycystic Kidney Disease X-Linked Recessive: Duchenne’s Muscle Dystrophy. flaccid. Tay-Sachs. Marfan’s. Polydactly. thin/green/brown day 3. No Response] Grimace [cough. Achandrophic Dwarfism. head circumference: ¼ body length. Alpha Anti-Trypsin Deficiency.

paralysis Cushing’s Triad: (Indicates ed ICP) ¯ HR. pulseless. no grapefruit juice § tPA= dissolves clots (heparin does not) § SLE Tx o Cytotax. Wide QRS. Long PR Wave 5 P’s of Fracture: Pain. paresthesia. no odor) o <300 mL = Olighydrimanos (low amniotic fluid) § Kidney problems . and Prominent U wave Hyperkalemia: Tall T wave. pallor. BP CONVERSIONS: 1 lb = 16 oz 1 T = 3 tsp = 15 mL 1c = 8 oz = 240 mL 1 t = 5 mL 1 lb = 454 g = 16 oz 2 c = 1 pt = 16 oz 1 oz = 30 mL= 8 drams 1 mg = 1000 mcg 2 pt = 1 qt= 32 oz 1 g = 15 gr 4 qt =1 gal=128 oz 1 gr = 60 mg Med Trivia § Talwan and Stadol=> Avoid (opoid agonist antagonists) – much less effective then opoid agonists § No Tagamet with Warfarin § Erogostat => For Migraine § No Quinolones/Tetracyclines with pregnancy § No ASA/NSAIDS in Hemophilia A patients § Lipitor = PM ONLY.Hypokalemia: Flat T wave. ¯RR. 16-20 weeks § Fetal Heartbeat = 8-12 weeks (by Doppler) and 18-20 weeks by auscultating with stethoscope § Preterm: 20-37 weeks § Term: 38-42 weeks § Post-term: 42 weeks plus § Total preg weight gain: 11-14 kg (25-35 lb) § 300 cal during preg (DAILY) and 200-500 cal during breastfeeding (DAILY) § Caffeine < 300 mg/day (500-750 mL/day => risk of spontaneous abortion or fetal intrauterine growth restriction § Uterine contractions can be felt after 4th month = Braxton Hicks Contractions facilitate uterine blood flow through placenta and promote O2 delivery to fetus § Amniotic Fluid: o Nml: 800-1200 mL (transparent/clear. Imuran (Immunosupressants) o NSAIDs o Plaquinil (also an anit-malarial drug) More Maternity § Fundal Height o Top of Symphis Pubis to top of fundus o Gross estimate of dates o Use a non-stretchable tape measure o 12-14 wks (at level of symphis) o show after week 14 (can tell preg) o 20 wks (~ 20cm) at level of umbilicus o rises 1 cm/wk till 36 weeks then varies § Quickening = fetal movement. Depressed ST.

Hirituism. ostoporosis and adrenal suppression (in kids = delayed growth) § No Paxil with MAOI) § Beta Blockers = Mask Effect Of Hypoglycemia § SOMogyi Effect = BG sometimes up and sometimes down § Dawn Phenomenon = high BG in DAWN hrs (5-8am) § AFTER o Post tracheostomy: keep O2 and Suction at bedside o Post pleural biopsy: chest tube and drainage system at bedside o Post parathyroidectomy: tracheostomy at bedside o Tonic Clonic Seizures: Suction apparatus at bedside o Paracentesis: BP Cuff at Bedside § RACE-Priority in a fire o R-Rescue o A-Alarm o C-Confine o E-Extinguish § PASS – To use a fire extinguisher o P-Pull Pin o A-Aim at Base Fire o S-Squeeze Handle o S-Sweep fire from side to side § Folic Acid Rich Foods (FOL) o F= Fish o O=Organ Meats. nicotine. exs of viruses (HIV.o Polyhydrimanos (too much amniotic fluid) § Umbilical Cord: 2 arteries and 1 vein § Placenta: Fetal lungs in utero § Alcohol. Hep) § AFP Test: measured at 16-18 weeks o ed Levels = risk of neural tube/abd wall defects (ex. bacteria cannot.2 Other Stuff § Immed after put pt on a Mech Vent check BP (hypotension) § Lesions of midbrain = decerebrate positioning § Morphine Toxicity = Pinpoint pupils § Corticosteroid Effects: Acne. Oranges o L=Leafy green veggies § K+ Foods (ROYGBIV-Rainbow colors) o Red= Strawberries. AIDS. caffeine. Toxoplasmosis. meds = easily cross placenta (viruses can cross. Measles. Tomatoes (not apples) o Orange= Oranges o Yellow=Banana o Green= Avocado. Mood Swings. Herpes. green veggies o Blue= Fish from the BLUE sea o Indigo/Violet= Raisins . spina bifida) o ¯ed Levels: risk of Down Syndrome § Fetal Distress o HR < 110 or > 160 o Fetal hyperactivity or no activity o Fetal Blood pH < 7.

