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Drugs of Abuse

Drugs of Abuse is a topic covered in the Davis's Lab & Diagnostic Tests.

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General

  • Amphetamines
  • Opiates
  • Ethanol (Alcohol)
  • Cocaine
  • Cannabinoids
  • Phencyclidine

Synonym/Acronym:
Amphetamines, cannabinoids (THC), cocaine, ethanol (alcohol, ethyl alcohol, ETOH), phencyclidine (PCP), opiates (heroin).

Common Use:
To assist in rapid identification of commonly abused drugs in suspected drug overdose or for workplace drug screening.

Specimen:
For ethanol, serum collected in a red-top tube; plasma collected in a gray-top (sodium fluoride/potassium oxalate) tube is also acceptable. For drug screen, urine collected in a clean plastic container. Gastric contents may also be submitted for testing.

Workplace drug-screening programs, because of the potential medicolegal consequences associated with them, require collection of urine and blood specimens using a chain of custody protocol. Analysis is performed in laboratories that are specially certified to perform workplace drug testing. The protocol provides securing the sample in a sealed transport device in the presence of the donor and a representative of the donor’s employer, such that tampering would be obvious. The protocol also provides a written document of specimen transfer from donor to specimen collection personnel, to storage, to analyst, and to disposal.

Normal Findings:
(Method: Spectrophotometry for ethanol; immunoassay for drugs of abuse)

Ethanol: None detected

Drug screen: None detected

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Citation

Bladh, Mickey Lynn., and Anne M. Van Leeuwen. "Drugs of Abuse." Davis's Lab & Diagnostic Tests, 7th ed., F.A. Davis Company, 2017. Nursing Central, nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425211/all/Drugs_of_Abuse.
Bladh ML, Van Leeuwen AM. Drugs of Abuse. Davis's Lab & Diagnostic Tests. 7th ed. F.A. Davis Company; 2017. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425211/all/Drugs_of_Abuse. Accessed April 24, 2019.
Bladh, M. L., & Van Leeuwen, A. M. (2017). Drugs of Abuse. In Davis's Lab & Diagnostic Tests. Available from https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425211/all/Drugs_of_Abuse
Bladh ML, Van Leeuwen AM. Drugs of Abuse [Internet]. In: Davis's Lab & Diagnostic Tests. F.A. Davis Company; 2017. [cited 2019 April 24]. Available from: https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425211/all/Drugs_of_Abuse.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Drugs of Abuse ID - 425211 A1 - Bladh,Mickey Lynn, AU - Van Leeuwen,Anne M, BT - Davis's Laboratory & Diagnostic Tests UR - https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Lab-and-Diagnostic-Tests/425211/all/Drugs_of_Abuse PB - F.A. Davis Company ET - 7 DB - Nursing Central DP - Unbound Medicine ER -