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A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test

False-positive urine drug screens can occur and lead to implicit bias. Confirmatory testing with gas chromatography/mass spectrometry can be performed. A morbidly obese patient with newly diagnosed atrial fibrillation spent multiple days in the cardiac intensive care unit (ICU) due to a false-positi...

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Autores principales: Adashek, Jacob J, Khadilkar, Arjun, Enciso, Juan, Rane, Rishi, Wu, Robby
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849827/
https://www.ncbi.nlm.nih.gov/pubmed/33542876
http://dx.doi.org/10.7759/cureus.12429
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author Adashek, Jacob J
Khadilkar, Arjun
Enciso, Juan
Rane, Rishi
Wu, Robby
author_facet Adashek, Jacob J
Khadilkar, Arjun
Enciso, Juan
Rane, Rishi
Wu, Robby
author_sort Adashek, Jacob J
collection PubMed
description False-positive urine drug screens can occur and lead to implicit bias. Confirmatory testing with gas chromatography/mass spectrometry can be performed. A morbidly obese patient with newly diagnosed atrial fibrillation spent multiple days in the cardiac intensive care unit (ICU) due to a false-positive test for methamphetamine. The patient was planned to undergo direct cardioversion with conscious-sedation anesthesia. His care was delayed because anesthesia was not comfortable administering sedatives in the setting of a positive urine drug screen for presumed methamphetamine use. Knowing that esmolol can cause a false positive on urine drug screen is imperative for delivering the best patient-centered care.
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spelling pubmed-78498272021-02-03 A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test Adashek, Jacob J Khadilkar, Arjun Enciso, Juan Rane, Rishi Wu, Robby Cureus Cardiology False-positive urine drug screens can occur and lead to implicit bias. Confirmatory testing with gas chromatography/mass spectrometry can be performed. A morbidly obese patient with newly diagnosed atrial fibrillation spent multiple days in the cardiac intensive care unit (ICU) due to a false-positive test for methamphetamine. The patient was planned to undergo direct cardioversion with conscious-sedation anesthesia. His care was delayed because anesthesia was not comfortable administering sedatives in the setting of a positive urine drug screen for presumed methamphetamine use. Knowing that esmolol can cause a false positive on urine drug screen is imperative for delivering the best patient-centered care. Cureus 2021-01-02 /pmc/articles/PMC7849827/ /pubmed/33542876 http://dx.doi.org/10.7759/cureus.12429 Text en Copyright © 2021, Adashek et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Adashek, Jacob J
Khadilkar, Arjun
Enciso, Juan
Rane, Rishi
Wu, Robby
A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test
title A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test
title_full A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test
title_fullStr A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test
title_full_unstemmed A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test
title_short A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test
title_sort case of esmolol-induced false-positive amphetamine urine drug test
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7849827/
https://www.ncbi.nlm.nih.gov/pubmed/33542876
http://dx.doi.org/10.7759/cureus.12429
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