ࡱ> 2( / 0DArialNew Romanttl|x: 0DSymbolew Romanttl|x: 0 DTimes New Romanttl|x: 0@ . @n?" dd@  @@`` @%''{2<    5A!"%')1+/,% 0AA 33@333uR ʚ; f8ʚ;g4DdDd x: 0Vppp@ <4dddd@ 0tH| 80___PPT10 pp?  %V-`Masif Kan Kayb1nda S1v1 ve Elektrolit Tedavisi 110 Do. Dr. Tlay zkan Seyhan 0.. 0stanbul T1p Fakltesi Anesteziyoloji A.D.$L303K VNormovolemi `" Transfzyon Transfzyon E_ii",(( !Oksijen tketimi: 200-300 mL/dak Oksijen sunumu: 800-1200 mL/dak DO2= CO x CaO2 CaO2= (SaO2 x 1.34 x [Hb]) + (0.0031 x PaO2) Hb < 7 gr/dL (Hct %21) US Report of Health and Human Services 1989 NIH Consensus DevelopmentConference Consensus Statement 1988 Organ hipoperfzyonu bulgular1: ^uur, koroner iskemi, laktat , oligoanriC<i + 3! $$i    '       Obstetrik Vakada Transfzyon$ 33 ^The Association of Anaesthetists of Great Britain and Ireland Hb< 7 g/dL transfzyon nerilir,? ?    Masif Hemorajide Ressitasyon3 Yeterli oksijenasyon 2 x kal1n periferik venz kanl (14-16 G) Is1t1lm1_ kristalloid (kolloid) ile s1v1 ressitasyonu: 2 L laktatl1 ringer Hastan1n s1cak tutulmas1 Titremenin engellenmesi Martel MJ, J Obstet Gynaecol Can 2002~& f, .$1% G2       Hemorojik ^okta:3 Kolloidlerin kristalloidlere stnl bulunmam1_t1r; genellikle birlikte kullan1l1rlar Albmin sakal1m1 etkilememektedir Semisentetik kolloidler kan kayb1nda albumine e_deer etki gstermektedir>X#J E    xDistribsyon Volm Plazma geni_leme oran1n1n belirleyicisi,=(3((  =, Kristalloidler ile plazma volm art1_1 %0.9 NaCl: 200 mL/L, ekstraselller alanda da1l1r %5 Dekstroz: 60-70 mL/L, tm vcut s1v1 kompartmanlar1nda da1l1r Kolloidler byk oranda intravaskler kal1r, ekstraselller alandan s1v1 eker Vercueil A, Transfusion Med Reviews, 2005v(uO+( +O*R  E  ! Dekstranlar 3 Polidispers Renal e_ik: 50-55 kDa Eritrosit ve trombosit aggregasyonunu nler, viskoziteyi , F VIII aktivitesini Allerjik reaksiyon, anaflaksi riski < %0.28 >1,5 g/kg/gn kanama sorunlar1 !!! Cross-match problemleri !!6\.>   -  2 Jelatinler 3 4Hidroksietil ni_asta (HES)3 Dola_1mdaki alfa-amilaz taraf1ndan metabolize edilir Substitsyon oran1 = Glukoz halkas1ndaki C2, C3 veya C6 a gelen hidroksietil gruplar1n1n oran1 Substitsyon oran1nda art1_ y1k1m1 yava_lat1r Hetastarch: DS 0.6-0.7 Pentastarch: DS 0.5 Tetrastarch: DS 0.4 DS artt1ka plazma geni_letici olarak efektif aktivite artar,D*#  4  "    H ,Molekl a1rl11: Yksek: 450-480 kDa Orta: 200 kDa D_k: 70-130 kDa Anaflaksi riski <0,06% P1ht1la_maya etki dekstranlardan az HES < 20 ml /kg/gn gvenli !! < 50 kDa bbreklerden at1l1r, RES taraf1ndan tutulur NaCl veya dengeli elektrolit solsyonu iinde %5 HES 200 / 0.5443"   (-<   Masif Hemorajide Problemler3 NaCl: hiperkloremik asidoz (kolloidler, %0.9 NaCl)) 0nterstisyel s1v1 yk Kolloidler: Allerji, koaglasyon dei_iklikleri, renal yetersizlik Hipotermi Kan replasman1: Hiperkalemi, hipokalsemi, asidemi Replasman1n takibi Oksitosin (su retansiyonu, hipotansiyon) Akcier koruyucu strateji (mikroaggregatlat, kompleman yk, hipoperfzyon)RZR         +   Takip3 Kapiller