Casey Grover, MD, FACEP

Addiction Medicine Made Easy

Casey Grover, MD, FACEP

  • Episode 54 - Do you know enough about urine drug screens to use them effectively?

Episode 54 - Do you know enough about urine drug screens to use them effectively?

Tuesday 27th June 2023

Dr. Casey Grover unpacks urine drug screens, revealing how to handle false positives and the importance of confirmatory testing in emergency care.
28 minutes
Informative
Empowering
Educational
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Inspiring

About this podcast

Addiction Medicine Made Easy
Author:
Casey Grover, MD, FACEP
Overview:
Categories:
Innovative Treatments & Recovery Paths
Navigating Alcohol Dependency
Family Recovery from Addiction
Navigating Intimate Relationships
Nutritional Pathways to Recovery
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Urine Drug Screens Decoded: Practical Tips for Emergency Care

Episode Overview

  • Understanding the limitations of immunoassay urine drug screens in the acute care setting
  • The significance of confirmatory testing in accurately assessing a patient's substance use
  • Insights into false positives and false negatives on urine drug screens
  • The impact of prescription medications on urine drug screen results
  • Navigating the detection of novel substances and the importance of staying informed
The urine drug screen is not to be used in isolation. Clinicians must interview their patients, conduct physical exams, review medication records, and review prescription drug monitoring programs.
Ever wondered how accurate urine drug screens really are? In this eye-opening episode of 'Addiction in Emergency Medicine and Acute Care', Dr. Casey Grover takes you on a deep dive into the world of urine drug screens. With practical examples and real-world scenarios, Dr. Grover explains how substances like selegiline and quinolones can lead to false positives for meth and opioids, respectively. He even touches on the bizarre, like whether putting Visine in urine can cause a false negative.
But it’s not just about identifying these pitfalls; Dr. Grover offers actionable advice on what to do if you encounter a false positive, stressing the importance of confirmatory testing. This episode is a treasure trove of information for healthcare providers looking to sharpen their skills in interpreting urine drug screens effectively. Whether you’re a seasoned emergency medicine professional or new to the field, you'll find invaluable insights that can make a real difference in patient care.
Tune in to learn how to navigate the complexities of drug screening and ensure your patients get the accurate diagnoses they need.
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