{"id":452,"date":"2025-03-15T20:44:04","date_gmt":"2025-03-15T20:44:04","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=452"},"modified":"2026-03-15T00:52:14","modified_gmt":"2026-03-15T00:52:14","slug":"glikokortykosteroidy-sterydy","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/glikokortykosteroidy-sterydy\/","title":{"rendered":"Glikokortykosteroidy (sterydy)"},"content":{"rendered":"<section id=\"rx-gks-monitoring-calculator\" style=\"max-width:960px;margin:0 auto;font:16px\/1.55 Inter,ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',sans-serif;color:#0f172a;\">\n  <div style=\"background:linear-gradient(180deg,#ffffff 0%,#fbfdff 100%);border:1px solid #e2e8f0;border-radius:24px;box-shadow:0 12px 30px rgba(15,23,42,.06);overflow:hidden;\">\n    <div style=\"padding:28px 28px 20px;border-bottom:1px solid #e2e8f0;background:radial-gradient(circle at top right, rgba(15,118,110,.08), transparent 32%), linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);\">\n      <div style=\"display:inline-block;padding:6px 12px;border-radius:999px;background:rgba(15,118,110,.10);color:#0f766e;font-size:12px;font-weight:700;letter-spacing:.02em;text-transform:uppercase;margin-bottom:14px;\">Treatment Monitoring<\/div>\n      <h2 style=\"margin:0 0 10px;font-size:clamp(24px,3vw,32px);line-height:1.15;letter-spacing:-.02em;\">GKS (sterydy systemowe) \u2014 kwalifikator bezpiecze\u0144stwa monitorowania<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Interaktywny modu\u0142 do oceny bezpiecze\u0144stwa rozpocz\u0119cia lub kontynuacji leczenia glikokortykosteroidami. Uwzgl\u0119dnia ci\u015bnienie, glikemi\u0119, potas, mas\u0119 cia\u0142a, ryzyko kostne, okulistyczne, psychiatryczne i objawy supresji osi HPA.<\/p>\n    <\/div>\n\n    <div style=\"padding:28px;display:grid;gap:20px;\">\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">1. Ekspozycja i etap terapii<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Podaj podstawowe dane o terapii steroidowej.<\/p>\n\n        <div style=\"display:grid;gap:12px;margin-bottom:14px;\">\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"radio\" name=\"rx-gks-phase\" id=\"rx-gks-phase-start\" value=\"start\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Przed rozpocz\u0119ciem \/ po zwi\u0119kszeniu dawki<\/strong><br><span style=\"color:#475569;font-size:13px;\">Najwa\u017cniejsze: BP, BMI\/masa cia\u0142a, potas, ryzyko cukrzycy, CVD, GI, afektywne, osteoporoza<\/span><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"radio\" name=\"rx-gks-phase\" id=\"rx-gks-phase-stable\" value=\"stable\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Leczenie stabilne \/ przewlek\u0142e<\/strong><br><span style=\"color:#475569;font-size:13px;\">Najwa\u017cniejsze: BP, masa cia\u0142a, glikemia\/HbA1c, potas, triglicerydy, oko, ko\u015bci, adrenal suppression<\/span><\/span>\n          <\/label>\n        <\/div>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;\">\n          <div>\n            <label for=\"rx-gks-dose\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Prednizon r\u00f3wnowa\u017cnik (mg\/dob\u0119)<\/label>\n            <input id=\"rx-gks-dose\" type=\"number\" min=\"0\" max=\"200\" step=\"0.5\" value=\"10\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-days\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Czas terapii (dni)<\/label>\n            <input id=\"rx-gks-days\" type=\"number\" min=\"0\" max=\"5000\" step=\"1\" value=\"30\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-lastcheck\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ile dni min\u0119\u0142o od ostatniej kontroli \/ bada\u0144?<\/label>\n            <input id=\"rx-gks-lastcheck\" type=\"number\" min=\"0\" max=\"730\" step=\"1\" value=\"30\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-bmi\" style=\"display:block;margin:0 0 8px;font-weight:700;\">BMI<\/label>\n            <input id=\"rx-gks-bmi\" type=\"number\" min=\"10\" max=\"70\" step=\"0.1\" value=\"25.0\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">2. Parametry i ryzyko wyj\u015bciowe<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wpisz najbardziej aktualne parametry.