manejo manual de pacientes
TRANSCRIPT
-
!"#$%
' !"#$
(
%' !
%)*
%%!!)*
%+!!)$
%,!!)$(
%-.)$(
%/'!
+0(#$
+0(#$#
+%0(#$1&
++2($
++2($#
++%2($1&
,%#%&)3!*$%%!!)3!*$%+!!$%,!!$(%-.$(%/!!%4
,
,
-
4
4
44456
7
%
+
,
,
-
/
4
5
6%7%7%+%/%5++,+5
'89
-
:)':;2&3
,1?3
%#&
+#1
,@
-)
-)%#01%0%'%%'%%1"1%+1"&3%,%-%-0"%-%%/#01$%/1&%/1& &%/%1&%/%&%/+1%/+ &%/+%%/,&+0+'+%'++&3$3"+,AB"#3,$3,$3,%'033#,+3#,,&3",-3$3"$&
:C)
D=
'89
,+
,,,,,,,-,/,/,4,6---%-+-+-+-,-4-5/7/+/+/-/////4/5/5474744%4,4-4-4-4/444545555
5%
5+
-
>)$2&E$3AAF"*$(*30"&3 !#F01'F03 !"0( >#$F3"0$#"FF3"3 !203$F&&3
'01F.3B"F$"0>.F& 3"BF11"3 " & " ! ( &
FF0.3 2$("$($?"B(&F$0(FF&0("$>3 F.0&"B*13(" !203F$(0$0(!F1$( !F 0("
!"#$% %%&'&("#%$)&' * +$,%&' # '
& &3F !F$3&F GF%77-H@)F%77/IF0? >G9!>F%775I(F$ 0(
=*;
-
#$F"3"#F$0"C$3")GC=)IF' !"$(($2"%777GJ)7/%777-I
+++&!"# '-
B #&>F?$F&0(F$>3"(G"&F656IF3 ?0(F 10>?$3#$F0=)0"@1G=)@IFB 3FF.($&(++K:=%.GLF66+I 0F3&(0$( !"#(F?033&F?&&0$!F30".($GF%77IF$F0(? FF#
$&F&?$F3!&&-G2-I"G)IF!. 3=)@B"3#$GLFF66+IF033$ &"3!&2-M)FB+F,N&$&GLFF66+I'F$&!$ !F0> &&(F&&F0> &&F7F-NG9F%77,I
$>3F0 00.3$03$"&?
-
#F3F 0F 0F $03 &F& F&F33F>" &F(03 &B"& #G21%77%F9!>F%775I
.3#$&. >#F(F0(F$>3"0$$3F$ >F1F'3F03F"&3 !#
-
.("#%$%&!&/ '&+$ %&" ("(0(+#'&(1#&'2"$+()+ ! +$% %%& &3%&+
4$(&5%&' $/&("$ +$,-
*46#!*3&"$/-20 >F'30)3!*$G)*IF)$F)$("'3>#F1F$1F$F&3$F(F"$(.3&!F0#F0F$(
!(0F)3!*$G)*I3"!)$F$!&.F$(F("&3)' 3 ! " ) $(F ! " .
+42+$+ (%&&+'&++$,%&$7 +$,
+.(&"$$&"$7 %-230333"030$
+8("#%$%&!&/ '&+$ %&" ("(0(+#'&(1#&'2"$+(94-)3F0F $3 !F %F1&($(!0F33 !F 03$3GLF66%I"$A$G665I030F&F"'0 !F30 0F $
+:&"&$ +$,%&+ ! +$% %7($+ %& &3%&+ -23$F &0(F0&30($G%77I30(333&G:=%.I
)*=)OP==)'2=)
-
"0>?.G:I'F31F 3&$3&>"3@2F0#3>30>0()$30>?.3>30(3F3F"1&F03%F,"5
>$F#030F?&">$3.>1&F$ (">&F3.F101&
2! >33&0.3G"&F
656IF$GN$I34F,5N$F$ &' &(0&>F#$"1&F33&030?.Q%%7EG+IGBIGF%77I'#$"F0?.0$3C?.Q%%7EGBIGF%77I
8("#%$%&%& % (%&'" * 3
$F>"F$0(?F&$"&?"!3$)*!$F"$(F30.F30
$BF#F3R
7($+ %$;$+ -!#&03$0F')572$>(#F?$GFF%77%I"0>03LG66+I
-
*&+ !("# '-"$"!$!F03?$$F)3$3F0F>0
0$>3"BF321G%77%I
3030$ !"0!1F3">3FF$("
-
.&/ '&+$ %&" ("(0(+#'&(1#&'2"$+()+ ! +$% %%& &3%&+
.. +"&("$+ (%&'(" * 3 %&(-3%)3!*$G)*IF5!!)*F%%!!)$F%!!)$(F4.)$("5!'245+5F%BF$6-5B$!F-/#"%%1&
.8&/ '&+$ %&" ("(0(+#'&(1#&'2"$+(
.8.%#+"&()3%)*2$,5F-BG5F7IF 1/BG+F-I"$/BG+F-I20 !!&&2&>"1&
*' .' !%3)*
)*2=)2=))*=)
("(0(+#'&(1#&'2"$+(
0.B
1&
0&%&+ ((
&/ '&+$ 9:
5F+
&%F&$ $& !F$3"0>&-5F+K200F 0>$?F&"!3"$?"BF&!? 0>F"
-
&%' ! )*
? %&'+#&! &/ '&+$ 9
C>
C>
C>
C>
C>
03&$
.882+$+(! 2%$+(
)35!!)*2$,+F7BG
F4IF 1/F5BG+F,I"$,F,BG6F5I20 !!&&+?&$F0.B"$&2 F00#
*' :' !%!!)*
&,F&$ $!!$3 !2$">&"0F
2&$
0.B
$&
&/ '&+$ 9
-
3"$'$3&F 0>"#&!F &0F1&F&>F&>"F 0>
*' B' !!!)*
.8:2+$+(! 2%$+(&/$+$%&&&+$
)3%%!!)$&.F&.$(F&.("&32$,7BG6F/IF 1/F6BG5F/I"$,F%BG6F5I20 !!&&-&$ $
*' C' !%!!)$
&/ '&+$ 9"
"!