dolum zaman1 2 san OKB > 60 mmHg Solunum frekans1 < 20/dak Saatlik idrar miktar1 > 0.5 mL/saat Dansite >1030 s1v1 a11 SVB= 4-8 cm H2O 200 mL bolus kolloid SVB art1_1 <4 cm H2O Elektrolitler (Na, Cl, K, Ca) Kan gazlar1, pH, laktat < 2 mmol/Lj,AS   A%+//TB   0` 33` Sf3f` 33g` f` www3PP` ZXdbmo` \ғ3y`Ӣ` 3f3ff` 3f3FKf` hk]wwwfܹ` ff>>\`Y{ff` R>&- {p_/̴>?" dd@,|?" dd@   " @ ` n?" dd@   @@``PR    @ ` ` p>> ld(    6ϓ  `}  r>As1l ba_l1k stili iin t1klat1n    0<ғ  `  As1l metin stillerini dzenlemek iin t1klat1n 0kinci dzey nc dzey Drdnc dzey Be_inci dzey/   f  04ٓ ^ `  >*  0ޓ ^   @*  0@ ^ `  @*H  0޽h ? 3380___PPT10.q8 $Varsay1lan Tasar1mr 0 @L(  L L 0k P    P*   L 0     R*  d L c $ ?   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R  @``B 0 0o ?ZB 0 s *1 ?ZB 0 s *1 ?  `B 0 0o ?nn`B 0 0o ?nZB 0 s *1 ?nZB 0 s *1 ?# # n`B 0 0o ?nH 0 0޽h ? 33___PPT10i.r /_+D='  = @B +}  0 8$(  8r 8 S (} `}   r 8 S ~ `  H 8 0޽h ? 33___PPT10i.rp+D='  = @B +}  0  D$(  Dr D S   `   r D S z `  H D 0޽h ? 33___PPT10i.sp]+D='  = @B +k 0L0 WO0H(  Hb H  f1?8 DRessitasyon s1v1lar1n1n davran1_1$#0 2#$3@    H  f801?j,$D 0  % 0.9 NaCl 58 DaZ0( 2L    2 H  `)?2m FU  L$0    H Z ??T@  H  f ??ja,$ 0 0Volm geni_lemesi 10 dak0X     ` H T ?? ,$D 0 $Na, Cl, su yk ,0 24 & H T̯ ?? ,$D 0 nByk miktar gerekir0 2 ,  H T ?? jv,$D 0 tdem olu_umu 0(2   2  H  `f3)?? d6 2  H  `f3)??% 7 2  H  `f3)?? 7 2  H  `f3)??pG2 H  `f3)??C72 H  `f3)??p 2 H  `f3)??dp2 H  `f3)?? t 2 H  `f3)?? WF 2 H  `f3)??c t 2 H  `f3)??C2 H  `f3)??  s V H 0޽h ?"` f33YY___PPT10Y+NDsY' = @B D.Y' = @BA?%,( < +O%,( < +D4' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*H %(D4' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*H %(DJ' =%(DJ' =%(D' =4@BBBB%()?)?D,' =.7 BBBBB%M 0.02743 -0.00347 C 0.19132 0.00764 0.35538 0.01897 0.44306 0.00347 C 0.53073 -0.01202 0.52708 -0.10083 0.55347 -0.0969 C 0.57986 -0.09297 0.61059 -0.00185 0.60156 0.02776 C 0.59253 0.05736 0.51597 0.08395 0.49896 0.08141 C 0.48194 0.07887 0.49896 0.02382 0.49896 0.01226 *3>*B ppt_xB ppt_y=!0BBaaaaaA<* HD' =4@BBBB%()?)?D6' =.7 BBBBB/M 3.88889E-6 5.55042E-7 C 0.15712 0.01666 0.31423 0.03354 0.4026 0.01388 C 0.49097 -0.00578 0.49479 -0.11401 0.52986 -0.11771 C 0.56493 -0.12141 0.59844 -0.04232 0.61302 -0.00878 C 0.6276 0.02475 0.61441 0.05343 0.61684 0.08303 C 0.61927 0.11263 0.62552 0.15518 0.62726 0.16952 *3>*B ppt_xB ppt_y=!0BBaaaaaA<* HD' =4@BBBB%()?)?DT' =.7 BBBBBGM 0.02448 0.00162 C 0.16337 0.01364 0.30244 0.0259 0.375 0.00832 C 0.44757 -0.00925 0.43143 -0.10731 0.45955 -0.10407 C 0.48768 -0.10083 0.55105 0.00023 0.54375 0.02752 C 0.53681 0.05481 0.43021 0.0488 0.41667 0.06036 C 0.40313 0.07192 0.45157 0.08534 0.46216 0.09667 C 0.4724 0.108 0.46511 0.14662 0.47882 0.12789 C 0.49289 0.10916 0.52952 0.03376 0.54497 -0.01573 C 0.56077 -0.06522 0.56789 -0.14408 0.5724 -0.16975 *3>*B ppt_xB ppt_y='0BBaaaaaaaaA<*HD' =4@BBBB%()?)?DX' =. 