<\/p>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;\">\n          <div>\n            <label for=\"rx-gks-sbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie skurczowe (mmHg)<\/label>\n            <input id=\"rx-gks-sbp\" type=\"number\" min=\"60\" max=\"260\" step=\"1\" value=\"128\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-dbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie rozkurczowe (mmHg)<\/label>\n            <input id=\"rx-gks-dbp\" type=\"number\" min=\"30\" max=\"160\" step=\"1\" value=\"78\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-glucose\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Glukoza na czczo (mg\/dL)<\/label>\n            <input id=\"rx-gks-glucose\" type=\"number\" min=\"40\" max=\"500\" step=\"1\" value=\"95\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-hba1c\" style=\"display:block;margin:0 0 8px;font-weight:700;\">HbA1c (%)<\/label>\n            <input id=\"rx-gks-hba1c\" type=\"number\" min=\"3\" max=\"18\" step=\"0.1\" value=\"5.6\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-k\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Potas (mmol\/L)<\/label>\n            <input id=\"rx-gks-k\" type=\"number\" min=\"2\" max=\"7\" step=\"0.1\" value=\"4.2\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-tg\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Triglicerydy (mg\/dL)<\/label>\n            <input id=\"rx-gks-tg\" type=\"number\" min=\"20\" max=\"1000\" step=\"1\" value=\"140\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;\">\n          <\/div>\n        <\/div>\n\n        <div style=\"display:grid;gap:12px;margin-top:14px;\">\n          <div>\n            <label for=\"rx-gks-bmd\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ryzyko kostne \/ BMD<\/label>\n            <select id=\"rx-gks-bmd\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;background:#fff;\">\n              <option value=\"low\">Niskie \/ brak znanego problemu<\/option>\n              <option value=\"moderate\">Czynniki ryzyka osteoporozy \/ brak aktualnej oceny<\/option>\n              <option value=\"high\">Rozpoznana osteoporoza \/ z\u0142amanie niskoenergetyczne \/ wysokie ryzyko<\/option>\n            <\/select>\n          <\/div>\n\n          <div>\n            <label for=\"rx-gks-eye\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ryzyko okulistyczne<\/label>\n            <select id=\"rx-gks-eye\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;background:#fff;\">\n              <option value=\"low\">Brak znanego problemu<\/option>\n              <option value=\"moderate\">Wywiad okulistyczny \/ brak aktualnej kontroli<\/option>\n              <option value=\"high\">Jaskra \/ za\u0107ma \/ nasilone objawy wzrokowe<\/option>\n            <\/select>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">3. Czynniki ryzyka i czerwone flagi<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz obecne objawy lub istotne obci\u0105\u017cenia.<\/p>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;\">\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-diabetes\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Cukrzyca \/ stan przedcukrzycowy<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-cvd\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>CVD \/ dyslipidemia \/ istotne ryzyko sercowo-naczyniowe<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-gi\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Istotna choroba przewodu pokarmowego \/ wrz\u00f3d \/ krwawienie w wywiadzie<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-moodrisk\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Wywiad zaburze\u0144 afektywnych \/ psychiatrycznych<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-infection\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Aktywna infekcja \/ gor\u0105czka \/ podejrzenie zaka\u017cenia<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-psych\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ostre objawy psychiatryczne<\/strong><br><span style=\"color:#475569;font-size:13px;\">mania, psychoza, ci\u0119\u017cka depresja, my\u015bli S<\/span><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-eyealarm\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nowe pogorszenie widzenia \/ b\u00f3l oka \/ pilne objawy okulistyczne<\/strong><\/span>\n          <\/label>\n\n          <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n            <input type=\"checkbox\" id=\"rx-gks-adrenal\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Objawy supresji osi HPA \/ odstawienia<\/strong><br><span style=\"color:#475569;font-size:13px;\">os\u0142abienie, hipotensja, nudno\u015bci, omdlenia<\/span><\/span>\n          <\/label>\n        <\/div>\n      <\/div>\n\n      <div style=\"display:flex;flex-wrap:wrap;gap:12px;margin-top:2px;\">\n        <button\n          type=\"button\"\n          id=\"rx-gks-calc-btn\"\n          style=\"appearance:none;border:0;border-radius:16px;padding:14px 18px;background:linear-gradient(180deg,#0f766e 0%,#115e59 100%);color:#fff;font:inherit;font-weight:700;cursor:pointer;box-shadow:0 12px 24px rgba(15,118,110,.22);display:inline-flex;align-items:center;justify-content:center;min-width:180px;\"\n        >Oblicz wynik<\/button>\n\n        <button\n          type=\"button\"\n          id=\"rx-gks-clear-btn\"\n          style=\"appearance:none;border:1px solid #cbd5e1;border-radius:16px;padding:14px 18px;background:#fff;color:#0f172a;font:inherit;font-weight:700;cursor:pointer;display:inline-flex;align-items:center;justify-content:center;\"\n        >Wyczy\u015b\u0107<\/button>\n      <\/div>\n\n      <div id=\"rx-gks-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-gks-result-title\" style=\"margin:0 0 8px;font-size:18px;line-height:1.3;font-weight:800;color:#0f172a;\">Wynik pojawi si\u0119 tutaj<\/p>\n        <p id=\"rx-gks-result-text\" style=\"margin:0 0 8px;\">Uzupe\u0142nij dane ekspozycji, parametry i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-gks-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Modu\u0142 bezpiecze\u0144stwa monitorowania GKS: pokazuje brak oczywistych czerwonych flag, potrzeb\u0119 weryfikacji lub piln\u0105 flag\u0119 bezpiecze\u0144stwa.<\/p>\n      <\/div>\n\n      <div style=\"border:1px solid #e2e8f0;background:linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);border-radius:18px;padding:16px 18px;color:#475569;font-size:14px;\">\n        <strong style=\"color:#0f172a;\">Uwaga:<\/strong> to narz\u0119dzie wspiera monitorowanie bezpiecze\u0144stwa steryd\u00f3w systemowych i nie zast\u0119puje decyzji klinicznej. Najwa\u017cniejsze praktycznie s\u0105: ci\u015bnienie, glikemia, potas, masa cia\u0142a, ko\u015bci, oczy, zaka\u017cenia i objawy supresji osi HPA.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('rx-gks-calc-btn');\n  var clearBtn = document.getElementById('rx-gks-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  function readValue(id, min, max, fallback) {\n    var v = parseFloat(document.getElementById(id).value);\n    if (isNaN(v)) v = fallback;\n    if (v < min) v = min;\n    if (v > max) v = max;\n    return v;\n  }\n\n  function isStart() {\n    return document.getElementById('rx-gks-phase-start').checked;\n  }\n\n  function expectedDays() {\n    return isStart() ? 