HTN. high Sodium o Moon Face. osteoporosis. in infants from hypertrophy of pylorous (symp 2nd-4th wk after birth) § Toddler: Fear of separation (give simple directions) § Preschooler: Fear mutilation (Allow to play with equipment) § School Agers: Fear loss of control (allow to play with equipment) § Adol: Fear loss of independence § o o o o o o o § o o o o o o § § § o o Pneumothorax Symp (P-Thorax) P-Pleurtic Pain T-Trachea Deviation H-Hyperresonance O-Onset Sudden R-Reduced breath sounds (dyspnea) A-Absent Fremitus X-X-Rays show collapse Pul Edema Tx (MAD DOG) M-Morphine A-Aminophylline D-Digitalis D-Diuretics O-O2 G-Gasses in blood (ABGs) Cholecystisis: Gallbladder inflammation (RUQ pain) Cholelithiasis: Gall Stones Pancreatitis TURNER’S SIGN: Flank echymosis CULLAN’s SIGN: Bluish periumbical (around the belly button) Who needs Dialysis? Vowels: AEIOU A: Acid/Base Problems E: Electrolyte Problems I: Intoxications O: Overload of fluids U: Uremic Symptoms § Cushing’s Dx o (Cushion – too much Cortisone) o (3 S’s = high Steriods. high cal/carbs/protein. high Sugars (hyperglycemia). no food before bed § Papable olive shaped tumor in epigastrim = pyloric stenosis (projectile vomiting) o In adults from peptic ulcers. thin skinny extremities.§ Cretenism = Congential Hypothyroidism (appears 3-6 mo in bottlefed infants and later in breastfed infants) § Hepatitis: low fat. low cal diet § Cystic Fibrosis: High Protein Diet and Pancr enzyme replacement § Hital Hernia: Fundopliction (tighten cardiac sphincter on stomach) don’t lie down for 1 hr after meals. slow wound healing. HOB 4-8 in when sleepy. no alcohol § Hypothryoid: High Protein. Trunkal obesity. Buffalo Hump. muscle wasting o ¯ K+ § Addison’s Dx .

Hyperpigmentation § ALLEN TEST o B4 drawing ABGs do an Allen’s Test o Compress both radial and ulnar arties (wrist) at same time on 1 hand o Release the ULNAR side (pinky side) and hand should turn discolored and should be able to see blood flow back into it § (Radial – is located on the thumb side and ulnar is on the pinky side) o Minutes of press on the ABG site after drawing blood? § 5-10 min or 15-20 min if on anti-coagulants § After a liver biopsy place patient on the RIGHT Side § Mobility o Cane § COAL = Cane Opp Affected Leg o 2 point gait § One leg and 1 crutch touch ground at same time § Weight bearing o 3 point gait § Both crutches and 1 foot are on the ground § Non-weight bearing o 4 point gait § Both legs and both crutches touch the ground § Weight bearing o Swing through gait § Advancing both crutches.o Need to ADD steroids o (3 S’s = Low Steroids. honey colored crusts § Permethrin [NIX] => 10% for lice tx and 5% for Scabies tx o (Scabies = mites bury under skin) . then both legs. Low Sodium) o Low vascular volume (Not holding salt and H20 like in Cushing’s). Low Sugars. and requires weight bearing § Not as stable as other gaits § Laminectomy = removal of 1 or more vertebral laminae – need straight back after = LOGROLL and KEEP BACK STRAIGHT (so flat bed) § Intussceptation o Seen in Non-Hodgkin’s Lymphoma o Hot dog mass in RUQ o Red Currant Jelly Like mucous and bloody stool § Sweat Chol o > 60 = CF o 40-60 = Borderline CF § Ostomy = pouch opening 1/8 in larger than stoma § Macule = flat and round § Papule = rounded and red § Vesicle = filled with fluid § Impetigo = 1:20 Burrow’s Soln. low BP o Hyperkalemia ( K+) o Bronze Skin.

