Clinical decision support tool used by healthcare professionals

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Case Study: Nursing Assessment

Charlie is a 56-year-old father of two children who is married to his high school sweetheart, Betty. He drives a truck for a large company doing cross-country trips and often eats at fast food restaurants. Charlie recently went to see his primary healthcare provider for bilateral foot itching. He was diagnosed with onychomycosis and prescribed itraconazole 200mg daily.

A common clinical decision support tool used by healthcare professionals is a drug interaction checker. This tool analyzes a list of medications to determine the potential need to monitor, change medication classes, or adjust dosages to prevent adverse reactions from a drug-to-drug interaction. These are widely available. Here are two free tools which could be used for this question:

  • Medicine.com interaction checker
  • Medscape.com interaction checker

Use a drug interaction checker to review Charlie’s medications for potential interactions. Which of the following medication(s) show at least one interaction with another one of Charlie’s medications? Select all that apply.

 

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Itraconazole (Sporanox) 200mg one daily

 

Calcium Carbonate 400mg 4 tablets every 8 hours as needed

 

Pravastatin (Pravachol) 40mg one daily

 

Aspirin 325mg one daily

 

Hydrochlorothiazide 25mg one daily