{"id":466,"date":"2025-03-15T20:56:58","date_gmt":"2025-03-15T20:56:58","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=466"},"modified":"2026-03-15T00:48:09","modified_gmt":"2026-03-15T00:48:09","slug":"niesteroidowe-leki-przeciwzapalne-nlpz","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/niesteroidowe-leki-przeciwzapalne-nlpz\/","title":{"rendered":"Niesteroidowe leki przeciwzapalne (NLPZ)"},"content":{"rendered":"<section id=\"rx-nsaid-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;\">Niesteroidowe leki przeciwzapalne (NLPZ) \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 NLPZ. Uwzgl\u0119dnia ci\u015bnienie t\u0119tnicze, nerki, morfologi\u0119, w\u0105trob\u0119, ryzyko GI, sercowo-naczyniowe i interakcje zwi\u0119kszaj\u0105ce ryzyko dzia\u0142a\u0144 niepo\u017c\u0105danych.<\/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. Etap terapii i ekspozycja<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz moment oceny i podstawowe dane dotycz\u0105ce stosowania NLPZ.<\/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-nsaid-phase\" id=\"rx-nsaid-phase-start\" value=\"start\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Przed rozpocz\u0119ciem leczenia \/ po zwi\u0119kszeniu dawki<\/strong><br><span style=\"color:#475569;font-size:13px;\">Najwa\u017cniejsze: BP, nerki, morfologia, ryzyko GI i sercowo-naczyniowe<\/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-nsaid-phase\" id=\"rx-nsaid-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, eGFR, FBC, Hb przy ryzyku GI, LFT przy d\u0142ugim leczeniu lub chorobie w\u0105troby<\/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-nsaid-days\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Czas aktualnej terapii (dni)<\/label>\n            <input id=\"rx-nsaid-days\" type=\"number\" min=\"0\" max=\"3650\" step=\"1\" value=\"14\" 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-nsaid-lastlabs\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ile dni min\u0119\u0142o od ostatnich bada\u0144 \/ kontroli?<\/label>\n            <input id=\"rx-nsaid-lastlabs\" 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        <\/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 status kliniczny<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wpisz najbardziej aktualne dane.<\/p>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;\">\n          <div>\n            <label for=\"rx-nsaid-sbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie skurczowe (mmHg)<\/label>\n            <input id=\"rx-nsaid-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-nsaid-dbp\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ci\u015bnienie rozkurczowe (mmHg)<\/label>\n            <input id=\"rx-nsaid-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-nsaid-egfr\" style=\"display:block;margin:0 0 8px;font-weight:700;\">eGFR (ml\/min\/1,73 m\u00b2)<\/label>\n            <input id=\"rx-nsaid-egfr\" type=\"number\" min=\"0\" max=\"150\" step=\"1\" value=\"90\" 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-nsaid-hb\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Hemoglobina (g\/dL)<\/label>\n            <input id=\"rx-nsaid-hb\" type=\"number\" min=\"0\" max=\"20\" step=\"0.1\" value=\"13.4\" 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-nsaid-liver\" style=\"display:block;margin:0 0 8px;font-weight:700;\">W\u0105troba \/ funkcja w\u0105troby<\/label>\n            <select id=\"rx-nsaid-liver\" style=\"width:100%;box-sizing:border-box;padding:14px 16px;border:1px solid #cbd5e1;border-radius:14px;font:inherit;background:#fff;\">\n              <option value=\"normal\">Brak istotnych zaburze\u0144<\/option>\n              <option value=\"mild\">Zaburzenia czynno\u015bci w\u0105troby \/ wymaga ostro\u017cno\u015bci<\/option>\n              <option value=\"severe\">Istotna niewydolno\u015b\u0107 \/ ci\u0119\u017ckie uszkodzenie w\u0105troby<\/option>\n            <\/select>\n          <\/div>\n\n          <div>\n            <label for=\"rx-nsaid-gi\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ryzyko \u017co\u0142\u0105dkowo-jelitowe<\/label>\n            <select id=\"rx-nsaid-gi\" 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<\/option>\n              <option value=\"moderate\">Umiarkowane<\/option>\n              <option value=\"high\">Wysokie \/ przebyty wrz\u00f3d, krwawienie, istotna choroba GI<\/option>\n            <\/select>\n          <\/div>\n\n          <div>\n            <label for=\"rx-nsaid-cv\" style=\"display:block;margin:0 0 8px;font-weight:700;\">Ryzyko sercowo-naczyniowe \/ HF<\/label>\n            <select id=\"rx-nsaid-cv\" 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 istotnych obci\u0105\u017ce\u0144<\/option>\n              <option value=\"moderate\">Istniej\u0105ce CVD \/ nadci\u015bnienie \/ czynniki ryzyka<\/option>\n              <option value=\"high\">Niewydolno\u015b\u0107 serca \/ aktywne istotne obci\u0105\u017cenie sercowo-naczyniowe<\/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. Interakcje i czerwone flagi<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz sytuacje zwi\u0119kszaj\u0105ce ryzyko dzia\u0142a\u0144 niepo\u017c\u0105danych NLPZ.