30 : 90;\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var dose = readValue('rx-gks-dose', 0, 200, 10);\n    var days = readValue('rx-gks-days', 0, 5000, 30);\n    var lastCheck = readValue('rx-gks-lastcheck', 0, 730, 30);\n    var bmi = readValue('rx-gks-bmi', 10, 70, 25.0);\n    var sbp = readValue('rx-gks-sbp', 60, 260, 128);\n    var dbp = readValue('rx-gks-dbp', 30, 160, 78);\n    var glucose = readValue('rx-gks-glucose', 40, 500, 95);\n    var hba1c = readValue('rx-gks-hba1c', 3, 18, 5.6);\n    var potassium = readValue('rx-gks-k', 2, 7, 4.2);\n    var tg = readValue('rx-gks-tg', 20, 1000, 140);\n\n    var bmd = document.getElementById('rx-gks-bmd').value;\n    var eye = document.getElementById('rx-gks-eye').value;\n\n    var diabetes = document.getElementById('rx-gks-diabetes').checked;\n    var cvd = document.getElementById('rx-gks-cvd').checked;\n    var gi = document.getElementById('rx-gks-gi').checked;\n    var moodrisk = document.getElementById('rx-gks-moodrisk').checked;\n    var infection = document.getElementById('rx-gks-infection').checked;\n    var psych = document.getElementById('rx-gks-psych').checked;\n    var eyealarm = document.getElementById('rx-gks-eyealarm').checked;\n    var adrenal = document.getElementById('rx-gks-adrenal').checked;\n\n    var redFlags = [];\n    var yellowFlags = [];\n\n    if (infection) redFlags.push('aktywna infekcja \/ gor\u0105czka');\n    if (psych) redFlags.push('ostre objawy psychiatryczne');\n    if (eyealarm) redFlags.push('pilne objawy okulistyczne');\n    if (adrenal) redFlags.push('objawy supresji osi HPA \/ odstawienia');\n    if (sbp >= 180 || dbp >= 110) redFlags.push('ci\u0119\u017ckie nadci\u015bnienie');\n    if (glucose >= 250) redFlags.push('znaczna hiperglikemia');\n    if (potassium < 3.0) redFlags.push('istotna hipokaliemia');\n    if (eye === 'high') redFlags.push('wysokie ryzyko okulistyczne \/ aktywny problem okulistyczny');\n\n    if (sbp >= 140 || dbp >= 90) yellowFlags.push('nadci\u015bnienie wymaga kontroli');\n    if (glucose >= 126 || hba1c >= 6.5) yellowFlags.push('nieprawid\u0142owa glikemia \/ HbA1c');\n    if (glucose >= 100 && glucose < 126) yellowFlags.push('glikemia sugeruje zwi\u0119kszone ryzyko zaburze\u0144 metabolicznych');\n    if (potassium >= 3.0 && potassium < 3.5) yellowFlags.push('obni\u017cony potas');\n    if (tg >= 200) yellowFlags.push('podwy\u017cszone triglicerydy');\n    if (bmi >= 30) yellowFlags.push('oty\u0142o\u015b\u0107 zwi\u0119ksza ryzyko metaboliczne');\n    if (diabetes) yellowFlags.push('cukrzyca \/ stan przedcukrzycowy');\n    if (cvd) yellowFlags.push('obci\u0105\u017cenie sercowo-naczyniowe \/ dyslipidemia');\n    if (gi) yellowFlags.push('istotna choroba przewodu pokarmowego \/ wywiad GI');\n    if (moodrisk) yellowFlags.push('wywiad psychiatryczny \/ afektywny');\n    if (bmd === 'moderate') yellowFlags.push('brak pe\u0142nej oceny ryzyka kostnego \/ BMD');\n    if (bmd === 'high') yellowFlags.push('wysokie ryzyko kostne \/ osteoporoza');\n    if (eye === 'moderate') yellowFlags.push('ryzyko okulistyczne \/ brak aktualnej kontroli');\n    if (dose >= 5 && days > 90) yellowFlags.push('prednizon r\u00f3wnowa\u017cnik \u2265 5 mg\/d przez > 3 miesi\u0105ce \u2014 wa\u017cna ocena kostna');\n    if (lastCheck > expectedDays()) yellowFlags.push('kontrola \/ badania wykonano p\u00f3\u017aniej ni\u017c typowy interwa\u0142');\n\n    var result = document.getElementById('rx-gks-result');\n    var title = document.getElementById('rx-gks-result-title');\n    var text = document.getElementById('rx-gks-result-text');\n    var note = document.getElementById('rx-gks-result-note');\n\n    result.style.display = 'block';\n\n    if (redFlags.length > 0) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Czerwona flaga bezpiecze\u0144stwa';\n      text.innerHTML = 'Ten modu\u0142 wykry\u0142 istotne nieprawid\u0142owo\u015bci wymagaj\u0105ce pilnej weryfikacji przed dalszym prowadzeniem terapii GKS.';\n      note.innerHTML = 'Wykryte problemy: ' + redFlags.join('; ') + (yellowFlags.length ? '. Dodatkowo: ' + yellowFlags.join('; ') : '') + '.';\n    } else if (yellowFlags.length > 0) {\n      result.style.background = '#fffbeb';\n      result.style.border = '1px solid #fde68a';\n      