C>"#
C>"#
C>"#
C>
C>
#( (&7&$% (&/ '&+$ 9
-
&/F&$ $!!)$F& !)0?$3&F!(&20#F0> 3F &
*' D' !!!)$
'#"0>
3"
'">
C>
A#3
C>
C>
#( (&7&$% (&/ '&+$ 9
-
&5&$ $!!)$(& !)0$3&F(?20$$0>"#2>"03$"2$1&"0> 'F>"F(F>?&>01B"F( 3
*' =' !!!)$(
C>"
3"
C>
C>
C>
>
"&
"&
"&
A#3
A#3
$F>
#
$F>
$F>
'
23
#"&
A#3
$3&
@&1
@&>
$3
A>>
'1
'>
'>
B>
B1
1
-4F
,4F/
%+F5
6
6
6F-
6F-
6F-
6F-
6F-
6F-
,F5
,F4
,F4
,
,F-
-F
,
%F-
%F-
/F-
%
%F-
+
? (%&'+#&! &/ '&+$ 9
-
.8C#F$'$ &(&/$+$%&$# -
)34.)$(2$,,FBG%F4IF 1,F/BG+F+I"$
F+BG6F5I20 !!&&6$3(&3
*' G' !%.)$(
0(+#'&(1#&'2"$+ ("(
(
0&%&+ (( &/ '&+$ 9". F &! ( #
*' .A' !.)$(
C>
#
#
>
>
#
$3&
'1
'>
$3
1
@&>
>
-4F
-4F
-4F
%5F/
,F+
,F+
,F+
,F+
%F-
+F-
,
,
+
/
-
-
C>
#
#
>&B
>&B
#
&/ '&+$ 9
-
.8D 2%$+(%&!&($ %-
)35!2$+5FBG4F/IF 1,FBG/F5I"$7F,BG-F-I20 !!&&
*' ..' !%!
&%F&$ $! !2>?$3&4-K2&0> #F"$$31&F0> "F(F"$"$"BF&!0> >"
*' .8' !!
0(+#'&(1#&'2"$+ ("( 0&%&+ (( &/ '&+$ 9
-
.: ! +$% %7($+ %& &3%&+
$45F330(3 &F !& 0&GF%77I'0#3030("F ?0$!F>?030(1&"#0330(3+5F %%#"/1&
.:. ! +$% %7($+ %& &3%&+ %&&(
&+F"3?FFF(GI"3$%%0F $%4F+N$M%F0&(0/+F/K&%,F6N$M%F&&F#$+%F6KF0&&+7K#!(0F/+F/K#$&+7K
*' .:(B"3%%0'"3?GIFFF(GIF#$"N$&$
GBI
'GN$I
GI
GN$M%I
$GKI
&$GN$I
+5F7
//F4
F-/
%4F+
+%F6
,,F
7F+
%F6
7F7/
-F7
-F+
-F-
&%$ $ *'&(
3$F&,&30(>#$"1&&?$#G9!>FF%775IF030>?.0.2&F3"0.367J&$F&G9!>F%775I
-
*' .B(0(#$%%0'"3?GI:=%."&0>?.
3$G2MI
3$1&G2MI
C>3$GN$0I
C.31&%7J"%7JGN$0I
C.3167J
C.3> 67J
C.3&67J
F44
F--
+7F-
%F-
F
7F6
5F-
7F,7
7F+-
,F+
+F
%F5
%F+
+F-
$ *'&( &%$
.:8 ! +$% %7($+ %& &3%&+ %&H*&(
&-F"3?FFF(GIF#$"N$&$$/1&F $%4FN$M%F0&F5K&%,F6N$M%F0&'F#$%,FKF0&1&F&%7K*/6K1&&%7K$
*' .C(B"3/0'"3?GIFFF(GIF#$"N$&$
GBI
'GN$I
GI
GN$M%I
$GKI
&$GN$I
+/F%
57F
F//
%4F
%,F
/7F%
7F
+F-
7F7/
+F5
4F,
4F%
$ *'&( &%$
-
3$F&?$? &2>3 $F( >&& .$(#$0#&F03&G9!>FF%77/IF"!)*F?!#&0>F$&$G9!>F%77,I
&/(0(#$/0'"3?GI:=%."&0>?.