not with food intake (Starve the gastric ulcer and feed the duodenal) Diverticular Dx: Cramping in LLQ relived by passage of stool and flatus (constipation alternates with diarrhea (from def in diet fiber) high fiber diet Meckel’s Diverticulum: congen sac or pouch in ileum. (currant jelly like stool). pain after meals) § Appendicitis o Pain at McBurney’s Point § (1/2 b/w umbilicus and right iliac crest) LLQ: § Ulcerative Colitis (Rectum.w portal vein to vena cava channel (provides a pathway for blood b/w portal vein and hepatic vein = bypasses cirrhotic liver) and relieves press on esoph varicies Jaundice (Icterus) § Hemolytic o RBCs are destroyed (release bilirubin) § Hemolytic transfusion rxn § Hemolytic Anemia § Sickle Cell Crisis § Hepatocellular o The impaired liver cell (hepatocyte) doesn’t allow bilirubin to convert from the unconjugated to the conjugated form § Obstructive . worse with eating/lying down. Rt Colon. hematechezia. left colon. abd. fluid restriction § Esophageal Varices o Sengstaken Blakemore Tube or Minnesota Tube § Balloon on Esophagus and stomach to apply direct press on bleeding veins o TIPS (transesophegal intrahepatic post systemic shunt) § Balloon Catheter inserted via jugular vein with angiography to create a metal stent b. Hepatitis § Early stage: high protein/carbs and Vit B § Adv stage: low fiber/salt/fat/protein. symp seen by age 2. some relief with fetal position) RLQ: § Crohn’s Dx (Ileum.RUQ: Right upper quadrant § Cholelithiasis (gallstones) § Cholecystitis (inflamm of gallbladder) § Hepatitis § Pancreatitis (severe knifelike pain. alcohol. pain pre-defecation) § Diverticulitis o Relieved by passage of stool/flatulus Duodenal Ulcer: Pain 2-3 hrs after meals and nighttime (relieve pain with FOOD INTAKE) Gastric Ulcer: Pain 1 hr after meal/when fasting. s/s of appendicitis (tx = remove diverticulum) Cirrhosis: § Biliary obstruction. high cal. painless rectal bleeding. relieve pain with vomiting.

Beta Blockers.12-0.o Bile flow is obstructed § Cholelithias (Gall Stones) § Tumors EKGS § Nml Sinus o 60-100 o PQRST nml EKG Strip § Sinus Brady o < 60 o Tx: Atropine o (can be nml in physically fit/trainer person = then no tx needed) § 1st degree AV © Block o Prolonged PR interval o Nml PR interval: 0. math. cautious. impulsive. easily distracted. less concerned about life events. Ca Channel Blockers) can cause by slowing conduction system (slows conduction from SA node to AV node to Purnjee Fibers = see slowed PR (Atrial Response) o Usu don’t see symp. blood pools and can throw a clot => stroke o Treat with Cardioversion 20-50 Jules (NURSE must hit Synchronize button) o Ventricle beats are regular § Atrial Fib o Ventricle beats are irregular o Atrium quivers. so usu not treated § Atrial Flutter o Saw Tooth Appearance o Atrium racing away. very aware of deficits. greater depression/anxiety (Think rt brain = creative. science) .20 o Conduction Problem o Drugs (Dig. particular. left brain = logical. safety is a big issue (impulse) Left Sided: Slow. not good pump o Cardiovert 50-100 Jules o If in hospital and were stable b4 going into a fib = give cardizem drip and beta blockers b4 cardioversion § V-Tach o Wide QRS complexes o V Tach and awake drugs I must take (Amiodarone or Lidocaine) o V Tach and a nap (unconscious) zap zap zap (defibrillate) o Can only stay in for 2-3 min (can die) § V Fib o Irreg makes no sense o Only way to tx = defribillate start at 360 Jules o Epi (to HR) Stroke Right Sided: Impatient.

