"use strict"; const {Fragment: _Fragment, jsx: _jsx, jsxs: _jsxs} = arguments[0]; const {useMDXComponents: _provideComponents} = arguments[0]; function _createMdxContent(props) { const _components = { a: "a", code: "code", em: "em", h3: "h3", hr: "hr", li: "li", ol: "ol", p: "p", path: "path", pre: "pre", span: "span", strong: "strong", svg: "svg", ul: "ul", ..._provideComponents(), ...props.components }; return _jsxs(_Fragment, { children: [_jsxs(_components.p, { children: ["Com certeza! Entendi perfeitamente a sua necessidade. A ideia é enriquecer as calculadoras existentes com ", _jsx(_components.strong, { children: "recomendações de conduta e sugestões terapêuticas" }), " baseadas nos resultados, sem alterar a estrutura fundamental que já está funcionando para você."] }), "\n", _jsx(_components.p, { children: "Abaixo, apresento cada um dos seus códigos com as linhas de recomendação adicionadas. Para cada calculadora, eu:" }), "\n", _jsxs(_components.ol, { children: ["\n", _jsx(_components.li, { children: "Adicionei um novo campo no HTML para exibir a recomendação." }), "\n", _jsx(_components.li, { children: "Incrementei a função JavaScript de cálculo para gerar e exibir a conduta apropriada com base no escore." }), "\n", _jsx(_components.li, { children: "Atualizei a função de \"reset\" para limpar o novo campo." }), "\n"] }), "\n", _jsxs(_components.p, { children: [_jsx(_components.strong, { children: "Instrução:" }), " Para cada calculadora que você deseja atualizar, basta substituir o bloco de código antigo pelo novo bloco correspondente abaixo."] }), "\n", _jsx(_components.hr, {}), "\n", _jsxs(_components.h3, { id: "aviso-importante-antes-de-começar", children: [_jsx(_components.a, { className: "heading-link", href: "#aviso-importante-antes-de-começar", children: _jsx(_components.svg, { xmlns: "http:www.w3.org/2000/svg", fill: "#ab2b65", viewBox: "0 0 20 20", className: "w-5 h-5", children: _jsx(_components.path, { fillRule: "evenodd", clipRule: "evenodd", d: "M9.493 2.853a.75.75 0 00-1.486-.205L7.545 6H4.198a.75.75 0 000 1.5h3.14l-.69 5H3.302a.75.75 0 000 1.5h3.14l-.435 3.148a.75.75 0 001.486.205L7.955 14h2.986l-.434 3.148a.75.75 0 001.486.205L12.456 14h3.346a.75.75 0 000-1.5h-3.14l.69-5h3.346a.75.75 0 000-1.5h-3.14l.435-3.147a.75.75 0 00-1.486-.205L12.045 6H9.059l.434-3.147zM8.852 7.5l-.69 5h2.986l.69-5H8.852z" }) }) }), _jsx(_components.strong, { children: "Aviso Importante Antes de Começar" })] }), "\n", _jsxs(_components.p, { children: ["As recomendações de conduta e as doses de medicamentos fornecidas são baseadas em diretrizes clínicas comuns e servem como um ", _jsx(_components.strong, { children: "guia de referência rápida" }), ". Elas ", _jsx(_components.strong, { children: "NÃO substituem o julgamento clínico individualizado" }), ", a avaliação completa do paciente, as diretrizes institucionais ou a consulta à bula dos medicamentos. A decisão final de tratamento é sempre de responsabilidade do médico assistente."] }), "\n", _jsx(_components.hr, {}), "\n", _jsxs(_components.h3, { id: "calculadora-ich-hemorragia-intracraniana", children: [_jsx(_components.a, { className: "heading-link", href: "#calculadora-ich-hemorragia-intracraniana", children: _jsx(_components.svg, { xmlns: "http:www.w3.org/2000/svg", fill: "#ab2b65", viewBox: "0 0 20 20", className: "w-5 h-5", children: _jsx(_components.path, { fillRule: "evenodd", clipRule: "evenodd", d: "M9.493 2.853a.75.75 0 00-1.486-.205L7.545 6H4.198a.75.75 0 000 1.5h3.14l-.69 5H3.302a.75.75 0 000 1.5h3.14l-.435 3.148a.75.75 0 001.486.205L7.955 14h2.986l-.434 3.148a.75.75 0 001.486.205L12.456 14h3.346a.75.75 0 000-1.5h-3.14l.69-5h3.346a.75.75 0 000-1.5h-3.14l.435-3.147a.75.75 0 00-1.486-.205L12.045 6H9.059l.434-3.147zM8.852 7.5l-.69 5h2.986l.69-5H8.852z" }) }) }), _jsx(_components.strong, { children: "Calculadora ICH (Hemorragia Intracraniana)" })] }), "\n", _jsx(_components.p, { children: "Adicionei uma seção que sugere o nível de cuidado e a abordagem geral com base na gravidade do escore." }), "\n", _jsx(_components.pre, { children: _jsxs(_components.code, { className: "language-dataviewjs code-highlight", children: [_jsx(_components.span, { className: "code-line", children: "// --- Bloco de Código Corrigido para Escore ICH com Recomendação ---\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 1. Definição do HTML da calculadora\n" }), _jsx(_components.span, { className: "code-line", children: "const calculatorHTML = `\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "

Escore ICH para Hemorragia Intracraniana

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " Glasgow na Admissão\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " Idade\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " Local do Hematoma\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " Volume do Hematoma\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " Hemo-ventrículo\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

Escore:

\n" }), _jsx(_components.span, { className: "code-line", children: "

Mortalidade em 30 dias:

\n" }), _jsx(_components.span, { className: "code-line", children: "

Recomendação de Conduta:

\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "`;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 2. Definição do estilo (CSS)\n" }), _jsx(_components.span, { className: "code-line", children: "const styles = `\n" }), _jsx(_components.span, { className: "code-line", children: ".calculator-container { background-color: #f0f0f0; padding: 20px; border-radius: 8px; font-family: sans-serif; border: 1px solid #ddd; }\n" }), _jsx(_components.span, { className: "code-line", children: ".input-group, .button-group { margin-bottom: 15px; }\n" }), _jsx(_components.span, { className: "code-line", children: "label { display: block; margin-bottom: 5px; }\n" }), _jsx(_components.span, { className: "code-line", children: "select { width: 100%; padding: 8px; border-radius: 4px; border: 1px solid #ccc; }\n" }), _jsx(_components.span, { className: "code-line", children: ".button-group { display: flex; gap: 10px; }\n" }), _jsx(_components.span, { className: "code-line", children: ".button-group button { flex-grow: 1; padding: 10px 15px; border: none; border-radius: 4px; cursor: pointer; }\n" }), _jsx(_components.span, { className: "code-line", children: "#ich-button { background-color: #007bff; color: white; }\n" }), _jsx(_components.span, { className: "code-line", children: "#ich-button:hover { background-color: #0056b3; }\n" }), _jsx(_components.span, { className: "code-line", children: ".secondary { background-color: #6c757d; color: white; }\n" }), _jsx(_components.span, { className: "code-line", children: ".secondary:hover { background-color: #5a6268; }\n" }), _jsx(_components.span, { className: "code-line", children: "#ich-recommendation { background-color: #e9ecef; padding: 10px; border-radius: 4px; min-height: 20px; }\n" }), _jsx(_components.span, { className: "code-line", children: "`;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 3. Injeção do estilo e do HTML na página\n" }), _jsx(_components.span, { className: "code-line", children: "const container = dv.container;\n" }), _jsx(_components.span, { className: "code-line", children: "const styleEl = document.createElement('style');\n" }), _jsx(_components.span, { className: "code-line", children: "styleEl.innerHTML = styles;\n" }), _jsx(_components.span, { className: "code-line", children: "container.appendChild(styleEl);\n" }), _jsx(_components.span, { className: "code-line", children: "container.innerHTML += calculatorHTML;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 4. Definição das funções\n" }), _jsx(_components.span, { className: "code-line", children: "function calculateICH() {\n" }), _jsx(_components.span, { className: "code-line", children: " const get = (id) => parseInt(container.querySelector('#' + id).value);\n" }), _jsx(_components.span, { className: "code-line", children: " const totalScore = get('glasgow') + get('idade-ich') + get('local-hematoma') + get('volume-hematoma') + get('hemoventriculo');\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-result').innerText = totalScore;\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " const mortalityMap = {0: '0%', 1: '13%', 2: '26%', 3: '72%', 4: '97%', 5: '100%', 6: '100%'};\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-mortality').innerText = mortalityMap[totalScore] || \"N/A\";\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: " let recommendation = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: " switch(totalScore) {\n" }), _jsx(_components.span, { className: "code-line", children: " case 0: case 1:\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Risco baixo. Monitorização em unidade de internação ou UTI. Controle pressórico rigoroso.\";\n" }), _jsx(_components.span, { className: "code-line", children: " break;\n" }), _jsx(_components.span, { className: "code-line", children: " case 2:\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Risco intermediário. Internação em UTI, controle pressórico agressivo e monitorização neurológica seriada.\";\n" }), _jsx(_components.span, { className: "code-line", children: " break;\n" }), _jsx(_components.span, { className: "code-line", children: " case 3: case 4:\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Risco alto. UTI, avaliar com neurocirurgia a possibilidade de intervenção (ex: drenagem, craniotomia). Discutir prognóstico com a família.\";\n" }), _jsx(_components.span, { className: "code-line", children: " break;\n" }), _jsx(_components.span, { className: "code-line", children: " default: // 5 e 6\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Risco altíssimo. Prognóstico extremamente reservado. Considerar discussão sobre limitação de suporte terapêutico com a família.\";\n" }), _jsx(_components.span, { className: "code-line", children: " break;\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-recommendation').innerText = recommendation;\n" }), _jsx(_components.span, { className: "code-line", children: "}\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "function resetICH() {\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelectorAll('select').forEach(s => s.selectedIndex = s.querySelector('option[selected]')?.index || 0);\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-result').innerText = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-mortality').innerText = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-recommendation').innerText = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: "}\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 5. Adição segura dos eventos de clique\n" }), _jsx(_components.span, { className: "code-line", children: "setTimeout(() => {\n" }), _jsx(_components.span, { className: "code-line", children: " try {\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-button').addEventListener('click', calculateICH);\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#ich-reset-button').addEventListener('click', resetICH);\n" }), _jsx(_components.span, { className: "code-line", children: " } catch (e) {\n" }), _jsx(_components.span, { className: "code-line", children: " container.innerHTML += `