7 BBBBBUM 0.025 0.00209 C 0.13785 0.01319 0.25087 0.02452 0.30295 0.01781 C 0.35504 0.01111 0.33733 -0.01803 0.33802 -0.03769 C 0.33872 -0.05735 0.31216 -0.0895 0.30695 -0.0999 *3>*B ppt_xB ppt_y=0BB aaaA<*HD' =4@BBBB%()?)?D' =.7 BBBBBM 0.01077 0.02128 C 0.14132 0.04926 0.27205 0.07725 0.3342 0.05065 C 0.39636 0.02406 0.37535 -0.10661 0.38351 -0.13806 *3>*B ppt_xB ppt_y=0BB aaA<*HD' =4@BBBB%()?)?D' =.7 BBBBBM -0.00017 0.01249 C 0.14236 0.03654 0.28507 0.06083 0.35695 0.08002 C 0.42865 0.09922 0.40174 0.11564 0.43091 0.12836 C 0.46007 0.14108 0.51684 0.17114 0.53229 0.15611 C 0.54757 0.14108 0.53351 0.05736 0.52309 0.03839 C 0.51233 0.01943 0.48507 0.02868 0.46858 0.04186 C 0.45191 0.05505 0.44479 0.08881 0.42309 0.11795 C 0.40122 0.14709 0.35174 0.20028 0.3375 0.2167 *3>*B ppt_xB ppt_y=%0BBaaaaaaaA<* HD6' =4@BBBB%()?)?D' =.R7 BBBBBM 0.02483 -0.00093 C 0.17917 0.04972 0.33351 0.10037 0.41841 0.09921 C 0.5033 0.09806 0.50469 0.00046 0.53403 -0.00786 C 0.56337 -0.01619 0.60104 0.04325 0.59497 0.04903 C 0.58889 0.05481 0.51094 0.01341 0.49757 0.02659 C 0.4842 0.03978 0.48004 0.13575 0.51459 0.12882 C 0.54913 0.12188 0.67361 0.00902 0.70538 -0.0148 *3>*B ppt_xB ppt_y=#0BBaaaaaaA<*HD' =4@BBBB%()?)?D<' =.7 BBBBB5M 0.02291 0.00763 C 0.09878 -0.00416 0.17465 -0.01596 0.24375 -0.03238 C 0.31284 -0.0488 0.40746 -0.07563 0.43715 -0.09112 C 0.46684 -0.10661 0.41632 -0.13529 0.42152 -0.12558 C 0.42673 -0.11587 0.45729 -0.00786 0.4684 -0.03238 C 0.47951 -0.05689 0.48454 -0.23266 0.48784 -0.27266 *3>*B ppt_xB ppt_y=!0BBaaaaaA<*HDL' =4@BBBB%()?)?D' =.h7 BBBBBM 0.03628 -0.00602 C 0.14062 0.00023 0.24496 0.00647 0.31163 0.00092 C 0.37829 -0.00463 0.41875 -0.02614 0.43628 -0.03886 C 0.45382 -0.05158 0.40816 -0.08765 0.41684 -0.07516 C 0.42552 -0.06268 0.46284 0.02544 0.48819 0.03561 C 0.51354 0.04579 0.53541 -0.00625 0.56875 -0.01457 C 0.60208 -0.0229 0.66823 -0.01457 0.68819 -0.01457 *3>*B ppt_xB ppt_y=#0BBaaaaaaA<*HDT' =4@BBBB%()?)?D' =.p7 BBBBBM 0.025 -0.00115 C 0.08611 -0.06267 0.14722 -0.12396 0.19375 -0.13945 C 0.2401 -0.15495 0.26215 -0.09829 0.30417 -0.09459 C 0.34618 -0.09089 0.41198 -0.10777 0.44549 -0.11702 C 0.47934 -0.12627 0.48507 -0.16073 0.5066 -0.14986 C 0.5283 -0.13899 0.57257 -0.06707 0.57413 -0.05134 C 0.57604 -0.03561 0.50382 -0.03723 0.51719 -0.05481 C 0.53056 -0.07238 0.63802 -0.15356 0.65486 -0.1568 C 0.6717 -0.16003 0.6342 -0.0962 0.6184 -0.07377 C 0.6026 -0.05134 0.58351 -0.04186 0.5599 -0.02197 C 0.53646 -0.00208 0.49497 0.02313 0.47813 0.04556 C 0.46111 0.06799 0.46181 0.10176 0.45851 0.11309 *3>*B ppt_xB ppt_y=-0BBaaaaaaaaaaaA<* HD' =4@BBBB%()?)?D' =.7 BBBBBM 0.02517 -0.00624 C 0.08646 0.02452 0.14791 0.05528 0.1967 0.06476 C 0.24548 0.07424 0.26788 0.0488 0.31753 0.05088 C 0.36718 0.05296 0.49739 0.07008 0.49409 0.07678 C 0.4908 0.08349 0.29027 0.09089 0.29791 0.09066 C 0.30555 0.09043 0.50173 0.08002 0.53958 0.07516 C 0.57743 0.07031 0.51302 0.06383 0.52517 0.06129 C 0.53732 0.05874 0.59774 0.05967 0.61232 0.05944 *3>*B ppt_xB ppt_y=%0BBaaaaaaaA<*HD' =4@BBBB%()?)