7F/+
7F-
F5
4F
,F%
,F7
5F%
%F5
%F-
,4F%
%%F+
6F,
%F7
++F7
.::$"&(%&!&( +&!" *'&& &3%&+
2(?. ($0F0&033&F0>."3!&&-"F&$&N$ (30(-GIF-7GI"6-G"&IF"1&F0%F,"521>0> (51G++K:=%.IGLF66+IF&4"5F?0 3$+F,N2-M)GLF66+I
3$G2MI
3$1&G2MI
C>3$GN$0I
C.31&%7J0.3GN$0I
C.3167J
C.3> 67J
C.3&67J
&%$ $ *'&(
-
.::.$"&(%&!&( +&!" *'&& &3%&+ ! #3&&(
&4F03#$#F>1&")& 0("G-6-IF&!&F F%5#$F3"&"$$! $0?$'%F30>'F#$F3& &&>3F3!&2-M)
*' .E2(?.GN$I (01&"F0>++K:=%.1&+F,N3!&2-M)F(F"57K3?.
&3%&+ #%$''( H*(
0( T3$$ (0%F,"5
-
-7
6-
,F%
,F5
6F,
%F
F6
6F,
F7
/F7
7F6
&3%&+ %&(#&' +%
-
-7
6-
-F4
,F5
6F,
%F6
4F6
+F7
F,
,F7
/F-
8 B =
T3$$ (0%F,"5
8 B =
0(
-
.::8$"&(%&!&( +&!" *'&%& &3%&+ ! H*&(
&5F&( 0$!F>$1&"2"#F" $F3$0#$03(1BF$F &F&!F?"?&F36N$F$+F,N#$1&F .0>>?F303((0>F0?#$0%F0
*' .=2(?.GN$I (01&"F0>++K:=%.1&+F,N3!&2-M)F(F"57K3?.
&3%&+ #%$''( H*(
0( T3$$ (0%F,"5
-
-7
6-
-F/
%/F,
+4F%
7F5
%%F4
+,F/
-F,
F+
4F+
&3%&+ %&(#&' +%
-
-7
6-
-F/
6F7
6F7
7F4
5F,
6F7
-F,
6F%
+F7
8 B =
T3$$ (0%F,"5
8 B =
0(
-
.B+'#($&(
! $3"0!FF3(&$3$F$,F5K%4F+K031&1&33$F$5F+K%F-K$&0.B$$3F$,F-K%F-K FF &(&$(?0 >G8F%77/I
!0F!>$3&$F$3&$?0F$+4F-K44F+K2000>" "M &F!!)*".)$(2$3&F!!$"$($&0&$F 1BF0#&$$3"0F>1&$F$5F+K+4F-K200> "M"&!0$3$F$%-K,4FK203F(F !#&2$0R&>FF&>FB"2$F&!F"(?0>>
30(FB"3F$0&.F&"&030(?0G9!>F%77,H9!>F%775I3&F0
-
30(G9!>FF%775I0$!F?F$0$&G9!>FF%77/I1BF $"!FB)*F# >? 0>F? 0>"#$!#&0>F$F1?F$G9!>F%77,"9!>F%775I
03 3 0( 0$&?F3F3( 1&"#($0$" !'#F!30()*F?3.F(&06N$'F>#$"1&F030(F ( & 3 ,F5 N$
8&(#'" %(&("#%$%&%& % (%&'" * 3%& &3 # '%&! +$&"&(
$?0&0("$>3F0$3)*F!)*F!$F!".$("!
8.%#+"&(%& *#' +$ %&'&/$+$%&"&+$,2%$+ %&&+$ -
&6F$0(F0"$F $)*2 $ #&F?++KF0?$0$!GLF66+I
-
$% %
C
C?.
$
$?.
2M
2M
K
K
55
+
%%F,
-5F4
5F4
,F5
4F-
%F5
44E6/
6E-
+F%%6F5
,/F4%F%
&%$
'&F#&"0>#"$ #"$&!F$#"?F3.F30"&?&
&%7F3"2-M)F001103>F34-N$"3#?.$77N$'3+-N$"&5N$) $& !&&+F,NGLF66+I"7F-N0>2-M)G9F%77,I""$$&"0> $ "F #0#77N$)0>&2-M)F$$F30>F3&F3"(F
I$# .)&$"!)*0&
*' .G$0(?)*'F3?"$0"$
-
*' 8A#"3)*F0#
$>3R
2 0 $>3F?? 77K >F.303 G6%KIF.& G6%KI"&3G6%KI'F$30G++KI)&30"F&&
C>GNI
#G4-N$I0"
&$
#77N$0"
&$
30>
3&
3
(
31&
C>3
GNI
C>GNI
C>3
GNI
,F4
-F,
,F/
+F-
%F74
%F4
7F/
7F-6
7F-5
7F-6
7F,
7F,-
-F,
/F%
-F+
,F76
%F,
+F
7F/6
7F/4
7F/4
7F/6
7F,-
7F-
-
6%
77
-5
/4
6%
6%
4
4/
/4
303
03
'&
&3
*
'
'>
'
03B
'&0#
GKI
=GKI
CGKI
6%
4-
5+
4
++
+7
5
%-
4
/
4
5
5
++
5
5
-+
5
)GKI
882+$+(! 2%$+(%&'&/$+$%&"&+$,2%$+ %&&+$ -
7($+ %$;$+ -
&%%$0(F0"$F $!)*2 $"& #F&F3&?2($ #&F?++KF0(?$0$!GLF66+I
*' 8.C $>3F$)*
-
2M
2M
K
K
$% % &%$
C
C?.