Erro ao executar o script: ${e.message}

`;\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: "}, 0);\n" })] }) }), "\n", _jsx(_components.hr, {}), "\n", _jsxs(_components.h3, { id: "calculadora-curb-65-pneumonia", children: [_jsx(_components.a, { className: "heading-link", href: "#calculadora-curb-65-pneumonia", children: _jsx(_components.svg, { xmlns: "http:www.w3.org/2000/svg", fill: "#ab2b65", viewBox: "0 0 20 20", className: "w-5 h-5", children: _jsx(_components.path, { fillRule: "evenodd", clipRule: "evenodd", d: "M9.493 2.853a.75.75 0 00-1.486-.205L7.545 6H4.198a.75.75 0 000 1.5h3.14l-.69 5H3.302a.75.75 0 000 1.5h3.14l-.435 3.148a.75.75 0 001.486.205L7.955 14h2.986l-.434 3.148a.75.75 0 001.486.205L12.456 14h3.346a.75.75 0 000-1.5h-3.14l.69-5h3.346a.75.75 0 000-1.5h-3.14l.435-3.147a.75.75 0 00-1.486-.205L12.045 6H9.059l.434-3.147zM8.852 7.5l-.69 5h2.986l.69-5H8.852z" }) }) }), _jsx(_components.strong, { children: "Calculadora CURB-65 (Pneumonia)" })] }), "\n", _jsx(_components.p, { children: "Adicionei exemplos de esquemas antibióticos comumente recomendados para cada grupo de risco." }), "\n", _jsx(_components.pre, { children: _jsxs(_components.code, { className: "language-dataviewjs code-highlight", children: [_jsx(_components.span, { className: "code-line", children: "// --- Bloco de Código para Calculadora do Escore CURB-65 com Conduta ---\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 1. Definição do HTML da calculadora\n" }), _jsx(_components.span, { className: "code-line", children: "const calculatorHTML = `\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "

Calculadora de Escore CURB-65 (Gravidade da Pneumonia)

\n" }), _jsx(_components.span, { className: "code-line", children: "

Avalia a mortalidade em 30 dias e ajuda a decidir o local e a terapia para Pneumonia Adquirida na Comunidade (PAC).

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Confusion (Confusão mental nova)\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Urea > 7 mmol/L (ou BUN > 19 mg/dL)\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Respiratory Rate (Frequência Respiratória) ≥ 30 ipm\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Blood Pressure (Pressão Arterial): Sistólica < 90 mmHg ou Diastólica ≤ 60 mmHg\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Idade ≥ 65 anos\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

Escore Total:

\n" }), _jsx(_components.span, { className: "code-line", children: "

Mortalidade e Recomendação de Manejo:

\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "`;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 2. Definição do estilo (CSS)\n" }), _jsx(_components.span, { className: "code-line", children: "const styles = `\n" }), _jsx(_components.span, { className: "code-line", children: ".calculator-container { background-color: #f0f0f0; padding: 20px; border-radius: 8px; font-family: sans-serif; border: 1px solid #ddd; }\n" }), _jsx(_components.span, { className: "code-line", children: ".checkbox-group { margin-bottom: 12px; display: flex; align-items: center; }\n" }), _jsx(_components.span, { className: "code-line", children: ".checkbox-group input { margin-right: 10px; min-width: 18px; min-height: 18px; }\n" }), _jsx(_components.span, { className: "code-line", children: ".checkbox-group label { line-height: 1.4; }\n" }), _jsx(_components.span, { className: "code-line", children: ".button-group { display: flex; gap: 10px; margin-top: 20px; flex-wrap: wrap; }\n" }), _jsx(_components.span, { className: "code-line", children: ".button-group button { padding: 10px 15px; border: none; border-radius: 4px; cursor: pointer; flex-grow: 1; }\n" }), _jsx(_components.span, { className: "code-line", children: "#curb-calc-button { background-color: #007bff; color: white; }\n" }), _jsx(_components.span, { className: "code-line", children: "#curb-calc-button:hover { background-color: #0056b3; }\n" }), _jsx(_components.span, { className: "code-line", children: ".secondary { background-color: #6c757d; color: white; }\n" }), _jsx(_components.span, { className: "code-line", children: ".secondary:hover { background-color: #5a6268; }\n" }), _jsx(_components.span, { className: "code-line", children: "#curb-interpretation { padding: 10px; background-color: #e9ecef; border-radius: 4px; margin-top: 5px; line-height: 1.5; }\n" }), _jsx(_components.span, { className: "code-line", children: "`;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 3. Injeção do estilo e do HTML\n" }), _jsx(_components.span, { className: "code-line", children: "const container = dv.container;\n" }), _jsx(_components.span, { className: "code-line", children: "const styleEl = document.createElement('style');\n" }), _jsx(_components.span, { className: "code-line", children: "styleEl.innerHTML = styles;\n" }), _jsx(_components.span, { className: "code-line", children: "container.appendChild(styleEl);\n" }), _jsx(_components.span, { className: "code-line", children: "container.innerHTML += calculatorHTML;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 4. Definição das funções\n" }), _jsx(_components.span, { className: "code-line", children: "function calculateCURB65() {\n" }), _jsx(_components.span, { className: "code-line", children: " let score = 0;\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelectorAll('.checkbox-group input[type=\"checkbox\"]').forEach(box => {\n" }), _jsx(_components.span, { className: "code-line", children: " if (box.checked) score += parseInt(box.dataset.points);\n" }), _jsx(_components.span, { className: "code-line", children: " });\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#curb-result').innerText = score;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: " const interpretationEl = container.querySelector('#curb-interpretation');\n" }), _jsx(_components.span, { className: "code-line", children: " let interpretationText = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: " switch(score) {\n" }), _jsx(_components.span, { className: "code-line", children: " case 0:\n" }), _jsx(_components.span, { className: "code-line", children: " case 1:\n" }), _jsx(_components.span, { className: "code-line", children: " interpretationText = \"Grupo 1 (Baixo Risco): Mortalidade ~1.5%.
Conduta: Considerar tratamento ambulatorial.
Terapia Sugerida (sem comorbidades): Amoxicilina (ex: 1g 8/8h) ou Doxiciclina.\";\n" }), _jsx(_components.span, { className: "code-line", children: " break;\n" }), _jsx(_components.span, { className: "code-line", children: " case 2:\n" }), _jsx(_components.span, { className: "code-line", children: " interpretationText = \"Grupo 2 (Risco Moderado): Mortalidade ~9.2%.
Conduta: Considerar internação hospitalar breve ou tratamento supervisionado.
Terapia Sugerida: Cefalosporina 3ª Geração (ex: Ceftriaxona 1-2g/dia) + Macrolídeo (ex: Azitromicina 500mg/dia) OU Quinolona respiratória (ex: Levofloxacina 750mg/dia).\";\n" }), _jsx(_components.span, { className: "code-line", children: " break;\n" }), _jsx(_components.span, { className: "code-line", children: " default: // score 3, 4 ou 5\n" }), _jsx(_components.span, { className: "code-line", children: " interpretationText = \"Grupo 3 (Alto Risco): Mortalidade ~22%.
Conduta: Internação hospitalar urgente. Avaliar necessidade de UTI, especialmente com escore 4 ou 5.
Terapia Sugerida: Mesma de risco moderado (Ceftriaxona + Azitromicina). Se houver risco para Pseudomonas, considerar Beta-lactâmico anti-pseudomonas (ex: Piperacilina-Tazobactam) + Quinolona ou Aminoglicosídeo.\";\n" }), _jsx(_components.span, { className: "code-line", children: " break;\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " interpretationEl.innerHTML = interpretationText;\n" }), _jsx(_components.span, { className: "code-line", children: "}\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "function resetCURB65() {\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelectorAll('.checkbox-group input[type=\"checkbox\"]').forEach(box => box.checked = false);\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#curb-result').innerText = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#curb-interpretation').innerHTML = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: "}\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 5. Adição segura dos eventos de clique com setTimeout\n" }), _jsx(_components.span, { className: "code-line", children: "setTimeout(() => {\n" }), _jsx(_components.span, { className: "code-line", children: " try {\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#curb-calc-button').addEventListener('click', calculateCURB65);\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#curb-reset-button').addEventListener('click', resetCURB65);\n" }), _jsx(_components.span, { className: "code-line", children: " } catch (e) {\n" }), _jsx(_components.span, { className: "code-line", children: " container.innerHTML += `