?D' =.7 BBBBBM 0.01858 -0.00301 C 0.17656 0.01364 0.33472 0.03052 0.41476 0.02983 C 0.49479 0.02914 0.47431 0.00046 0.49913 -0.00648 C 0.52396 -0.01342 0.54948 -0.03654 0.56406 -0.01157 C 0.57865 0.01341 0.59688 0.11956 0.58611 0.14408 C 0.57535 0.16859 0.50816 0.14893 0.49913 0.13529 C 0.49011 0.12164 0.51806 0.06892 0.5316 0.06267 C 0.54514 0.05643 0.57274 0.09158 0.5809 0.09736 *3>*B ppt_xB ppt_y=%0BBaaaaaaaA<*HD' =4@BBBB%()?)?D' =.7 BBBBBM 0.0158 -0.00161 C 0.20486 -0.00208 0.3941 -0.00254 0.4717 -0.01549 C 0.54913 -0.02844 0.46719 -0.07701 0.48073 -0.07955 C 0.49392 -0.0821 0.56615 -0.06452 0.55226 -0.03099 C 0.53819 0.00255 0.41753 0.09899 0.39757 0.12119 C 0.3776 0.14339 0.41927 0.09968 0.43247 0.10222 C 0.44601 0.10477 0.47135 0.12512 0.47813 0.13668 C 0.4849 0.14825 0.46597 0.16004 0.47274 0.17137 C 0.47951 0.18271 0.50747 0.20537 0.5184 0.20421 C 0.52917 0.20306 0.53194 0.17623 0.53767 0.16443 C 0.54358 0.15264 0.54774 0.13553 0.55347 0.13321 C 0.55903 0.1309 0.57431 0.13645 0.57292 0.15056 C 0.57118 0.16467 0.55764 0.19126 0.54444 0.21809 *3>*B ppt_xB ppt_y=/0BBaaaaaaaaaaaaA<* HD' =4@BBBB%()?)?D$' =.7 BBBBBM 0.02934 -0.00971 C 0.15555 -0.04972 0.28194 -0.08973 0.35138 -0.12049 C 0.42083 -0.15125 0.41579 -0.20236 0.44635 -0.19496 C 0.47691 -0.18756 0.52413 -0.10453 0.53454 -0.07563 C 0.54496 -0.04672 0.51927 -0.03446 0.50868 -0.02197 C 0.49809 -0.00948 0.48767 -0.00324 0.471 -0.00116 C 0.45434 0.00092 0.4243 -0.00347 0.40868 -0.00971 C 0.39305 -0.01596 0.38507 -0.02613 0.37743 -0.03908 C 0.36979 -0.05204 0.36406 -0.07169 0.36319 -0.08765 C 0.36232 -0.10361 0.36354 -0.12118 0.37222 -0.13437 C 0.3809 -0.14755 0.4026 -0.16166 0.4151 -0.16721 C 0.4276 -0.17276 0.43906 -0.1716 0.44757 -0.16721 C 0.45607 -0.16281 0.46284 -0.14616 0.46579 -0.14131 *3>*B ppt_xB ppt_y=/0BBaaaaaaaaaaaaA<*HD' =4@BBBB%()?)?D' =.7 BBBBBM 0.02152 -0.02706 C 0.08038 -0.04255 0.13923 -0.05782 0.19166 -0.0599 C 0.24409 -0.06198 0.29218 -0.01526 0.33593 -0.03908 C 0.37968 -0.06291 0.42395 -0.18756 0.45399 -0.20352 C 0.48402 -0.21947 0.51597 -0.16489 0.51632 -0.13437 C 0.51666 -0.10384 0.48246 -0.04371 0.45659 -0.02012 C 0.43073 0.00347 0.36406 0.02428 0.36059 0.00763 C 0.35711 -0.00902 0.40677 -0.10661 0.43593 -0.12049 C 0.4651 -0.13437 0.5059 -0.09898 0.53593 -0.07563 C 0.56597 -0.05227 0.60295 0.0037 0.61632 0.01966 *3>*B ppt_xB ppt_y=)0BBaaaaaaaaaA<*HD' =4@BBBB%()?)?D<' =.7 BBBBB5M 0.02291 0.00763 C 0.09878 -0.00416 0.17465 -0.01596 0.24375 -0.03238 C 0.31284 -0.0488 0.40746 -0.07563 0.43715 -0.09112 C 0.46684 -0.10661 0.41632 -0.13529 0.42152 -0.12558 C 0.42673 -0.11587 0.45729 -0.00786 0.4684 -0.03238 C 0.47951 -0.05689 0.48454 -0.23266 0.48784 -0.27266 *3>*B ppt_xB ppt_y=!0BBaaaaaA<*HDA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*H%(D4' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*H%(D4' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*H%(D4' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<* H%(+8+0+H0 +s` 0L0 x`T(  T T  f@1?',$ 0  % 4 Jelatin 30.000 Da&0( 2p      2 T  `\)?2@ U  L$0    T Z ??T@  T  f ?? ,,$ 0 4Volm geni_lemesi 1-2 saat(0 V     l T TT ??