$
$?.
56
%
%%F+
-5F%
5F-
%F5
4F%
%F
4/E65
%7E,-
+F7E%5F7
,,F%47F%
("# (%&" * 3-
$ F#&"0>0$%F#0>
I$# 8#0>
&3%&!&(()+!&($,$" %$(+ '-
&%+F3"2-M)F0#0112"$ $F& "00#
*' 88$0(?!)*'F3?"$0"$
-
*' 8:#"3!)*F0#
$>3R
2 0
$>3F?$0?
77K >F.
& G55KI"&3G55KI
2$0G+5KIF
G+-KIF0
G/KIF $ 3 03
G%KI&!F G5KI30G+KIF
. 0 #
#G4-N$I0"&$
#77N$0"&$
C>GNI
30>
3&
3
(
31&
C>3
GNI
,F4
-F,
,F-4
+F,-
%F74
%F4
7F/
7F-6
7F-5
7F-6
7F,
7F,-
C>GNI
-F,
/F%
-F%-
,F76
%F,
+F
C>3
GNI
7F/6
7F/4
7F/4
7F/6
7F,-
7F-
-
303
03
'&
&3
*
'
'>
'
03B
'&0#
,
4-
5+
/4
,
5
5
+5
,
,
,
+-
%
+
4
+
+
+
+5
5
5
,,
,
,
5
+
5
55
77
-7
-5
55
55
%
5
4
4
GKI
=GKI
CGKI
)GKI
8:2+$+(! 2%$+(%&(&/$+$%&&&&+$ -
7($+ %$;$+ -
&%-$0(!$2$ FF#&F ++K
*' 8C$0(?!$'F3?"$0"$
C
C?.
$
$?.
2M
2M
K
K
6%
7
%4F
,+F7
5F6
F/
/F4
5F,
57E7%
6+E+7
/F-+%F6
+F6-4F,
$% % &%$
*' 8BC $>3F$!)*
-
("# (%&" * 3-
'&F&$&3F0F1FF&"1&
&3%&!&(()+!&($,$" %$(+ '-
&%/F3"2-M)F0#0>$&!F03F34-N$"3#?.$77N$1BF $& !&&+F,NGLF66+I"7F-N0>2-M)G9F%77,IF#"$03&3$F 0""F0?&&!B F03 " &0F&$F> 0$?77N$
*' 8D#"3!$F0#
#G4-N$I0"
&$
#77N$0"
&$
0
0G&3I
1G&3I
1&G)&3I
)B"#G($I
F6
+F,
%F6
%F/
7F/4
7F,%
7F+,
7F+-
7F+5
7F-
7F4,
7F+
%F%
+F6
+F%
+F
7F-/
7F+6
7F+5
7F+6
7F,,
7F6
7F7,
7F
F/ %F%-
C>3
GNI
C>GNI
C>3
GNI
C>GNI
B7N$ B%7N$
7F%4 7F+,
-
$>3R
2 ?? 77K >2$G/KIF0G-7KIF3 &G-/KIF>G,,KI"G,,KI&!F G++KI.303
*' 8EC $>3F$!$
8B2+$+(! 2%$+(%&'(&/$+$%&+$# -
7($+ %$;$+ -
&%5F$0(!$(2$ F#&F++K*
303
03
'&
&3
*
'
'>
'
03B
'&0#
-
C
C?.
$
$?.
2M
2M
K
K
6F-
%%
%-F%
,6F+
5F6
5F7
5F%
5F7
5+E7,
,E++
5F++/F4
,%F6/7F5
$% % &%$
0F B0F$+/F4K$2 >3F"('F 0>0(>F$F1FF&F1&"
*' 8=$0(?!$('F3?"$0"$
("# (%&" * 3-
'&F&$FF&F1F(F2$0.3?(F-7U/7U&!$#"'31&&$$&> 3#"$F#&?&F&102&$? ( 3&0$+F+A"+F>#
I$# :'!F> 0("&G+IF1&G+AI">1&?&G+I
+ +A +
-
&3%&!&(()+!&($,$" %$(+ '-
&%6F3"2-M)F0#0>$(&!F03F34-N$"3#?.$77N$0>3"F0GLF66+IG9F%77,IF#"$030FF>&!B F03 " &0F&$F" $&%6
*' 8G#"3!$(F0#
(!&+"(%& $J +$,%&'" * 3-
2 ?? 77K >F67K0&3F5K& "0G6-KI032$?30G,5KIF
0
1
1&
+F6
+F%
+F
7F+6
7F-/
#G4-N$I0"&$
#77N$0"&$
C>GNI
C>3
GNI
+F,
%F6
%F/
7F,%
7F/4
7F+-
7F+5
7F-
7F+
7F4,
C>GNI
C>3
GNI
7F+6
7F,,
7F6
7F
7F7,
-
303
03
'&
&3
*
'
'>
'
03B
'&0#
++
+5
/%
,
7
,
-
,5
-%
,5
%,
7
,
7
+5
%,
6
7
+5
-
-
7
-
%,
5
77
,5
4
5
67
,
7
7
-
4
/%
8C#F$'$ &(%&(&/$+$%&+$# -
7($+ %$;$+ -
&+F$0(.$(2$ #&F++KF0$!F$& $ >?0?.&F$FF.