I did not want to go the distance like the 2nd attempt. Good luck to everyone! Please feel free to ask me any questions on any of the review materials I used. never. or third time. who cares if you have to repeat over and over. You can pass it you just have to be diligent about studying. Notice I never took the Kaplan review course? Each time I took the exam I felt it got easier and don't understand why people freak out about it so much. Most importantly. I told people and family I failed it twice and have no shame in telling them because it is a hard exam but you have to get used to the questions and feel comfortable with them. I understand its nerve racking but if you fail just retake it. never give up. I am a bad test taker and I was certain I was not going to pass it because I needed to first get a feel for the exam. I read a lot of people freaking out on this board because they did not pass the first. I personally think too many people overhype it and scare others. During the exam I was hoping it would shut off at 75 questions. never. I will be more than happy to share my experiences.Outcome: Passed at 75 questions. you will pass it and it does not mean you will be a bad nurse. Good luck to everyone and I hope I can help you out. . Remember. second. When I was on question 75 I prayed hoping it would shut off and to my surprise it did. Right then I knew I had passed.

7003.

004.100/38  5.  1472:.-743/.

89100/3 44804/030489448 984:724/47   .9-74389448 47-70.

9%..54. 596947 69.9080/! d# d## !   '#$ $ -4%9852 .4 292-4 .282 2. V%.3/$9.02.71.5944 2/7..47 5:80088 5.9:70!.43898  2:.3 5.47 2  0/%7.43898 V4%.4/ 454/.7.0903454/.02....9.0  ! 8417.0 /0"#$ 43!#.4389.73 V74489.708908..0880110.2099.0 507..39.88  :83 8%7.9477.0 0570880/$% ./ 3/.30 V4":344308...3./4.%.%. 5.3/!7423039&..

3.30895703. V4$..%097..

5017:9:.343 89709.5.3...3 22:348:57088.0418258  484. 2:7.84.:8 47808.2.8:70 4 8 .0 V9!/884.5020.90398 V5947!  347.90.7.9041/.6:3 .90739 V:3/.08.90.908 4&80.390570  4 8 = ./7:   470.73/408349  V$% 4949.041:2-.09 4%4541$258!:-894945411:3/:8 474880892.-09.398  4$8 4!.$$30245.2 ..39 2.498 05.190700 .

9 008 -45507 .033109.708 V":.0./:73570  ..450 V!709072 008 V%072 008 V!489 90720085:8 V%49.:8.89100/3   V.3/  .9008903..3   .:9.79-0. V .02039  008 V09.57009.939890948../:73-70.3/  008-.11030 2.24.

   2./.

84397.0794109:8 V2349.943 V&90730.784185439.3-0109.943.039..-4794347109.:/ 42  2 97..4397.90:90730-44/ 14974:5./.304:8..:90730 74970897.9438.94381...1907924397..397.9.7039.3/5742490 /0.385.

348 4.7 344/47  4 2 /72.1:/  V/30574-028 .2349..0.

.808 %445..:383:9074 V.47/.9 008 40/0.1:/  V&2-.4!4/72.039..03 V!..33490841 .4930 20/80.7488 -.907.7:808 ' $ 07508 0.11030 3.039.82488 05  V!%08920.8:70/.9:-0..7:808.3..2349...3/.08784130:7..74885. .8.348 9442:.44 .790708.09.

008 4:08174290&80.30 7./4 7003.55.44/8    48 4  7.3.039088!:11.9408 349..0/749  V4!.30 79:82 44/$38 4894547488..9-0/8/0 4%43.489074/110.02..048942.$0:708$:.974/0.3.3//7./010..008 V 44/8 # ' #.3.9-0/8/0 4!.94297.9!354395:58 V479.3/0.9-0/8/0 4!4895.984209208:5.3/$:.98 0 853.0899:-0.897088 4# 47  409.90/8/0 V# !74793.9 154.088902.9 409. 43/4.:0 4 .4.905489433 V47530%4.9:8.9../#.4.0.3/.5508  4 7.2  V%# 4!48997.9   V09.078.0.! 54903843  V08438412/-7.8:55708843 3/8 /0.72 4 43130 4 93:8 V!$$ %4:80.08784143$3/7420 V09.308 40.8070 4$ $6:000.19075:95943.943.943.7.3!03420343378  .070-7.048942005 .170 4# #08.3/0 4$ $00517017428/0948/0 V4./703.43.98.-/.9-0/8/0 4!48950:7.9.170093:807 4! !:!3 4 2.3/84209208/43 V..507.7.94734.17003.-1/.9.3-4.7.-458.'039.30..-07708 %42. V$ 4110.. 47003.98  7.4478  4#0/$97.  4d0/0.8110.308 404.44/5   907$9:11  V220/.