<\/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-nsaid-acei\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>ACEI \/ ARB \/ diuretyk<\/strong><br><span style=\"color:#475569;font-size:13px;\">zwi\u0119kszone ryzyko pogorszenia funkcji nerek<\/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-nsaid-anticoag\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Antykoagulant \/ antyagregant \/ GKS \/ SSRI<\/strong><br><span style=\"color:#475569;font-size:13px;\">wi\u0119ksze ryzyko krwawienia GI<\/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-nsaid-elderly\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Podesz\u0142y wiek \/ pacjent kruchy<\/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-nsaid-dehydration\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Odwodnienie \/ biegunka \/ wymioty \/ infekcja z utrat\u0105 p\u0142yn\u00f3w<\/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-nsaid-bleed\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Smo\u0142owate stolce \/ fusowate wymioty \/ jawne krwawienie z przewodu pokarmowego<\/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-nsaid-edema\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nowe obrz\u0119ki \/ duszno\u015b\u0107 \/ pogorszenie niewydolno\u015bci serca<\/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-nsaid-aki\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Sk\u0105pomocz \/ nag\u0142e pogorszenie funkcji nerek \/ podejrzenie AKI<\/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-nsaid-liverflag\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>\u017b\u00f3\u0142taczka \/ ciemny mocz \/ objawy hepatotoksyczno\u015bci<\/strong><\/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-nsaid-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-nsaid-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-nsaid-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-nsaid-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-nsaid-result-text\" style=\"margin:0 0 8px;\">Uzupe\u0142nij dane kliniczne, interakcje i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-nsaid-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Modu\u0142 bezpiecze\u0144stwa monitorowania NLPZ: 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 NLPZ i nie zast\u0119puje decyzji klinicznej. Najwa\u017cniejsze praktycznie s\u0105: ryzyko GI, nerki, ci\u015bnienie t\u0119tnicze, serce, interakcje i stosowanie mo\u017cliwie najmniejszej skutecznej dawki przez mo\u017cliwie najkr\u00f3tszy czas.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('rx-nsaid-calc-btn');\n  var clearBtn = document.getElementById('rx-nsaid-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-nsaid-phase-start').checked;\n  }\n\n  function expectedDays() {\n    return isStart() ? 28 : 180;\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var days = readValue('rx-nsaid-days', 0, 3650, 14);\n    var lastLabs = readValue('rx-nsaid-lastlabs', 0, 730, 30);\n    var sbp = readValue('rx-nsaid-sbp', 60, 260, 128);\n    var dbp = readValue('rx-nsaid-dbp', 30, 160, 78);\n    var egfr = readValue('rx-nsaid-egfr', 0, 150, 90);\n    var hb = readValue('rx-nsaid-hb', 0, 20, 13.4);\n\n    var liver = document.getElementById('rx-nsaid-liver').value;\n    var gi = document.getElementById('rx-nsaid-gi').value;\n    var cv = document.getElementById('rx-nsaid-cv').value;\n\n    var acei = document.getElementById('rx-nsaid-acei').checked;\n    var anticoag = document.getElementById('rx-nsaid-anticoag').checked;\n    var elderly = document.getElementById('rx-nsaid-elderly').checked;\n    var dehydration = document.getElementById('rx-nsaid-dehydration').checked;\n    var bleed = document.getElementById('rx-nsaid-bleed').checked;\n    var edema = document.getElementById('rx-nsaid-edema').checked;\n    var aki = document.getElementById('rx-nsaid-aki').checked;\n    var liverflag = document.getElementById('rx-nsaid-liverflag').checked;\n\n    var redFlags = [];\n    var yellowFlags = [];\n\n    if (bleed) redFlags.push('jawne krwawienie z przewodu pokarmowego \/ smoliste stolce \/ fusowate wymioty');\n    if (aki) redFlags.push('podejrzenie ostrego uszkodzenia nerek');\n    if (edema) redFlags.push('nowe obrz\u0119ki \/ duszno\u015b\u0107 \/ pogorszenie niewydolno\u015bci serca');\n    if (liverflag) redFlags.push('objawy hepatotoksyczno\u015bci');\n    if (cv === 'high') redFlags.push('istotne aktywne obci\u0105\u017cenie sercowo-naczyniowe \/ niewydolno\u015b\u0107 serca');\n    if (egfr < 30) redFlags.push('eGFR < 30 ml\/min\/1,73 m\u00b2');\n    if (liver === 'severe') redFlags.push('istotna niewydolno\u015b\u0107 \/ ci\u0119\u017ckie uszkodzenie w\u0105troby');\n\n    if (sbp >= 160 || dbp >= 100) yellowFlags.push('znacz\u0105co podwy\u017cszone ci\u015bnienie t\u0119tnicze');\n    else if (sbp >= 140 || dbp >= 90) yellowFlags.push('nadci\u015bnienie wymaga kontroli');\n\n    if (egfr >= 30 && egfr < 60) yellowFlags.push('upo\u015bledzenie funkcji nerek');\n    if (hb < 11) yellowFlags.push('obni\u017cona hemoglobina');\n    if (gi === 'high') yellowFlags.push('wysokie ryzyko powik\u0142a\u0144 \u017co\u0142\u0105dkowo-jelitowych');\n    if (gi === 'moderate') yellowFlags.push('umiarkowane ryzyko \u017co\u0142\u0105dkowo-jelitowe');\n    if (cv === 'moderate') yellowFlags.push('obci\u0105\u017cenie sercowo-naczyniowe wymaga ostro\u017cno\u015bci');\n    if (acei) yellowFlags.push('ACEI \/ ARB \/ diuretyk zwi\u0119kszaj\u0105 ryzyko pogorszenia funkcji nerek');\n    if (anticoag) yellowFlags.push('leki zwi\u0119kszaj\u0105ce ryzyko krwawienia GI');\n    if (elderly) yellowFlags.push('podesz\u0142y wiek \/ krucho\u015b\u0107 zwi\u0119kszaj\u0105 ryzyko dzia\u0142a\u0144 niepo\u017c\u0105danych');\n    if (dehydration) yellowFlags.push('odwodnienie zwi\u0119ksza ryzyko nefrotoksyczno\u015bci');\n    if (liver === 'mild') yellowFlags.push('choroba w\u0105troby wymaga monitorowania LFT');\n    if (days > 90) yellowFlags.push('przewlek\u0142e stosowanie NLPZ wymaga okresowej kontroli');\n    if (lastLabs > expectedDays()) yellowFlags.push('kontrola \/ badania wykonano p\u00f3\u017aniej ni\u017c typowy interwa\u0142 dla tego etapu leczenia');\n\n    var result = document.getElementById('rx-nsaid-result');\n    var title = document.getElementById('rx-nsaid-result-title');\n    var text = document.getElementById('rx-nsaid-result-text');\n    var note = document.getElementById('rx-nsaid-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 i zwykle ponownego przemy\u015blenia dalszego stosowania NLPZ.';\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 w podanych progach, ale s\u0105 elementy wymagaj\u0105ce kontroli klinicznej, laboratoryjnej lub przegl\u0105du ryzyka i interakcji.';\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 stosowaniu najmniejszej skutecznej dawki przez mo\u017cliwie najkr\u00f3tszy czas oraz o okresowej kontroli BP, nerek i morfologii u pacjent\u00f3w z grup ryzyka.';\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-nsaid-phase-start').checked = true;\n    document.getElementById('rx-nsaid-days').value = 14;\n    document.getElementById('rx-nsaid-lastlabs').value = 30;\n    document.getElementById('rx-nsaid-sbp').value = 128;\n    document.getElementById('rx-nsaid-dbp').value = 78;\n    document.getElementById('rx-nsaid-egfr').value = 90;\n    document.getElementById('rx-nsaid-hb').value = 13.4;\n    document.getElementById('rx-nsaid-liver').value = 'normal';\n    document.getElementById('rx-nsaid-gi').value = 'low';\n    document.getElementById('rx-nsaid-cv').value = 'low';\n    document.getElementById('rx-nsaid-acei').checked = false;\n    document.getElementById('rx-nsaid-anticoag').checked = false;\n    document.getElementById('rx-nsaid-elderly').checked = false;\n    document.getElementById('rx-nsaid-dehydration').checked = false;\n    document.getElementById('rx-nsaid-bleed').checked = false;\n    document.getElementById('rx-nsaid-edema').checked = false;\n    document.getElementById('rx-nsaid-aki').checked = false;\n    document.getElementById('rx-nsaid-liverflag').checked = false;\n\n    document.getElementById('rx-nsaid-result').style.display = 'block';\n    document.getElementById('rx-nsaid-result').style.background = '#f8fafc';\n    document.getElementById('rx-nsaid-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-nsaid-result-title').style.color = '#0f172a';\n    document.getElementById('rx-nsaid-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-nsaid-result-text').innerHTML = 'Uzupe\u0142nij dane kliniczne, interakcje i czerwone flagi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-nsaid-result-note').innerHTML = 'Modu\u0142 bezpiecze\u0144stwa monitorowania NLPZ: 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 Niesteroidowe leki przeciwzapalne (NLPZ) \u2014 kwalifikator bezpiecze\u0144stwa monitorowania Interaktywny modu\u0142 do oceny bezpiecze\u0144stwa rozpocz\u0119cia lub kontynuacji leczenia NLPZ. Uwzgl\u0119dnia ci\u015bnienie t\u0119tnicze, nerki, morfologi\u0119, w\u0105trob\u0119, ryzyko GI, sercowo-naczyniowe i interakcje zwi\u0119kszaj\u0105ce ryzyko dzia\u0142a\u0144 niepo\u017c\u0105danych. 1. Etap terapii i ekspozycja Wybierz moment oceny i podstawowe dane dotycz\u0105ce stosowania NLPZ. Przed rozpocz\u0119ciem leczenia \/ po zwi\u0119kszeniu&#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-466","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/466","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=466"}],"version-history":[{"count":3,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/466\/revisions"}],"predecessor-version":[{"id":1229,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/466\/revisions\/1229"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/media?parent=466"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}