3BG,KIF30300G7KIF(FG7KI
*' :AC $>3F$!$(
-
*' :.$0(?.$('F3?"$0"$
("# (%&" * 3-
#F&0."F(" 0>3"'&F&$" 0>
#"3R
&+%F3"2-M)F0#0>.$(0>3"F0GLF66+IG9F%77,IF#
I$# B."!&>F"
5/E6
4E/
%7F4%-F/
,7F75+F-
C
C?.
$
$?.
2M
2M
K
K
$% % &%$
56F7
++F4
%%F5
-6F,
%F/
%+F6
%F-
%%F
-
"$03&"#F>
*' :8#"3.$(F0#
00
+F6
7F+6
7F-/
#G4-N$I0"&$
#77N$0"&$
C>GNI
C>3
GNI
+F,
7F,%
7F/4
7F+-
7F+
7F4,
C>GNI
C>3
GNI
7F+6
7F
7F7,
(!&+"(%& $J +$,%&'" * 3-
2 0 $>3 F &! 77K >F(F0G77KI032$G4KIF&0#G,+KIF3 G%6KIF(F>G%6KI
-
*' ::C $>3F$.$(
8D2+$+(! 2%$+(%&!&($ %-
7($+ %$;$+ -
&+,F&$0(!2$ #&F++KF0$!F$
*' :B$0(?!'F3?"$0"$
$% %
C
C?.
$
$?.
2M
2M
K
K
55F-
%-F-
%+F4
--F
-
%
-F
,F/
54E66
4E+,
%7F5%/F-
,,F5/-F-
&%$
%6
%6
,
%6
-4
,+
,
%6
,
%6
4
-4
%6
,+
%6
%6
,
%6
,
%6
%6
,
,+
%6
,+
77
4
4
-4
-4
%6
%6
GKI
=GKI
CGKI
)GKI
303
03
'&
&3
*
'
'>
'
03B
'&0#
-
("# (%&" * 3-
2&$F"&1F(F1&0$-F!&2$0.3?(F-7U/7U'31&&$$&> 3#0"F$F#&?&12&$?
I$# C'!?&
&3%&!&(()+!&($,$" %$(+ '-
&+-F3"2-M)F0#0>#"$03&!FB F03"&0F&$F" $&+-
-
#G4-N$I0"
&$
#77N$0"
&$
00
1
1&
+F,
%F6
%F/
7F,%
7F/4
7F+-
7F+5
7F-
7F+
7F4,
+F6
+F%
+F
7F+6
7F-/
7F+6
7F,,
7F6
7F
7F7,
C>3
GNI
C>GNI
C>3
GNI
C>GNI
(!&+"(%& $J +$,%&'" * 3-
2 ? $0? 77K >F5+K03F5+K F5+K0 .& " &3F(F5+K $03&B2$?G4KI30G++KI&!F0 G4KI0G/4KIF(FG+,KI0G++KI>
*' :C#"3!F0#
-
4
4
++
-7
++
++
4
4
4
/4
4
4
4
/4
++
4
4
5+
77
5+
++
5+
5+
++
4
+,
4
5+
/4
GKI
=GKI
CGKI
)GKI
303
03
'&
&3
*
'
'>
'
03B
'&0#
*' :DC $>3F$!
-
8E+'#($&(
2#0)*F!F> 0$!F$&F?F !&F# 3 "F & (&GLF66+IG9F%77,I20$F(0.3& F?$,-U/7UF0?(##>F"$ !F$#F ?&"$&F.$0.3&F 3 &F 0#0F,7N$/7N$F3&(0/7N$5-N$F0"5-N$7-N$
0 &$ $)$"(&F&F0>F# 0.3&F 0>%-+7? $&F>F0?%-U+7UF0".-7N$'-7N$4-N$F&+0"4-N$77N$F&,3FF 0>&$"3F03>
!!1F$0(?"$0$!F? (F$!!$F$("3/F-K+/F4K2"$$!!0$(. F$"(F "3
-
(>F>0FF&FF&F&F
? !F&F#"F3"F&(&GLF66+IG9F%77,I$0$"F"&$?0$("&3$"00$("F$F& F.?$0F&!"$$FF?&F0(0 .&$F0.3&F"0 >F?20 ."&$F#F &"0.3F >/7UF#0.31&/7UF?&"3&>1
23#F?#"" -"%7?F3F0.3&=0F >2& /N$F00'47N$5-N$F00"5-N$77N$F>-0F&"#F?&1>&0?&"0> >
'0F"F1F&F&!#$(F#00 30>
-
3!&2-M)F -7U+7U0.31&F#F33$-7KF& #F>3FF1"&F0 !