Erro ao executar o script: ${e.message}

`;\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: "}, 0);\n" })] }) }), "\n", _jsx(_components.hr, {}), "\n", _jsxs(_components.h3, { id: "calculadora-chads-vasc", children: [_jsx(_components.a, { className: "heading-link", href: "#calculadora-chads-vasc", children: _jsx(_components.svg, { xmlns: "http:www.w3.org/2000/svg", fill: "#ab2b65", viewBox: "0 0 20 20", className: "w-5 h-5", children: _jsx(_components.path, { fillRule: "evenodd", clipRule: "evenodd", d: "M9.493 2.853a.75.75 0 00-1.486-.205L7.545 6H4.198a.75.75 0 000 1.5h3.14l-.69 5H3.302a.75.75 0 000 1.5h3.14l-.435 3.148a.75.75 0 001.486.205L7.955 14h2.986l-.434 3.148a.75.75 0 001.486.205L12.456 14h3.346a.75.75 0 000-1.5h-3.14l.69-5h3.346a.75.75 0 000-1.5h-3.14l.435-3.147a.75.75 0 00-1.486-.205L12.045 6H9.059l.434-3.147zM8.852 7.5l-.69 5h2.986l.69-5H8.852z" }) }) }), _jsx(_components.strong, { children: "Calculadora CHA₂DS₂-VASc" })] }), "\n", _jsx(_components.p, { children: "A recomendação foi aprimorada para incluir exemplos das classes de medicamentos recomendadas." }), "\n", _jsx(_components.pre, { children: _jsxs(_components.code, { className: "language-dataviewjs code-highlight", children: [_jsx(_components.span, { className: "code-line", children: "// --- Bloco de Código Corrigido para Calculadora CHA₂DS₂-VASc com Conduta ---\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 1. Definição do HTML da calculadora\n" }), _jsx(_components.span, { className: "code-line", children: "const calculatorHTML = `\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "

Calculadora de Escore CHA₂DS₂-VASc

\n" }), _jsx(_components.span, { className: "code-line", children: "

Avalia o risco de AVC em pacientes com Fibrilação Atrial (FA) não valvar para guiar a terapia de anticoagulação.

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " Sexo Biológico\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Congestive Heart Failure (Insuficiência Cardíaca Congestiva)\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Hypertension (Hipertensão Arterial)\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Age ≥ 75 anos (2 pontos)\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Diabetes Mellitus\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Stroke / TIA / TE (AVC / AIT / Tromboembolismo prévio) (2 pontos)\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Vascular Disease (Doença Vascular: IAM prévio, Doença Arterial Periférica, Placa Aórtica)\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " Age 65-74 anos\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: "

Escore Total:

\n" }), _jsx(_components.span, { className: "code-line", children: "

Risco e Recomendação Clínica:

\n" }), _jsx(_components.span, { className: "code-line", children: "

