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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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CDAG<br />

500755<br />

DSS<br />

8421<br />

Propoxyphene 75 ng/mL 3. Drugs/Drug classes reported as "Positive" are<br />

automatically reflexed to mass spectrometry<br />

confirmation/quantitation testing. An immunoassay<br />

unconfirmed positive screen result may be useful for medical<br />

purposes but does not meet forensic standards. 4. The<br />

absence of expected drug(s) and/or drug metabolite(s) may<br />

indicate non-compliance, inappropriate timing of specimen<br />

collection relative to drug administration, poor drug<br />

absorption, or limitations of testing. The concentration at<br />

which the screening test can detect a drug or metabolite<br />

varies within a drug class. Specimens for which drugs or drug<br />

classes are detected by the screen are automatically reflexed<br />

to a second, more specific technology (mass spectrometry).<br />

The concentration value must be greater than or equal to the<br />

cutoff to be reported as positive. Interpretive questions should<br />

be directed to the laboratory. 5. For medical purposes only;<br />

not valid for forensic use. <strong>Test</strong> Performed by: ARUP<br />

Laboratories 500 Chipeta Way Salt Lake City, UT 84108<br />

Drug Screen, Prescription/OTC, Gastric<br />

Clinical Information: This test looks for a broad spectrum of prescription and over-the-counter<br />

(OTC) drugs. It is designed to detect drugs that have toxic effects, as well as known antidotes or active<br />

therapies that a clinician can initiate to treat the toxic effect. The test is intended to help physicians<br />

manage an apparent overdose or intoxicated patient, to determine if a specific set of symptoms might be<br />

due to the presence of drugs, or to evaluate a patient who might be abusing these drugs intermittently. The<br />

test is not designed to screen for intermittent use of illicit drugs. Drugs of toxic significance that are not<br />

detected by this test are: digoxin, lithium, and many drugs of abuse/illicit drugs, some benzodiazepines,<br />

and some opiates.<br />

Useful For: Detection and identification of prescription or over-the-counter drugs frequently found in<br />

drug overdose or used with a suicidal intent. This test is designed to provide, when possible, the<br />

identification of all drugs present.<br />

Interpretation: The drugs that can be detected by this test are listed in Prescription and<br />

Over-the-Counter (OTC) Drug Screens Table 2 in Special Instructions. Positive results are definitive.<br />

Drugs of toxic significance that are not detected by this test include digoxin, lithium, many drugs of<br />

abuse/illicit drugs, some benzodiazepines, and some opiates. For these drugs, see <strong>Mayo</strong> <strong>Medical</strong><br />

Laboratories' drug abuse surveys or drug screens or individual tests. A detailed discussion of each drug<br />

detected is beyond the scope of this text. Each report will indicate the drugs identified. If a clinical<br />

interpretation is required, please request a Drug/Toxicology Lab consult (<strong>Mayo</strong> Clinic patients) or contact<br />

<strong>Mayo</strong> Laboratory Inquiry (<strong>Mayo</strong> <strong>Medical</strong> Laboratories clients).<br />

Reference Values:<br />

None detected<br />

Clinical References: 1. Tietz Textbook of Clinical Chemistry. 3rd edition. Edited by CA Burtis, ER<br />

Ashwood. Philadelphia, WB Saunders Company 1999, pp 913-917 2. Disposition of Toxic Drugs and<br />

Chemicals in Man. 5th edition. Edited by RC Baselt, RH Cravey. Foster City, CA, Chemical Toxicology<br />

Institute, 2000<br />

Drug Screen, Prescription/OTC, Serum<br />

Clinical Information: This test looks for a broad spectrum of prescription and over-the-counter<br />

(OTC) drugs. It is designed to detect drugs that have toxic effects, as well as known antidotes or active<br />

therapies that a clinician can initiate to treat the toxic effect. The test is intended to help physicians<br />

manage an apparent overdose or intoxicated patient, to determine if a specific set of symptoms might be<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 644

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