.F$0(?#F?01F"F00.?$.3%7K"%-K'F$0$0(!F#&F F$?0$$(F>30 57K$20. F>F . 01'F? $&0>F 3>*!3"B&3F$?3 !&0>F0&!#$$0("$01
.F ? !F?"0"'F$&?0 "1$!F $?"#2$31$!F F3"F&0"#3F
0(F.$>3 &!"0$F .3$#F31$!$F?0&$!F!")*'F?0&
-
!$".2$>3 ?0& 3F 0F& F3">F(F&0##FB $$ ?0&F/KF++K1&3F-7K300F-/K?",+K&0#F00 #0F3F3&0>$03?"03$ .$ >#F&!$>3 .3"$'F1& 01F0$0(#BF&."0>0(?>F".F 30F&B"1
-
-
3&3 ! >#F3!$"1)03 BF3 F3"0)"$3"$&F&B 3 $ 3 !#
-
. &3%&! +$&"&(&(&/$+$(%& "&+$,2%$+ %&+$
.. &3%&! +$&"&(&+ $'' -
$F&3FF&"0##3&!F0&0>
...+&%$$&"(%& &3%&+ $'' - $&&F$?$0?"?!?F0$$
2&> F02&?&"&>&."1&
>1&F&>"$3.F."&
-
&FF&$$F $"&?$&F&>"$#'".5-N$F03&F& "#$*>$F 0#&
..8'&++$,%&+ $'' (!'& *'&(! *#' +$ (-23&$"0>0)3#F0F$ +7+-$3F0.3&*#33#)"-7--F.3 F".& 0.3&" 3F(F--F#4-N$F33F,-/-+,,F+7KF3+7
$+7+-3&&&-"R,-/-
$-7--3&&&-"R+,,
-
F0$0#&+/F-5F4-F6"6/
..:$/&'&(%&&(7#&J +&!" *'&!7#+$ $)0&%&!&( (1#&&7&+"0 &'&/ +$,%&+ $'' -
3!$F"$ $+7+-F03&0>030>$F3"$67K$1&F$&&(%7N$0F3?
..B $'' (+($("& (H$%;#'$+(%&&'&/ +$,%&! +$&"&(-
BF&!0 3F1?"00$ F$#3F?(#F "
-
.8 &3%&! +$&"&(&" *' (&(!$ '&(-
2&> 1&"$"&(>""&'0F$?$0?&$0.3&">&"!3"0F,7N$/7N$F3&(0F/7N$5-N$F"5-N$
7-N$
&>&F 3+,2#&>
9& F $&>F 0>3
-
3F$&"
F0#&1&>$3
-
F&"2 >#3F" $&&2&&?.0.3
'>F0 0F$&0.&F.0F "&'F#0 $1F" && F?F$0#>
.: &3%&! +$&"&(++ $'' "$!+#+H (+!
).&$3F#&$F$F0&3F(30$1
1
'
*3
-
'3F"&*$ $$3F1&F"F$& F
)0
'F0. F&>)0#23B&
-
.BK + -
' $0(&F$FF0>
& 0>$">F!0>F+7KF &1F0$$&"&':F0>")$&%%7"1--2&1,$"51
.C$'' (%&&(+ "&-
'F&$F"F&3 $$"2$&&+7,72$&&/-4-2&3$00>&>F ?0
0$$FF" 02$"&>0F#".3
-
& $F#3F"F&$&F (&0$$"
'
*3
.C.$'' %&&(+ "&+! "$&(-
F1B>F 0> 0$"
$
$&&
'>
-
8 &3%&! +$&"&(&7&+"# %( '$"&$%&(&/$+$(H(!$" ' $(-
#1F&F. 0"> "0"$0)$1F#$F )*F="&'F&!.#1&.0.?$3F(&!F"& &3=# 11&.?$3&!F(1&&3 $0 F
8. (7&&+$ %&! +$&"&(%&(%&+ $'' + -
8.. +$&"&( #"/ '&"&(
0F#"F2?0-%7 >?
