Opioids
(OPI)
Sample type
Urine (random)
Uses
-
Treatment of pain, usually moderate to severe
-
Preoperative sedation
-
Postoperative analgesia and surgical and medical emergencies including myocardial infarction, trauma, burns, orthopedic pain
-
Management of chronic pain associated with cancer
-
Antitussive and antidiarrheal agent
-
Detoxification and maintenance therapy of opiate addicts
Precautions
-
Collect urine in a plastic urine container without preservative.
-
Submission/transport (<3 days): Room temperature. For storage beyond three days, specimen should be refrigerated or frozen.
Interfering factors
Add salt to the urine sample
Heavy bleeding.
Specimens exposed to repeated freeze/thaw cycles.
Pre-analytical errors
Collect urine in preservative container
The corrective action
The sample must be rejected and another sample will be requested.
Post-analytical errors
1- Write another patient’s name in the report
The corrective action
Make sure you write the correct name in the report
2-Writing a wrong result in the report
The corrective action
If the report is not delivered to the patient and this error is discovered the correct result must be written, but if the report is delivered to the patient must communicate with him and tell him that an error has occurred and replace with the ciorrect report
Reference range
Drugs Covered | Cutoff Concentrations |
---|---|
Codeine | 20 ng/mL |
Morphine | 20 ng/mL |
6-acetylmorphine | 10ng/mL |
Oxymorphone | 20ng/mL |
Oxycodone | 20ng/mL |