@ `,$ 0 $Na, Cl, su yk ,0 2@  2  T Zfff1? p2  T Zfff1?p2  T Zfff1? 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",$D 0 nByk miktar gerekir0 2 V T 0޽h ?"` f33Q{Q___PPT10[Q+45DP' = @B DRP' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*T%(DrF' =%(DF' =%(D' =4@BBBB%()?)?DR' =.7 BBBBBEM 0.02934 0.00578 C 0.04358 0.01757 0.05781 0.0296 0.08507 0.03862 C 0.11233 0.04764 0.15694 0.06059 0.19288 0.05943 C 0.22882 0.05828 0.27187 0.03561 0.30069 0.03168 C 0.32951 0.02775 0.34601 0.04648 0.36562 0.03515 C 0.38524 0.02382 0.39687 -0.03423 0.41892 -0.03585 C 0.44097 -0.03747 0.49618 -0.00324 0.49809 0.02474 C 0.5 0.05273 0.45017 0.12373 0.43055 0.13205 C 0.41094 0.14038 0.38837 0.08441 0.37986 0.07493 *3>*B ppt_xB ppt_y='0BBaaaaaaaaA<* TD' =4@BBBB%()?)?Db' =.*7 BBBBB_M 0.03178 0.01041 C 0.15105 0.01179 0.27049 0.01341 0.33039 -0.00509 C 0.39028 -0.02359 0.37778 -0.07956 0.3915 -0.10037 C 0.40521 -0.12119 0.40869 -0.12489 0.41216 -0.12974 *3>*B ppt_xB ppt_y=0BB aaaA<*TD' =4@BBBB%()?)?DZ' =."7 BBBBBCM 0.02917 0.00485 C 0.14514 0.01804 0.26112 0.03145 0.31737 0.01873 C 0.37362 0.00601 0.3474 -0.0525 0.36685 -0.07123 C 0.38629 -0.08996 0.4132 -0.09852 0.43438 -0.09366 C 0.45539 -0.08881 0.48473 -0.05944 0.49393 -0.04186 C 0.50313 -0.02428 0.4974 -0.00139 0.48994 0.01179 C 0.48247 0.02498 0.46407 0.03931 0.44966 0.03769 C 0.43542 0.03608 0.40782 0.01411 0.40313 0.00139 C 0.39844 -0.01133 0.41372 -0.03585 0.42136 -0.03839 C 0.429 -0.04094 0.44306 -0.02452 0.44844 -0.01411 C 0.454 -0.0037 0.45573 0.00809 0.45487 0.02382 C 0.454 0.03955 0.44653 0.0636 0.44341 0.08094 C 0.44011 0.09829 0.43751 0.11101 0.4356 0.12766 C 0.43369 0.14431 0.43247 0.17206 0.43178 0.18131 *3>*B ppt_xB ppt_y=10BBaaaaaaaaaaaaaA<*TDz' =4@BBBB%()?)?D'  =.7 BBBBBM 0.03178 0.00417 C 0.16112 -0.0074 0.29063 -0.01873 0.35382 -0.04764 C 0.41702 -0.07655 0.39011 -0.15101 0.41094 -0.16882 C 0.43178 -0.18663 0.46094 -0.16697 0.47848 -0.15495 C 0.49601 -0.14292 0.5099 -0.10592 0.51615 -0.0962 *3>*B ppt_xB ppt_y=0BB aaaaA<*TD' =4@BBBB%()?)?D'  =.7 BBBBBM 0.01805 -0.00809 C 0.04757 -0.00832 0.07726 -0.00856 0.11684 -0.00277 C 0.15642 0.00301 0.21615 0.01573 0.25573 0.0266 C 0.29531 0.03747 0.33142 0.05782 0.35434 0.06291 C 0.37726 0.06799 0.38038 0.07077 0.3934 0.05759 C 0.40642 0.0444 0.42153 -0.00162 0.43229 -0.01665 C 0.44305 -0.03168 0.44045 -0.03492 0.45833 -0.03238 C 0.47621 -0.02983 0.52951 -0.01087 0.5401 -0.00116 C 0.55069 0.00856 0.5283 0.0266 0.52187 0.0266 C 0.51545 0.0266 0.49913 0.00347 0.50121 -0.00116 C 0.5033 -0.00578 0.52865 -0.02659 0.5349 -0.00116 C 0.54115 0.02428 0.52569 0.11494 0.53889 0.15102 C 0.55208 0.1871 0.58316 0.20097 0.61424 0.21508 *3>*B ppt_xB ppt_y=/0BBaaaaaaaaaaaaA<* TD' =4@BBBB%()?)?D'  =.7 BBBBBM 0.02587 -0.0259 C 0.2033 -0.0377 0.38073 -0.04926 0.4467 -0.02428 C 0.51267 0.00069 0.42604 0.09991 0.42187 0.12465 *3>*B ppt_xB ppt_y=0BB aaA<*TD' =4@BBBB%()?)