0$3
-
) "">".0F120F".""$00$F
8.8 +$&"&(%&!&%$&"&(-
*&"$ ! >#F0F3&0F"#F&F?&1>$2$67F147"$"3,--70$"&1>
)01?&
>
#3-73
)0&&0> >0&F"?&"1>>?&?& $0>3 --K?&>1>F ! 0>+7K ' F
-
3$+7K0>323$-7F?&1471F0.3&F 031?&F?0
(" ' (;* H + -'?&$1> 0?"1&"$$?&1$03M+
9".?& &
3&.?&1
-
'#"F
20 ?F&>F? 32$?&$1G-7IF3&)?&>F&0 00$3&>
*>>0F$"?&1)$F&
BF& $#)?F& #&0 0>0&!F !&"
-
0&"0& $&&&00F &"&$0$#F(F3>&"&!F&&&
88 (' %%&! +$&"&(H +$ )%&(%&(&/$+$(H(!$" ' $(! &7&+"# &F;&&(%&%$ ,("$+
*0.>?&>"1F.# 10.?F#$$(F3?&"1 0 $0$?.F (?&1>#"F $$(F$$("
0"1&31 >.?"$1&3
A&&
'"
0
0
0
-
)F&01"$30F"*& 3" F3BF"&.F 0.??"0
0"1&31 >.?"$1&3
8: (' %%&! +$&"&(H +$ )%&(%&! *&'',-
=# (1F"1&3 $2"&$0'F"&$"?3$F(F"$
)F0>3&$0F&0 'F 1>$F&"F"1F
0
-
@00
0F" >0F0F15-N$*0$0$3&>F"1&FF"'177N$F&(>0F "?
01 &! & 0 ?& 1>$
?&"?&21000$ 30"0>3100
0$&0 30
-
1F>01 ?1&3
8B (!" %&(%&! +$&"&(
*F00"10"&':21"F0#? &?"&?F"$157N$0$
C#3
(!" %%&! +$&"&()H +
#
1
3F1&F"3F3?&&!F&0#FFF1"& 0$&$"&31
-
'0#1F"#0$1 "?"#>F0#"1
'F1 1#0$&"
F0$$1&"&3#F &"0#1
9
-
1F0> 0&>3F#> 0F "$#F &01)$ F"1&F&>" ? (F $$(F " &3
$0$F&1&3$$("$1&3
$3#F">03#?#F0>0( &>F&F&!F> ? 30"11&0$$3 30"01"1&3F&$01'F&?&3 0 30?F&>"(F$"1&30"1&3
30"GI""1&3G%I
@&3
0 @&3
V30 ' @&3
-
8C (' %&($'' %&% (-
21F&.$"$3F(F1&"$3"2"&$$0"
8C. (7&&+$ &"&+ )($'' %&% (-
+$&"&( #"/ '&"&(-
"(F0$"&>F &>F"F(F&& &"&F0.3"&31$" 1&2&>3."0.&> $"&"$
+$&"&(+'$$" +$&(&(#/$'$% %-
#3?*"3. "A "&F"$">"
-
&0"11&&F0#20#$&$""3"01=3"&>F &> " " &
*&F""& >3
#3$"F $"&>
-
8C8 (' %(%&' ($'' %&% ( # &( + -
+$&"&(+'$$" +$&(&(#/$'$% %-
#3?*A &"&0"1$" 1&&F0#=3"&>F&>""&
*&F""& >) #"&>#3$"F $
-
8D &3%&! +$&"&(&" & (&' +$ % (++7"&H$$&&&+ -
2$ F&"$ !F0#F1&"&&!$0>F"&57N$F031$F$"1
8D.+% ! +$&"&H +$ + *&+& -
?$ F#F0$$F3$"13F&0> "" "$>10
#"13F"F >10
?$#3&!0'F&?$F &&>" $0.30$ >"&$?$
-
8D..+% H +$ ' + *&+& ! +$&"&(1#&!#&%&+' * &(#%&(!' J $&"
#0.32& -%70>"""&
) 0." #>1&
"BF>
#
-
8D.8+% H +$ ' + *&+& ! +$&"&(%&!&%$&"&(!(" %(-
#0.3'$"0>3F&%-+-0>"""&
&?&F>1&?&&$0.3" 1&F393?3">1&F0B
8D8 *$%&!("# &! +$&"&(!(" %(-
23"33F &0F&>&1'FF?1F">
-
&(00F"&57N$'F&%-+-&&"!&0>F(F03
&3#'#FF(130&F(13"&F(F&
-
%/+1
%/+ &R
&"0(F 0.
&"F.1F0&' &
) 1
C.3
1
-
8D:8(" ' +H " &! +$&"&(%&/$'$% %'$$" % -
&002 #3"#33F0.&2&%-+-0A "&&
&"F.1F>&'$10.&>&>&1">&!"1&F&>F$10&"F$03M+9".&
9F"1$
1
-
& 3&0F$"1"&
11$>$F&F0.">&?>##&'F1$&F#&3"
8DB *$%&! %&+ -
$0(F>"$B&2 #3"#33F0.&F&%-+-0A "&&
-
0 F?&F$?"..?&"$#"$".
9)F"?& ?&
'$10.&>&>&1">&!"1&F&>F$10
-
F".?&F&!&
)3".?&"
&F 0>1&"0F "0>0(0?$0"&F(33 F>F1F10$F&F"1&
:7 &("#+"# -
0" #F&!0 B?FF$3"0$3&B
-
:.#&" (-
21&FF"F$ &>F0 " F0F(F>&177FF&(17-
7*31& 1 ? 3 &&F & >
:8 ($''(-
01$0("$&0>>"&&"B 3F&.1F ?FFF
1F&!#$$ 0"& ? " 0F (F 01F1%F-F0?"$0
::$("$*#+$,%&%&!&%&+$ %$% %&(%&%$ ,("$+)" " $&"-
B&!&?(F $F.3$3F!&B).?F&B(F#!1(7-F&.0$" >.?0F&.>-7F0">0$ #0&3$3
-
#0&3$3)0>">
:B@ 5() $'' (%&(#3&+$,-
*">&"$&BF3#100F(F303F"#3#1>F#&0#0$&B"F&&3#1> &57"57-7?#&+'F&0$0F
)#3"
)#31>?