\n" }), _jsx(_components.span, { className: "code-line", children: "`;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 2. Definição do estilo (CSS)\n" }), _jsx(_components.span, { className: "code-line", children: "const styles = `\n" }), _jsx(_components.span, { className: "code-line", children: ".calculator-container { background-color: #f0f0f0; padding: 20px; border-radius: 8px; font-family: sans-serif; border: 1px solid #ddd; }\n" }), _jsx(_components.span, { className: "code-line", children: ".checkbox-group, .input-group { margin-bottom: 12px; display: flex; align-items: center; }\n" }), _jsx(_components.span, { className: "code-line", children: ".checkbox-group input { margin-right: 10px; min-width: 18px; min-height: 18px; }\n" }), _jsx(_components.span, { className: "code-line", children: ".checkbox-group label { line-height: 1.4; }\n" }), _jsx(_components.span, { className: "code-line", children: ".input-group label { font-weight: bold; margin-right: 10px; }\n" }), _jsx(_components.span, { className: "code-line", children: "select { padding: 8px; border-radius: 4px; border: 1px solid #ccc; }\n" }), _jsx(_components.span, { className: "code-line", children: ".button-group { display: flex; gap: 10px; margin-top: 20px; flex-wrap: wrap; }\n" }), _jsx(_components.span, { className: "code-line", children: ".button-group button { padding: 10px 15px; border: none; border-radius: 4px; cursor: pointer; flex-grow: 1; }\n" }), _jsx(_components.span, { className: "code-line", children: "#c2v-calc-button { background-color: #007bff; color: white; }\n" }), _jsx(_components.span, { className: "code-line", children: "#c2v-calc-button:hover { background-color: #0056b3; }\n" }), _jsx(_components.span, { className: "code-line", children: ".secondary { background-color: #6c757d; color: white; }\n" }), _jsx(_components.span, { className: "code-line", children: ".secondary:hover { background-color: #5a6268; }\n" }), _jsx(_components.span, { className: "code-line", children: "#c2v-interpretation { padding: 10px; background-color: #e9ecef; border-radius: 4px; margin-top: 5px; line-height: 1.5; }\n" }), _jsx(_components.span, { className: "code-line", children: "`;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 3. Injeção do estilo e do HTML\n" }), _jsx(_components.span, { className: "code-line", children: "const container = dv.container;\n" }), _jsx(_components.span, { className: "code-line", children: "const styleEl = document.createElement('style');\n" }), _jsx(_components.span, { className: "code-line", children: "styleEl.innerHTML = styles;\n" }), _jsx(_components.span, { className: "code-line", children: "container.appendChild(styleEl);\n" }), _jsx(_components.span, { className: "code-line", children: "container.innerHTML += calculatorHTML;\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 4. Definição das funções\n" }), _jsx(_components.span, { className: "code-line", children: "function calculateCHADSVASC() {\n" }), _jsx(_components.span, { className: "code-line", children: " let score = 0;\n" }), _jsx(_components.span, { className: "code-line", children: " const getBox = (id) => container.querySelector('#' + id);\n" }), _jsx(_components.span, { className: "code-line", children: " if (getBox('c2v-c').checked) score += 1; if (getBox('c2v-h').checked) score += 1;\n" }), _jsx(_components.span, { className: "code-line", children: " if (getBox('c2v-d').checked) score += 1; if (getBox('c2v-s2').checked) score += 2;\n" }), _jsx(_components.span, { className: "code-line", children: " if (getBox('c2v-v').checked) score += 1;\n" }), _jsx(_components.span, { className: "code-line", children: " if (getBox('c2v-a2').checked) { score += 2; } else if (getBox('c2v-a').checked) { score += 1; }\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " const sex = getBox('c2v-sex').value;\n" }), _jsx(_components.span, { className: "code-line", children: " if (sex === 'feminino') score += 1;\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " getBox('c2v-result').innerText = score;\n" }), _jsx(_components.span, { className: "code-line", children: " \n" }), _jsx(_components.span, { className: "code-line", children: " const interpretationEl = getBox('c2v-interpretation');\n" }), _jsx(_components.span, { className: "code-line", children: " let recommendation = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: " if (sex === 'masculino') {\n" }), _jsx(_components.span, { className: "code-line", children: " if (score === 0) {\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Conduta: Anticoagulação não é recomendada.\";\n" }), _jsx(_components.span, { className: "code-line", children: " } else if (score === 1) {\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Conduta: Considerar anticoagulação (decisão individualizada). Discutir riscos e benefícios com o paciente.\";\n" }), _jsx(_components.span, { className: "code-line", children: " } else {\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Conduta: Anticoagulação é recomendada.
Opções Sugeridas: Anticoagulantes Orais Diretos (DOACs - ex: Apixabana, Rivaroxabana) são preferíveis sobre a Varfarina na ausência de contraindicações (ex: prótese valvar mecânica, estenose mitral moderada/grave).\";\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: " } else {\n" }), _jsx(_components.span, { className: "code-line", children: " if (score <= 1) {\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Conduta: Anticoagulação não é recomendada.\";\n" }), _jsx(_components.span, { className: "code-line", children: " } else if (score === 2) {\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Conduta: Considerar anticoagulação (decisão individualizada). Discutir riscos e benefícios com o paciente.\";\n" }), _jsx(_components.span, { className: "code-line", children: " } else {\n" }), _jsx(_components.span, { className: "code-line", children: " recommendation = \"Conduta: Anticoagulação é recomendada.
Opções Sugeridas: Anticoagulantes Orais Diretos (DOACs - ex: Apixabana, Rivaroxabana) são preferíveis sobre a Varfarina na ausência de contraindicações (ex: prótese valvar mecânica, estenose mitral moderada/grave).\";\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: " interpretationEl.innerHTML = recommendation;\n" }), _jsx(_components.span, { className: "code-line", children: "}\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "function resetCHADSVASC() {\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelectorAll('input[type=\"checkbox\"]').forEach(box => box.checked = false);\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#c2v-sex').selectedIndex = 0;\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#c2v-result').innerText = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#c2v-interpretation').innerHTML = \"\";\n" }), _jsx(_components.span, { className: "code-line", children: "}\n" }), _jsx(_components.span, { className: "code-line", children: "\n" }), _jsx(_components.span, { className: "code-line", children: "// 5. Adição segura dos eventos de clique\n" }), _jsx(_components.span, { className: "code-line", children: "setTimeout(() => {\n" }), _jsx(_components.span, { className: "code-line", children: " try {\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#c2v-calc-button').addEventListener('click', calculateCHADSVASC);\n" }), _jsx(_components.span, { className: "code-line", children: " container.querySelector('#c2v-reset-button').addEventListener('click', resetCHADSVASC);\n" }), _jsx(_components.span, { className: "code-line", children: " } catch (e) {\n" }), _jsx(_components.span, { className: "code-line", children: " container.innerHTML += `

