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medication-tools

npx machina-cli add skill rhavekost/clinical-toolkit/medication-tools --openclaw
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SKILL.md
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Medication Tools

Description

This skill provides structured guidance for common medication-related calculations used in clinical practice. It supports accurate input collection, calculation, interpretation, and safety caveats.

Quick Reference

ToolUse
Corticosteroid ConversionConvert between steroid potencies
QTc Correction FormulasCorrect QT interval for heart rate
Opioid Equianalgesic ConversionEstimate equivalent opioid doses
Warfarin Dosing AdjustmentSupport INR-based weekly dose adjustments

Interactive Mode (Lightweight)

  1. Confirm clinical context and intended tool.
  2. Collect required inputs with units and timing.
  3. Validate inputs and resolve missing data.
  4. Calculate and present results with interpretation.
  5. Provide safety caveats and limitations.

Tools

Safety and Limitations

  • Support tool only; not diagnostic or prescriptive.
  • Use local policies and clinical judgment.
  • Many conversions require conservative adjustments and monitoring.

References

See: references/medication-tools-sources.md

Source

git clone https://github.com/rhavekost/clinical-toolkit/blob/main/dist/consumer/claude/medication-tools/SKILL.mdView on GitHub

Overview

Medication Tools provides structured guidance for common medication-related calculations used in clinical practice. It supports accurate input collection, calculation, interpretation, and safety caveats, covering corticosteroid equivalencies, QTc correction formulas, opioid equianalgesic conversions, and warfarin dosing adjustments.

How This Skill Works

Through its lightweight Interactive Mode, the tool confirms the clinical context, collects inputs with units and timing, validates data, performs the calculation, and presents results with interpretation. It supports four main tools: Corticosteroid Conversion, QTc Correction Formulas, Opioid Equianalgesic Conversion, and Warfarin Dosing Adjustment.

When to Use It

  • Converting corticosteroid potencies to establish equivalent dosing when switching steroids.
  • Correcting QT interval for heart rate using QTc formulas during ECG review.
  • Estimating an equivalent opioid dose during opioid rotation or switching formulations.
  • Adjusting weekly Warfarin dosing based on INR measurements.
  • Performing a quick safety check when planning medication changes requiring unit and timing validation.

Quick Start

  1. Step 1: Confirm clinical context and select the appropriate tool.
  2. Step 2: Collect required inputs with units and timing (dose, route, INR, etc.).
  3. Step 3: Validate, calculate, and interpret results with safety caveats.

Best Practices

  • Confirm the clinical context and select the appropriate tool before input.
  • Collect inputs with explicit dosing units, routes, and timing.
  • Validate data and resolve missing fields prior to calculation.
  • Interpret results within clinical context and apply safety caveats.
  • Use conservative adjustments and monitor patient response and INR when relevant.

Example Use Cases

  • Convert prednisone 5 mg to an equivalent hydrocortisone dose for cross-potency planning.
  • Apply Bazett's QTc to correct a QT interval in a patient with tachycardia.
  • Switch from oral morphine to an equivalent IV morphine dose using equianalgesic conversion.
  • Adjust weekly warfarin dosing after INR is 2.5 in a patient on a stabilization plan.
  • Perform a safety check when reviewing combined corticosteroid and anticoagulant regimens.

Frequently Asked Questions

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