)#30#
>
-
B&+&% +$&(& (!&+"(%&&("$,-!#F.
103 0 ! 0#F1>F0$&!F130 FF0&FB F0>(3F#'F0 0> $>33F&?$3"$&.F33 &($"$&3" !F#$&0$3F !0($>3F 03F3FF3"3$3&0F#B"$&0$
'03
'("$&
"
3$3
#
3
-
!?(0F$3" !&$3F033F33F3 $$" >$"$3"$&
B.$ ,("$+%&+%$+$&(%&" * 3-"& 00"$&"$&&!F003$"3$2& $$F$"&"$>3*1 0$F0?"&? 1$&0$ 10&F03F10"$F(F ?1$0$F031$3F03.F#
B8' $7$+ +$,%&' $!'&&" +$,%&&3 $&"%&+%$+$&(%&" * 3- 0FF>"&>30&&3#F ?#F$#.F$R
)3 R3 0 $ 3"3 0
F)*3R
W #W@ 0>W)$&
1F ."0F0R
W 0?#F3&F(F$>1W'# 30"F&(
-
W&!F#0033F"&1$
7 &("#+"# -'&$F 0#FR
W?WFF"1&"$3F""&3#3?(F
&'&++$,%&!&( '-2&!F"3$)&(0R
W$ #$W3?#"0$"! $"$W&F&(0(B"3F0 &"$& ! &F?0( #
$(&5 +"# '$J +$,%&!+&%$$&"(%&" * 3-203?0&3& R
W)$ !3"03"$0W2& $ "03.
! +$" +$,-2 B&FB $!3"3$0 &$ R
W00 ?F#"#3W>"" #
-
W> .#F .$"
$(3R!&&R
W)"0$" & " 0 #3 !
R
W&3?
$J +$,%&'" * 3-
!0333$FR
W903 0 3)$03$(F&0 F"$?"$W&3 &$F30FF(F03# >W0$FF "3F!>30F(F 0>30>0(*0 F30">#"
$"&%&'&(" %%&( '#%%&'(" * 3 %&(-)&$$3$ !00?F$$F(F3 !103$!F3" 1
+$,%&' ( '#%>&'*$&&(" )&' #"+#$% %-* >#F3?0("3&.R
W23&$0"0??0(W20&%+F/7
-
W2 0 0&F0F#
W)&$330(F"B"3
B:!'&&" +$,%&&%$% (%&&3 $&"%&+%$+$&(%&" * 3-
$>3$3#3#
W3F30F$3"$&F0& >$>3W"3"##F $>3W 3 #&F" 3 ?&3".1F0 B3$"
BB!* +$,) ++$&(+&+"$/ (-
2$>3&&""B"$&F3" !
W)&0$$W)&$$F(FF!"00"W)&$0F"$ $3"$&W& $>3&>"$$$3"$&F "$3" !
BC/ '# +$,%&' &("$,&( '#%)($% %' * '-
231F F&$3"$&F$ !0F0F"$>3'F&$3"03?0?0& >"FF$#
-
I
@)F(%77/&R1RMMSS1
FF9!>FFFCF2$F)F"FC1$FG%77%I9(3R0&$0("&'&*3
8FF"FFB>FG%77/I'(&"0$.!@3$3F)$3G2T$(I3F1*))&?FC)
"&FFG656I@$2R"C
A$F9G665IA$X.2R@T
9!>F?"?.1&$*32$(&F%77,F)$
9!>FFFFCFFFF":F9$FC2G66+I=)@ 01$00$N$F+/G4IF4,644/
LF
-
L.
I
203#$F !.F03 "$3F$3" !F#
# "$$>3F&F Z[Z[?2Z[ .0$>3
\)10 "]
\03$3"3]
\3"3"#$"]
\2?F$"0?0 03]
\2""0 ]
\.$3"$F3" ]
\200#"F"]
\)0$&"0F !]
\?0FF$"$ "0"M$ !"$]
\)10 "&$"1&0 &]?>30F $
" 0 F?$> 0>#>'#F&"&B
\)03?B]
\.03#]
2033$$>3"$ !#
) =
%
+
,
-
/
4
5
6
7
%
+
-
2033" # > 0
\>#"]
\2 #003"0]
\2 00".&3]
\23]
\" 03"0&]
\# 30.3&]
\>?&F1>F0EE]
\&30"" 3"0]
\03?&> $$$?&F0..]
\>F0]
\&300]
\)?0&>$3"&>F0F$30]
\F."0F ""?&1>>0]
\'0>0(F#0 30F"?F]
) =
%
+
,
-
/
4
5
6
7
%
+
,
-
!"#
!"# *)))*")+(+),-)).&))())/
!01234156157.6141
%5!4
%6"4153.4,48419
79",5153.4,48419