Regulations and urines Flashcards
What is the history of drug testing
US started testing then Canada
Any transportation drivers had to be screened
pros of drug screening
Job safety
Absenteeism
unlawful activity at workplace prevented
cons of drug screening
Drugs in urine does NOT mean impairment
Noone dies directly from weed, only indirectly (car accident)
What are the types of testing done
Pre employment
Random
Reasonable suspicion
Post accident
Return to work
3 limitations of drug tests
- Not sure how much drugs taken
- dont know when it was taken
- Cannot determine if worklife is imparied
how long does it take for cannabis and phencyclidine to be eliminated from body
1-30 days
how long does it take for alcohol to eliminate and where is it mostly eliminated
14 hours in URINE
what drug is a CNS stimulant
Cocaine
what are the most abbused drugs
alcohol and weed
What are three methods on contaminations when adulterating specimens and how?
bleach = prevent immunoassay
Golden seal = preven weed test
Klear and Urine Luck= prevent mass spec
What is the screening and verification process of drugs
immunoassay - screen
mass spec - verify
what factors do labs tests for adulteration
temp, pH, odor/color/particles
pros and cons of using urine for testing
pro
- high concentration = not related to effect
-SAMHSA approved
con
- easy to adulterate
pros of using hair for testing
low risk adulteration and long retention time for drugs
pros of using oral fluid for testing
small amount of sample needed
SAMHSA approved
what are some cons about POCT
false pos and neg
no QC/QA or documentation
hard to standardize
T/F A positive drug test is a measure of impairment
F - positives do NOT measure impairment
what metabolite is tested for cocaine
benzoylecgonine
what creates chronic pain
Trauma
Mental health disorder
Addiction
what are three types of ACES (adverse child events)
Abuse
Neglect
household dysfunction
what model is used to display chronic pain
Biopsychosocial model
what is the most effective way to intervene chronic pain
exercise
when do the benefits of opiod stop working for osteoarthritis
no benefits after 4 wks
are there benefits of opioid usage for lower back pain
none