'409#.838 .

8910/ 31..550.54974/82 .3/..398.398  V05.99841.78 243-499010/31.9 .9073-70.V709038243039.

..7-8.

.1907 20.44 V54974/!74903 4.74:3/90-0-:9943   4300/8.08250/70.%    4 47530 4 234530 4 9.7.//0731.8 4 :709.984:3/8 /8530.8903488 5740.0  V!30:24947.  4 -80397029:8 4  #.906:52039  V$.3.-.0/-70.998 4%&## $$. .853.88./09 V89.:3/45.39817425079745415474:8 8253/ 9.3/!.7488413/0503/03.0.8   3038005 34144/-01470-0/ V!./:9817425059.073.$25 ! %47.22.8 4  4 .!.30..72:9.943 9903.574903 34.$94308 V!.440780.-7488!7490309. /43 90/431477.90.1907-79  V%4//070.2488 4& 8$:8507:2-.078331.4293  43.943 #&"5.3 4% %7.44070.884.943 .  4! !0:79.907438942.7/.:.4.0..0 4 3809$://03 4# #0/:.741805.3.50/9:247305.08.3  V409.8988.748841..88 '408 & ..02039 V9.70.4945.43974 .5..-04.9438  V!708./.70320705.906:52039  V/40.943 4945..580 V!:/02.943 4 50770843.8972547..3.88083-44/ 8   V40..

02.4-089 9383309702908 844:3/0.893 4d  V//843 8 .$259428  V:83 8 4 :843 9442:.4798430  4 $ 8$9074/8 $:..9438  .78 507.0 :11.0..80!74-028 0.4:25 %7:3../411:/8 &&702.97490!74-028 394.074. $4/:2 4443.3  48904547488 % 2:8.

.23..07-4585.73 45439.39002:.90/0 45439./...7:9.-094800 -44/14-.84907.784390538/0  43:90841570884390890.08 903-4908 .943 4$003343 4/3 82542..4470/.400/9489074/8 4 $ 84$9074/8 4$:.3/ !$%#% 841.3.3/84:/9:73/8.230.3/-44/8944 V$0.4:8.7:9.98 V.7.9427024.2092043.:.08.02.9074:3/ V09-0.059.90394390#%$/0 V4-9 4.3-44/ V  2347  23143.94 4  4  47/0730 V 894254:..9 V/.3/ 4#00.4:20 494/38.73 45439.1907/7.883#&" 4#0/:77.. 449/42.78 4$4/:2  44.7:9.1907 # .73 4$3974:.3/-49.0894:.-0.9 V4908..889.9-.:.9 V 300.9-0/  V39:88.398 V1907.0790-7.303 8%089 44257088-497.9.30 55110.3/1449.30 V .73 V49.38/4.7.98.94:. 84./.3/:3.74:3/.3949 V #.20920 V09-0.3/706:70809-0.90/43909:2-8/0.4.39 .98.8090&#8/0 538/0 ..3/.7:9.70439074:3/ V43 09-0.943 V%$% 4/7.05.8.3/.3/ 03:83 8 4! 4507.3/:3.3-49.9 V49.3/84:/-0.0 300/897.7908 789 ..41472470..45033.   47430$3 50752039.

7:898 V!0720973( 147.09.5:074:3/0/.4470/..3..:01.010/91:/  V25094 :774 8$43 430.-082908-:7:3/0783    .3/70/ V'08.3/74:3/ V!.38942..3/147$.7079.  V.9.-089 4 $.

07031005.93.//07  V05.3478090.3.-.#&"#9:55076:.2241.70.894308  V40.39 V409.8998 31.88 .998 80.998 V!./7.

3.8  V5503/.:730 8!439 V .548943   #" V743 8 0:2 #94435.98 4!.3/43842070019109.9.3.190720.

-.

0/-5.3570 /010..:8.88.7089   " V&.0498 #0.07.4435..9.3/79.:2-.9:2 019.079.0418944.943  V..:98 4#00.

897.39 %   .190720.8.07!.190720.&.05.37.07!.&.1..3/39920 700.3 78.9::8  :4/03.