Erro ao executar o script: ${e.message}

`;\n" }), _jsx(_components.span, { className: "code-line", children: " }\n" }), _jsx(_components.span, { className: "code-line", children: "}, 0);\n" })] }) }), "\n", _jsx(_components.hr, {}), "\n", _jsxs(_components.p, { children: ["Para as demais calculadoras (", _jsx(_components.strong, { children: "SIRS, qSOFA, SOFA, NIHSS, MDRD, Sedoanalgesia, Wells, PESI, Light" }), "), a seção de \"Interpretação\" ou \"Recomendação\" que eu já havia criado nos códigos anteriores ", _jsx(_components.strong, { children: "já cumpre a função de guiar a conduta" }), ". Por exemplo:"] }), "\n", _jsxs(_components.ul, { children: ["\n", _jsxs(_components.li, { children: [_jsx(_components.strong, { children: "Wells e PESI:" }), " A recomendação ", _jsx(_components.em, { children: "é" }), " a conduta (pedir dímero-D, internar, etc.)."] }), "\n", _jsxs(_components.li, { children: [_jsx(_components.strong, { children: "Sedoanalgesia:" }), " O guia de referência já lista as doses usuais e indicações."] }), "\n", _jsxs(_components.li, { children: [_jsx(_components.strong, { children: "Light:" }), " A conduta é investigar a causa listada."] }), "\n"] }), "\n", _jsx(_components.p, { children: "Portanto, para essas, mantive o código da nossa última interação, que já é robusto e informativo, cumprindo o seu pedido de não alterar o que já estava bom e funcional." })] }); } function MDXContent(props = {}) { const {wrapper: MDXLayout} = { ..._provideComponents(), ...props.components }; return MDXLayout ? _jsx(MDXLayout, { ...props, children: _jsx(_createMdxContent, { ...props }) }) : _createMdxContent(props); } return { default: MDXContent };