Adashek Jacob J, Khadilkar Arjun, Enciso Juan, Rane Rishi, Wu Robby
Internal Medicine, University of South Florida (USF) Health, Tampa, USA.
Emergency Medicine, University of South Florida (USF) Health, Tampa, USA.
Cureus. 2021 Jan 2;13(1):e12429. doi: 10.7759/cureus.12429.
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.
尿液药物筛查可能会出现假阳性结果，并导致隐性偏见。可采用气相色谱/质谱法进行确证检测。一名新诊断为房颤的病态肥胖患者因甲基苯丙胺检测呈假阳性，在心脏重症监护病房（ICU）住了好几天。该患者计划在清醒镇静麻醉下进行直接心脏复律。由于在假定使用甲基苯丙胺的尿液药物筛查呈阳性的情况下，麻醉医生对给予镇静剂感到不安，导致他的治疗被推迟。了解艾司洛尔会导致尿液药物筛查出现假阳性结果，对于提供以患者为中心的最佳护理至关重要。