-/ 02.0/-5.05.:.:.7. 1742/013/091-07 1-07/09  0.0418944.07.9.   .4754:.893700.30:2 8258003-.9:8 .39008944 8.943.308870.90.9089 /.  .43895.:77.3/100/90/:4/03.9073.770.3/1.0  $9.0.-00/3  .079.4293 3499144/39.::2.05.079.2533"70.031.39..0 8.090.88.77.897.43038.

5503/..::2   77488 V.44 05.079.943 .0/.998 V.0574903.74-897:.789.841.98 97024.

3/'9 V/.7-8..89..041-07.

8.9.

1.9.

0..943 V845. 1:/70897.08 4$0389..397...03.7.8:39  V.05.03 94.9..55/70.443..:8.548988902.7.89039- 5479.'..90907380790/.02470%:-047330849.3/8942.95708843-00/3.039.94./08.::..5.147-44/-.330 574.44343845.574903 .209.90.038 4%!$ 97.3808450.347..03.594.9.%:-0 V..70.

70/089740/ 700.03-5.94.07.03.7749..97.7.3/700.302.9.08 .90/9490 .00788 V05. 4#8.:3/.907:8   V0249.90/1472 V -897:.90 /4083 9..43. V$..3/05.9.0 .43:.43:.70/.94.381:84373 V0249.0857088430845.7 4%025.0 05.079174290:3.5479.0 .0:..4-7:-394.07 .80-7:-3  V0249.8808 .

90/ V409./ 4  4%974530 4 .3-032358.$94308  V%:2478 $  V2$3:8 4   4!"#$%32$975 V$3:87.401484-897:.19..8 ..

7 .9089...07843  :08 &#$2:899$3..307507843903349300/0/  V89/0700'4.5 :3.:9907 4$.90/ 25:8.4:8 .907/05708843.9 :08 45 94#   $9740 #9$/0/25.98.943!74-02 47:8  09.99....30  4'%.949/017-.7.7/4.90/ V97.3974.-0-43394.    443/:.97.083480380 4 3.07843 V' %.07.4..1-..43.90  4.3/07089.3304..7/02/75.43/:..34389.7 V97.743047/4.0 088.3.:80-843.3/.078- .98 70.3/.0.5.-4...3/-09.0-0.7/4.9431742$34/094'34/094!:7300-078800840/!# 97.- 88:0 25:80   019$/0/$4 .4989740 4%70.079  :08 4134859.98.1098.3/.3147 23 .-4:9100.078 34944/5:25 4.43/:.8/897.425008 4'%..078 ...7070:.3.7430-:9943  4'0397.3. 4/0"#$.7041/01...94388902 848 ..7/4.5.3. -44/5448.3/0  V'- 47702. 42!#3907.0 24/.078 .79.79.0730/.....#0854380  4&8:/43 9800825 84:8:349970.5 /01-7.0-0.9039 0.:.0 497:27.70770:.0/7:82:899. 4!74430/!#3907.7 497:26:.%449550.0398 8.- 4'0397.:94:8 5..438.

0     .9.0 019-7..70.34. 2..9 8.309  %379-7.3.03.

:80300/0/94178909.07430.07 30.3/.203903902-0..4:9.3.834943945..3/98307.8:80/ -024709.3994490/89.:8090//3495.0.494150450170.0/4539 4:/8:9411.7/ -0.02.34:-0.0794490.07 30.0 .094-0/039.880/. :3/0789.5.889-0.39 30.0348.702050703.8.07.8894::89.7/0.920944900.2 -:94:.-4:989:/3 49..36:08943843.35.907.:8098..3..-4:9 9842:.3//43 9:3/0789.07./..80100170094..00903/.2 44/:.3054:4:9 #0202-07 4.3/50450170..96:089438  //349..21099490.7049078   4:.07430  !0.0:5 70.0750 9.:9.08  .07..3/ .421479.3 ./90899.820..09   94/50450..94 0.3/1.-09902 .8436:0894357.94.:89709.939442.07.420!.3/4.079./3:780 44/:.370.2.09409:80/94906:089438.-./5..3/100.4:780.88901789 80.3/8.3419070.0947050.100147900.030.34:94398-4.43/ 4797/920 507843.940.21.990259 03.3/9/40834920.3/9428:757809// #990330.-.55948.3-:914:1.889.3504504..3/450.2.96:089438 :73900.807.845394:/8:9411.07  4:5.0/99.880/   48925479.70814:.