title.style.color = '#92400e';\n      title.innerHTML = 'Wymaga weryfikacji';\n      text.innerHTML = 'Brak oczywistych czerwonych flag, ale s\u0105 elementy wymagaj\u0105ce kontroli klinicznej, bada\u0144 lub dzia\u0142a\u0144 profilaktycznych.';\n      note.innerHTML = 'Do weryfikacji: ' + yellowFlags.join('; ') + '.';\n    } else {\n      result.style.background = '#f0fdf4';\n      result.style.border = '1px solid #bbf7d0';\n      title.style.color = '#166534';\n      title.innerHTML = 'Brak oczywistych czerwonych flag w tym module';\n      text.innerHTML = 'W podanych danych nie wykryto najwa\u017cniejszych sygna\u0142\u00f3w alarmowych u\u017cytych w tym kwalifikatorze.';\n      note.innerHTML = 'Pami\u0119taj o okresowej kontroli BP, masy cia\u0142a, glikemii\/HbA1c, potasu, lipid\u00f3w, ko\u015bci i oka oraz o czujno\u015bci na objawy adrenal suppression.';\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-gks-phase-start').checked = true;\n    document.getElementById('rx-gks-dose').value = 10;\n    document.getElementById('rx-gks-days').value = 30;\n    document.getElementById('rx-gks-lastcheck').value = 30;\n    document.getElementById('rx-gks-bmi').value = 25.0;\n    document.getElementById('rx-gks-sbp').value = 128;\n    document.getElementById('rx-gks-dbp').value = 78;\n    document.getElementById('rx-gks-glucose').value = 95;\n    document.getElementById('rx-gks-hba1c').value = 5.6;\n    document.getElementById('rx-gks-k').value = 4.2;\n    document.getElementById('rx-gks-tg').value = 140;\n    document.getElementById('rx-gks-bmd').value = 'low';\n    document.getElementById('rx-gks-eye').value = 'low';\n    document.getElementById('rx-gks-diabetes').checked = false;\n    document.getElementById('rx-gks-cvd').checked = false;\n    document.getElementById('rx-gks-gi').checked = false;\n    document.getElementById('rx-gks-moodrisk').checked = false;\n    document.getElementById('rx-gks-infection').checked = false;\n    document.getElementById('rx-gks-psych').checked = false;\n    document.getElementById('rx-gks-eyealarm').checked = false;\n    document.getElementById('rx-gks-adrenal').checked = false;\n\n    document.getElementById('rx-gks-result').style.display = 'block';\n    document.getElementById('rx-gks-result').style.background = '#f8fafc';\n    document.getElementById('rx-gks-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-gks-result-title').style.color = '#0f172a';\n    document.getElementById('rx-gks-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-gks-result-text').innerHTML = 'Uzupe\u0142nij dane ekspozycji, parametry i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-gks-result-note').innerHTML = 'Modu\u0142 bezpiecze\u0144stwa monitorowania GKS: pokazuje brak oczywistych czerwonych flag, potrzeb\u0119 weryfikacji lub piln\u0105 flag\u0119 bezpiecze\u0144stwa.';\n  });\n})();\n<\/script>","protected":false},"excerpt":{"rendered":"<p>Monitorowanie leczenia GKS (sterydy systemowe) \u2014 kwalifikator bezpiecze\u0144stwa monitorowania Interaktywny modu\u0142 do oceny bezpiecze\u0144stwa rozpocz\u0119cia lub kontynuacji leczenia glikokortykosteroidami. Uwzgl\u0119dnia ci\u015bnienie, glikemi\u0119, potas, mas\u0119 cia\u0142a, ryzyko kostne, okulistyczne, psychiatryczne i objawy supresji osi HPA. 1. Ekspozycja i etap terapii Podaj podstawowe dane o terapii steroidowej. Przed rozpocz\u0119ciem \/ po zwi\u0119kszeniu dawkiNajwa\u017cniejsze: BP, BMI\/masa cia\u0142a, potas,&#8230;<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-452","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/comments?post=452"}],"version-history":[{"count":3,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/452\/revisions"}],"predecessor-version":[{"id":1230,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/452\/revisions\/1230"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/media?parent=452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}