?D4'  =.7 BBBBB-M -0.00139 0.03076 C 0.07865 0.02081 0.15885 0.01087 0.20642 0.00139 C 0.25399 -0.0081 0.24722 -0.02359 0.2842 -0.02637 C 0.32118 -0.02914 0.38507 -0.00856 0.4283 -0.01596 C 0.47153 -0.02336 0.51632 -0.05088 0.54392 -0.07123 C 0.5717 -0.09158 0.58316 -0.11517 0.59462 -0.13876 *3>*B ppt_xB ppt_y=!0BBaaaaaA<*TD`' =4@BBBB%()?)?D'  =.|7 BBBBBM 0.03108 -0.02335 C 0.06215 -0.06753 0.0934 -0.1117 0.11424 -0.11332 C 0.13507 -0.11494 0.13403 -0.02266 0.15573 -0.03376 C 0.17743 -0.04486 0.22378 -0.17484 0.2441 -0.17923 C 0.26441 -0.18362 0.26024 -0.07007 0.27778 -0.0599 C 0.29531 -0.04972 0.32483 -0.11586 0.3493 -0.11864 C 0.37378 -0.12141 0.39618 -0.09227 0.42448 -0.07701 C 0.45278 -0.06175 0.51111 -0.01965 0.5191 -0.02682 C 0.52708 -0.03399 0.47969 -0.12049 0.4724 -0.12026 C 0.46545 -0.12002 0.47951 -0.04764 0.47656 -0.02521 C 0.47361 -0.00277 0.46562 -0.00508 0.45417 0.01457 C 0.44305 0.03423 0.42587 0.06337 0.40903 0.09251 *3>*B ppt_xB ppt_y=-0BBaaaaaaaaaaaA<*TD' =4@BBBB%()?)?D'  =.7 BBBBBM 0.00295 0.02128 C 0.13906 0.04926 0.27534 0.07748 0.35625 0.08025 C 0.43715 0.08303 0.45816 0.02868 0.48871 0.03862 C 0.51927 0.04857 0.54132 0.13807 0.53923 0.14061 C 0.53715 0.14316 0.46892 0.07724 0.47569 0.05412 C 0.48246 0.03099 0.55486 0.00509 0.57951 0.00231 C 0.60416 -0.00046 0.60642 0.03145 0.62378 0.037 C 0.64114 0.04255 0.67361 0.03539 0.6835 0.03515 *3>*B ppt_xB ppt_y=%0BBaaaaaaaA<* TDn' =4@BBBB%()?)?D'  =.7 BBBBBM -0.02049 0.01549 C 0.04045 0.03307 0.10156 0.05065 0.17934 0.04486 C 0.25746 0.03908 0.39462 0.00208 0.44705 -0.01896 C 0.4993 -0.04001 0.47795 -0.071 0.49392 -0.08141 C 0.50989 -0.09181 0.52465 -0.08927 0.54323 -0.08141 C 0.5618 -0.07354 0.59496 -0.05782 0.60538 -0.03469 C 0.61614 -0.01156 0.61527 0.03376 0.60659 0.05712 C 0.59826 0.08048 0.57396 0.09412 0.55486 0.10546 C 0.53576 0.11679 0.51024 0.14038 0.49236 0.12465 C 0.47448 0.10893 0.44149 0.03006 0.44705 0.01041 C 0.4526 -0.00925 0.51024 0.00324 0.52621 0.00694 C 0.54253 0.01064 0.53837 0.01896 0.54444 0.03284 C 0.55034 0.04671 0.55555 0.06961 0.5625 0.08996 C 0.56962 0.11031 0.58021 0.1339 0.58611 0.15564 C 0.59184 0.17738 0.59566 0.20906 0.59774 0.2197 *3>*B ppt_xB ppt_y=30BB!aaaaaaaaaaaaaaA<* TD' =4@BBBB%()?)?D'  =.7 BBBBBM 0.00035 0.03237 C 0.08994 0.02197 0.17952 0.01156 0.24844 0.00462 C 0.31737 -0.00232 0.37813 -0.01665 0.41337 -0.00925 C 0.44862 -0.00185 0.44202 0.03538 0.46007 0.04949 C 0.47813 0.0636 0.49844 0.07192 0.52119 0.07562 C 0.54393 0.07932 0.57691 0.08718 0.59653 0.07215 C 0.61615 0.05712 0.63664 0.00948 0.63924 -0.01434 C 0.64184 -0.03816 0.62431 -0.05875 0.61198 -0.07146 C 0.59966 -0.08418 0.58143 -0.0858 0.56528 -0.09066 C 0.54914 -0.09552 0.52882 -0.0976 0.51459 -0.10084 C 0.50035 -0.10407 0.49115 -0.10361 0.47952 -0.10962 C 0.46789 -0.11564 0.45556 -0.1272 0.44445 -0.13738 C 0.43334 -0.14755 0.41858 -0.16467 0.41337 -0.17022 *3>*B ppt_xB ppt_y=/0BBaaaaaaaaaaaaA<* TD ' =4@BBBB%()?)