{"id":232,"date":"2026-10-04T09:15:45","date_gmt":"2026-10-04T08:15:45","guid":{"rendered":"https:\/\/wpcalc.com\/pl\/medyczne\/skorygowany-sod-hiperglikemia\/"},"modified":"2026-10-04T09:15:45","modified_gmt":"2026-10-04T08:15:45","slug":"skorygowany-sod-hiperglikemia","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/pl\/medyczne\/skorygowany-sod-hiperglikemia\/","title":{"rendered":"Kalkulator skorygowanego sodu (hiperglikemia)"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Korekta sodu w hiperglikemii<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"232\" data-favorite-title=\"Skorygowany s\u00f3d (hiperglikemia)\" data-favorite-url=\"https:\/\/wpcalc.com\/pl\/medyczne\/skorygowany-sod-hiperglikemia\/\" data-favorite-excerpt=\"Szacuje skorygowane st\u0119\u017cenie sodu w surowicy przy hiperglikemii, korzystaj\u0105c ze wsp\u00f3\u0142czynnik\u00f3w korekcyjnych Katza (1,6 mEq\/L na 100 mg\/dL) i Hilliera (2,4 mEq\/L). Wprowad\u017a zmierzony s\u00f3d i glukoz\u0119 w surowicy, aby zobaczy\u0107 oba wyniki.\" aria-label=\"Dodaj do ulubionych\" data-favorite-icon=\"icon icon-pharmacology\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/pl\/medyczne\/skorygowany-sod-hiperglikemia\/\" method=\"POST\" class=\"calculator\" id=\"calculator-232\" data-post=\"232\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Pola danych<\/legend><div class=\"field has-term\" id=\"input-1\"><label for=\"field-1\">Zmierzony s\u00f3d<\/label><div class=\"term\">Na<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"zmierzony_sd\" id=\"field-1\" aria-describedby=\"calc-unit-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"S\u00f3d (mEq\/l)\" min=\"100\" max=\"160\" value=\"135\"\/><div class=\"unit\" id=\"calc-unit-1\">mEq\/l<\/div><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-2\">Glukoza w surowicy<\/label><div class=\"term\">Glu<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"glukoza_w_surowicy\" id=\"field-2\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"Glukoza\" min=\"70\" max=\"105\" value=\"90\"\/><\/div><div class=\"field\" id=\"input-3\"><label for=\"field-3\">Jednostka glukozy<\/label><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"jednostka_glukozy\"><option value=\"1\">mg\/dl<\/option><option value=\"2\">mmol\/l<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Przelicz ponownie\" id=\"calculate-button\" data-post=\"232\">Oblicz<\/button><button type=\"reset\">Wyczy\u015b\u0107<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Obliczaj automatycznie<\/label><small>Po w\u0142\u0105czeniu wynik aktualizuje si\u0119 automatycznie po zmianie dowolnej warto\u015bci.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> Twoje wyniki<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>S\u00f3d skorygowany (Katz, 1973):<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Kopiuj wynik\" aria-label=\"Kopiuj wynik\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>S\u00f3d skorygowany (Hillier, 1999):<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Kopiuj wynik\" aria-label=\"Kopiuj wynik\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Kopiuj link do tego obliczenia<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Zostaw komentarz<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"232\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Jak oceniasz ten wynik?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Lubi\u0119 to <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Pomocne <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Niejasne <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Rozczarowanie <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Niedok\u0142adne <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>Wz\u00f3r na skorygowany s\u00f3d (Katz i Hillier)<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Wz\u00f3r<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{Na}_{\\text{skorygowany}} = \\text{Na}_{\\text{zmierzony}} + 1.6 \\times \\frac{\\text{Glukoza} - 100}{100} \\]\n\\[ \\text{Na}_{\\text{skorygowany}} = \\text{Na}_{\\text{zmierzony}} + 2.4 \\times \\frac{\\text{Glukoza} - 100}{100} \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Gdzie:<\/strong><\/p>\n<ul>\n<li>\\(\\text{Na}_{\\text{zmierzony}}\\) \u2014 st\u0119\u017cenie sodu w surowicy z wyniku laboratoryjnego (mEq\/L)<\/li>\n<li>\\(\\text{Glukoza}\\) \u2014 st\u0119\u017cenie glukozy w surowicy w mg\/dL (je\u015bli wynik jest w mmol\/L, najpierw pomn\u00f3\u017c go przez 18,0182)<\/li>\n<li>\\(1.6\\) \u2014 wsp\u00f3\u0142czynnik korekcyjny Katza (1973), w mEq\/L sodu na ka\u017cde 100 mg\/dL glukozy powy\u017cej 100<\/li>\n<li>\\(2.4\\) \u2014 wsp\u00f3\u0142czynnik korekcyjny Hilliera (1999), w mEq\/L na ka\u017cde 100 mg\/dL powy\u017cej 100<\/li>\n<\/ul>\n<p>Pierwsze r\u00f3wnanie to klasyczna korekta Katza; drugie to korekta Hilliera, kt\u00f3ra uwzgl\u0119dnia silniejsz\u0105 zale\u017cno\u015b\u0107 mi\u0119dzy sodem a glukoz\u0105 obserwowan\u0105 przy bardzo wysokich st\u0119\u017ceniach glukozy. Oba wyra\u017caj\u0105 t\u0119 sam\u0105 ide\u0119: na ka\u017cde 100 mg\/dL, o kt\u00f3re glukoza przekracza warto\u015b\u0107 100 mg\/dL, st\u0119\u017cenie sodu w surowicy spada o przewidywaln\u0105 warto\u015b\u0107, poniewa\u017c woda jest wyprowadzana z kom\u00f3rek do przestrzeni pozakom\u00f3rkowej.