?D '  =. 7 BBBBB M -0.02309 -0.00277 C -0.05139 0.00602 -0.07952 0.01504 -0.02848 0.01989 C 0.02274 0.02475 0.20521 0.02637 0.28472 0.0266 C 0.36423 0.02683 0.41059 0.04233 0.44826 0.02151 C 0.48628 0.0007 0.49288 -0.07423 0.51198 -0.09782 C 0.5309 -0.12141 0.55139 -0.12072 0.5625 -0.12026 C 0.57378 -0.11979 0.57812 -0.1043 0.57951 -0.09435 C 0.58055 -0.08441 0.57708 -0.07261 0.57031 -0.0599 C 0.56354 -0.04718 0.54982 -0.02636 0.53923 -0.01827 C 0.52847 -0.01017 0.51962 -0.00439 0.50659 -0.01133 C 0.49392 -0.01827 0.47205 -0.03723 0.46267 -0.0599 C 0.45312 -0.08256 0.44514 -0.12604 0.44965 -0.14801 C 0.45416 -0.16998 0.47587 -0.18293 0.48993 -0.19126 C 0.50399 -0.19958 0.52291 -0.19889 0.53385 -0.19819 C 0.54514 -0.1975 0.54896 -0.19611 0.55625 -0.18779 C 0.56337 -0.17946 0.57257 -0.1598 0.57691 -0.14801 C 0.58107 -0.13621 0.58281 -0.12743 0.58194 -0.11679 C 0.58142 -0.10615 0.57708 -0.09227 0.57309 -0.08395 C 0.56892 -0.07562 0.56527 -0.0703 0.55746 -0.0666 C 0.54965 -0.0629 0.53576 -0.05781 0.52639 -0.06151 C 0.51684 -0.06521 0.50173 -0.07516 0.50156 -0.08927 C 0.50121 -0.10337 0.51805 -0.13436 0.52361 -0.14639 C 0.52951 -0.15842 0.53194 -0.15633 0.53541 -0.16188 C 0.53871 -0.16743 0.54201 -0.17437 0.54444 -0.17923 C 0.54687 -0.18409 0.546 -0.18409 0.54965 -0.19126 C 0.55312 -0.19842 0.5618 -0.21531 0.56527 -0.22248 C 0.56875 -0.22965 0.56962 -0.23242 0.57031 -0.2345 *3>*B ppt_xB ppt_y=K0BB9aaaaaaaaaaaaaaaaaaaaaaaaaaA<*TDA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*T%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*T%(D4' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*T%(++0+T0 ++0+T0 ++0+T0 +l 0L0   dq (  db d  f&1?<T0 ,$ 0  HES 200/0.5D 0 2 $  2 d  `.)?`m F  L$0    d Z ??T@  d  f`2 ??0 ,$ 0 6Volm geni_lemesi 6-18 saat0n      L d T9 ?? ,$D 0 ,Kapiller ka1_ daha az0 2& 2 d Zf1?t42  d Zf1?D2  d Zf1?] 2  d Zf1?72  d Zf1?S 7 2  d Zf1?c D# 2 d Zf1? GP 2 d Zf1?S G 2 d Zf1?% D 2 d Zf1?c 7# 2 d Zf1? n i d T@ ??] },$ 0 Daha az Na, Cl, su yk 0(2V     V d 0޽h ?"` f33\^T^___PPT104^+siDp]' U= @B D+]' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*d%(DKS' =%(DR' =%(D ' =4@BBBB%()?)?DF ' =. 7 BBBBB M 0.03524 -0.00972 C 0.04045 -0.01596 0.04583 -0.02197 0.04948 -0.02521 C 0.05312 -0.02845 0.05434 -0.02822 0.05729 -0.02868 C 0.06024 -0.02914 0.06406 -0.02984 0.06771 -0.02868 C 0.07135 -0.02752 0.07396 -0.02799 0.07934 -0.02174 C 0.08472 -0.0155 0.09392 -0.00232 0.10017 0.00925 C 0.10642 0.02081 0.11285 0.04047 0.11701 0.04741 C 0.12118 0.05434 0.12187 0.05087 0.12483 0.05087 C 0.12778 0.05087 0.12934 0.05087 0.13524 0.04741 C 0.14115 0.04394 0.15104 0.03677 0.1599 0.03006 C 0.16875 0.02335 0.17674 0.01202 0.18854 0.00763 C 0.20035 0.00323 0.21979 0.00416 0.23125 0.00416 C 0.24271 0.00416 0.25121 0.00902 0.25729 0.00763 C 0.26337 0.00624 0.26441 0.00069 0.26771 -0.0044 C 0.27101 -0.00949 0.27257 -0.01758 0.27674 -0.02359 C 0.2809 -0.02961 0.28437 -0.03724 0.29236 -0.04094 C 