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>Skorygowany s\u00f3d \u2013 przyk\u0142ad obliczenia<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>Przyk\u0142ad:<\/strong> pacjent z kwasicy ketonowej ma zmierzone st\u0119\u017cenie sodu w surowicy 130 mEq\/L i glukoz\u0119 w surowicy 600 mg\/dL.<\/p>\n<p>\\[ \\text{Katz:} \\quad 130 + 1.6 \\times \\frac{600 - 100}{100} = 130 + 1.6 \\times 5 = 138 \\text{ mEq\/L} \\]<\/p>\n<p>\\[ \\text{Hillier:} \\quad 130 + 2.4 \\times \\frac{600 - 100}{100} = 130 + 2.4 \\times 5 = 142 \\text{ mEq\/L} \\]<\/p>\n<p><strong>Wynik:<\/strong> skorygowany s\u00f3d wynosi 138 mEq\/L metod\u0105 Katza i 142 mEq\/L metod\u0105 Hilliera. Mimo \u017ce zmierzony s\u00f3d 130 mEq\/L sugeruje hiponatremi\u0119, skorygowane warto\u015bci pokazuj\u0105, \u017ce rzeczywisty stan sodu jest prawid\u0142owy, a nawet podwy\u017cszony, co zmienia zar\u00f3wno rozpoznanie, jak i post\u0119powanie p\u0142ynami.<\/p>\n<p>\n\r\n<\/section>\n<h2>Jak korzysta\u0107 z kalkulatora<\/h2>\n<ol>\n<li>Wpisz warto\u015b\u0107 <strong>Zmierzonego sodu<\/strong> z panelu biochemicznego pacjenta w mEq\/L.<\/li>\n<li>Wpisz warto\u015b\u0107 <strong>Glukozy w surowicy<\/strong> z tego samego lub niedawnego pobrania krwi.<\/li>\n<li>Wybierz w\u0142a\u015bciw\u0105 <strong>Jednostk\u0119 glukozy<\/strong> \u2014 mg\/dL lub mmol\/L. Kalkulator automatycznie przelicza mmol\/L na mg\/dL (mno\u017c\u0105c przez 18,0182).<\/li>\n<li>Odczytaj oba wyniki: <strong>Skorygowany s\u00f3d (Katz, 1973)<\/strong> i <strong>Skorygowany s\u00f3d (Hillier, 1999)<\/strong>, ka\u017cdy w mEq\/L.<\/li>\n<li>Je\u015bli obie warto\u015bci r\u00f3\u017cni\u0105 si\u0119 istotnie, pami\u0119taj, \u017ce r\u00f3\u017cnica ro\u015bnie przy wy\u017cszych st\u0119\u017ceniach glukozy \u2014 interpretuj je \u0142\u0105cznie z obrazem klinicznym.<\/li>\n<\/ol>\n<h2>Czym jest skorygowany s\u00f3d i dlaczego ma znaczenie?<\/h2>\n<p>Skorygowany s\u00f3d szacuje, jakie <em>by\u0142oby<\/em> st\u0119\u017cenie sodu w surowicy, gdyby podwy\u017cszon\u0105 glukoz\u0119 obni\u017cono do prawid\u0142owego poziomu, czyli oko\u0142o 100 mg\/dL. Wysoka glukoza we krwi tworzy gradient osmotyczny, kt\u00f3ry wyci\u0105ga wod\u0119 z przestrzeni wewn\u0105trzkom\u00f3rkowej do naczy\u0144 krwiono\u015bnych, obni\u017caj\u0105c st\u0119\u017cenie sodu w surowicy. Stan ten nazywa si\u0119 <strong>hiponatremi\u0105 translokacyjn\u0105<\/strong>: zmierzony s\u00f3d jest niski, ale organizm nie straci\u0142 faktycznie \u017cadnego sodu.<\/p>\n<p>Konsekwencje s\u0105 praktyczne. U pacjenta z hiperglikemi\u0105 i zmierzonym sodem 130 mEq\/L skorygowana warto\u015b\u0107 mo\u017ce by\u0107 ca\u0142kowicie prawid\u0142owa. Agresywne leczenie takiego pacjenta hipertonicznym roztworem soli by\u0142oby b\u0142\u0119dem; w\u0142a\u015bciwe leczenie to insulina i p\u0142yny obni\u017caj\u0105ce glukoz\u0119, po kt\u00f3rych s\u00f3d wzro\u015bnie samodzielnie \u2014 zwykle o oko\u0142o 1,6\u20132,4 mEq\/L na ka\u017cde 100 mg\/dL spadku glukozy. Skorygowany s\u00f3d zapobiega wi\u0119c zar\u00f3wno nadmiernemu leczeniu<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Szacuje skorygowane st\u0119\u017cenie sodu w surowicy przy hiperglikemii, korzystaj\u0105c ze wsp\u00f3\u0142czynnik\u00f3w korekcyjnych Katza (1,6 mEq\/L na 100 mg\/dL) i Hilliera (2,4 mEq\/L). Wprowad\u017a zmierzony s\u00f3d i glukoz\u0119 w surowicy, aby zobaczy\u0107 oba wyniki.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12],"tags":[61],"class_list":["post-232","post","type-post","status-publish","format-standard","hentry","category-medyczne","tag-farmakologia"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/posts\/232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/comments?post=232"}],"version-history":[{"count":1,"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/posts\/232\/revisions"}],"predecessor-version":[{"id":2079,"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/posts\/232\/revisions\/2079"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/media?parent=232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/categories?post=232"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/pl\/wp-json\/wp\/v2\/tags?post=232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}