0.30035 -0.04464 0.31319 -0.04464 0.32483 -0.04603 C 0.33646 -0.04741 0.35434 -0.0495 0.3625 -0.0495 C 0.37066 -0.0495 0.3625 -0.05343 0.37413 -0.04603 C 0.38576 -0.03863 0.42222 -0.01689 0.43264 -0.0044 C 0.44306 0.00809 0.44132 0.00994 0.43646 0.02844 C 0.4316 0.04694 0.41024 0.09088 0.40399 0.10615 C 0.39774 0.12141 0.4059 0.11748 0.39878 0.12002 C 0.39167 0.12257 0.37187 0.12326 0.36111 0.12187 C 0.35035 0.12049 0.34375 0.10684 0.33385 0.11147 C 0.32396 0.11609 0.31267 0.13274 0.30139 0.14939 *3>*B ppt_xB ppt_y=I0BB7aaaaaaaaaaaaaaaaaaaaaaaaaA<* dDH' =4@BBBB%()?)?D' =.d7 BBBBBM 0.03785 0.00671 C 0.12934 0.00972 0.22083 0.01295 0.27153 -0.00717 C 0.32222 -0.02729 0.32066 -0.09875 0.34167 -0.11424 C 0.36267 -0.12974 0.38038 -0.1154 0.39757 -0.1006 C 0.41476 -0.0858 0.44253 -0.04926 0.44427 -0.02613 C 0.44601 -0.003 0.42292 0.02128 0.40799 0.03793 C 0.39306 0.05458 0.37049 0.07239 0.35469 0.07424 C 0.33889 0.07609 0.31736 0.0636 0.31319 0.04834 C 0.30903 0.03307 0.31875 -0.00277 0.33003 -0.01757 C 0.34132 -0.03238 0.36684 -0.04556 0.38073 -0.04001 C 0.39462 -0.03446 0.40608 -0.00277 0.41319 0.0155 C 0.42031 0.03377 0.42187 0.05134 0.42361 0.06915 *3>*B ppt_xB ppt_y=-0BBaaaaaaaaaaaA<*dD ' =4@BBBB%()?)?DR ' =. 7 BBBBB' M 0.02934 -0.0215 C 0.05399 -0.00786 0.07865 0.00579 0.09427 0.01319 C 0.1099 0.02059 0.11771 0.02521 0.12292 0.02359 C 0.12813 0.02197 0.12379 0.00879 0.12552 0.00278 C 0.12726 -0.00323 0.12708 -0.00902 0.13333 -0.01272 C 0.13958 -0.01642 0.15608 -0.02081 0.1632 -0.01965 C 0.17031 -0.0185 0.16198 -0.0222 0.17622 -0.00601 C 0.19045 0.01018 0.23333 0.06175 0.24896 0.07702 C 0.26458 0.09228 0.25972 0.08072 0.26962 0.0858 C 0.27952 0.09089 0.29792 0.09968 0.30868 0.10824 C 0.31945 0.11679 0.32014 0.12489 0.33455 0.13761 C 0.34896 0.15033 0.38333 0.176 0.39566 0.18432 C 0.40799 0.19265 0.40313 0.18872 0.40868 0.18779 C 0.41424 0.18687 0.42066 0.18247 0.42934 0.17924 C 0.43802 0.176 0.44948 0.17484 0.46059 0.16883 C 0.4717 0.16282 0.48958 0.15611 0.49566 0.14293 C 0.50174 0.12974 0.49653 0.10315 0.49688 0.08927 C 0.49722 0.0754 0.5 0.07008 0.49827 0.0599 C 0.49653 0.04973 0.49132 0.03886 0.48646 0.02868 C 0.4816 0.01851 0.47708 0.00787 0.46962 -0.00069 C 0.46215 -0.00925 0.4533 -0.01688 0.44115 -0.02312 C 0.42899 -0.02937 0.40278 -0.04209 0.39688 -0.03885 C 0.39097 -0.03561 0.38577 -0.02266 0.40608 -0.00416 C 0.42639 0.01434 0.49948 0.05898 0.51892 0.07193 *3>*B ppt_xB ppt_y=E0BB3aaaaaaaaaaaaaaaaaaaaaaaA<* dD ' =4@BBBB%()?)?Dt' =.<7 BBBBBgM 0.00087 0.04186 C 0.02708 0.06845 0.0533 0.09528 0.08785 0.06961 C 0.1224 0.04394 0.17396 -0.09482 0.20868 -0.11217 C 0.2434 -0.12951 0.26979 -0.05134 0.29566 -0.03423 C 0.32153 -0.01712 0.34861 -0.00578 0.36441 -0.00995 C 0.38021 -0.01411 0.37379 -0.04487 0.39045 -0.05851 C 0.40695 -0.07216 0.4467 -0.08904 0.46441 -0.09135 C 0.48177 -0.09366 0.48629 -0.06846 0.49566 -0.07239 C 0.50504 -0.07632 0.51267 -0.09598 0.52031 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