{"id":900,"date":"2016-04-12T05:35:47","date_gmt":"2016-04-12T04:35:47","guid":{"rendered":"http:\/\/news-papers.eu\/?p=900"},"modified":"2016-03-14T02:47:01","modified_gmt":"2016-03-14T01:47:01","slug":"drogennachweis-im-urin-tipps-tricks","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=900","title":{"rendered":"Drogennachweis im Urin &#8211; Tipps &#038; Tricks"},"content":{"rendered":"<p style=\"text-align: justify;\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"903\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=903\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Bildschirmfoto-2016-03-13-um-04.29.18-e1457839881309.png?fit=300%2C113&amp;ssl=1\" data-orig-size=\"300,113\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto 2016-03-13 um 04.29.18\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Bildschirmfoto-2016-03-13-um-04.29.18-e1457839881309.png?fit=300%2C113&amp;ssl=1\" class=\"size-medium wp-image-903 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Bildschirmfoto-2016-03-13-um-04.29.18.png?resize=300%2C113\" alt=\"Bildschirmfoto 2016-03-13 um 04.29.18\" width=\"300\" height=\"113\" \/>In der Zentralen Notaufnahme geh\u00f6rt das toxikologische Screening des Urins zum Standard. \u00a0Manchmal ist man \u00fcber das entsprechende Ergebnis \u00fcberrascht: Das hierbei aber eine Vielzahl an Pitfalls bestehen k\u00f6nnen, zeigt eine sehr interessante Zusammenstellung auf dem Blog <a href=\"http:\/\/www.tamingthesru.com\/blog\/intern-diagnostics\/uds-know-thy-limitations\" target=\"_blank\">TAMING THE SRU<\/a>.<\/p>\n<p style=\"text-align: justify;\">Der wesentlichen Hinwies ist:<\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><em><strong>&#8222;Second, trust your clinical gestalt. If you suspect your patient is abusing substances, then don\u2019t let a urine sample talk you out of it.\u00a0 As you know now, it\u2019s not perfect.&#8220;<\/strong><\/em><\/p>\n<\/blockquote>\n<hr \/>\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>In der Zentralen Notaufnahme geh\u00f6rt das toxikologische Screening des Urins zum Standard. \u00a0Manchmal ist man \u00fcber das entsprechende Ergebnis \u00fcberrascht: Das hierbei aber eine Vielzahl an Pitfalls bestehen k\u00f6nnen, zeigt [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":945,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[10],"tags":[135,134,136],"class_list":["post-900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zentrale-interdisziplinaere-notaufnahme","tag-drogen","tag-toxscreening","tag-urin"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Urin.jpg?fit=1632%2C1224&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-ew","jetpack-related-posts":[{"id":2571,"url":"https:\/\/news-papers.eu\/?p=2571","url_meta":{"origin":900,"position":0},"title":"Ist das akute Nierenversagen pr\u00e4renal oder renal?","author":"Michael Bernhard","date":"November 9, 2016","format":false,"excerpt":"Fallbeispiel:\u00a0Eine 60-j\u00e4hrige Patientin wird Ihnen vom Hausarzt per RTW in die Notaufnahme eingewiesen bei \u201eVerschlechterung des Allgemeinzustands\u201c. Alle Vitalparameter sind unauff\u00e4llig. Die Patientin ist zeitlich und \u00f6rtlich desorientiert, GCS 14 (4\/4\/6) und weist kein fokal neurologisches Defizit auf. Vorerkrankungen sind ein jahrelanger Hypertonus sowie Z.n.\u00a0Nikotinabusus. Das Notfalllabor weist als auff\u00e4llige\u2026","rel":"","context":"In &quot;Kniffelige Infoecke&quot;","block_context":{"text":"Kniffelige Infoecke","link":"https:\/\/news-papers.eu\/?cat=567"},"img":{"alt_text":"Anionenl\u00fccke","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/10\/KniffeligeInfoecke-e1475922638854.jpg?fit=500%2C667&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":2562,"url":"https:\/\/news-papers.eu\/?p=2562","url_meta":{"origin":900,"position":1},"title":"Die Anionenl\u00fccke: Praktische Bedeutung in der Notfallmedizin","author":"Michael Bernhard","date":"Oktober 16, 2016","format":false,"excerpt":"Ein Beitrag von PD Dr. med. J\u00fcrgen Knapp, Bern, Schweiz:\u00a0 Fallbeispiel:\u00a0Ein 68-j\u00e4hriger Patient wird vom Notarzt zuhause mit einem GCS von 6 aufgefunden. Es bestand keine fokal neurologische Symptomatik. Weder eine Medikamenten- noch ein Drogen- oder Alkoholmissbrauch sind bekannt. 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A diagnostic algorithm for detection of urinary tract infections in hospitalized patients with bacteriuria: The \u201cTriple F\u201d approach supported by Procalcitonin and paired blood\u2026","rel":"","context":"In &quot;allgemein&quot;","block_context":{"text":"allgemein","link":"https:\/\/news-papers.eu\/?cat=2"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Urin.jpg?fit=1200%2C900&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Urin.jpg?fit=1200%2C900&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Urin.jpg?fit=1200%2C900&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Urin.jpg?fit=1200%2C900&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/03\/Urin.jpg?fit=1200%2C900&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":2863,"url":"https:\/\/news-papers.eu\/?p=2863","url_meta":{"origin":900,"position":3},"title":"Sepsisursache: Mnemomic &#8222;LUCCAASS&#8220;","author":"Michael Bernhard","date":"Januar 13, 2017","format":false,"excerpt":"Sepsis ist eine der wichtigsten Diagnosen in einer Notaufnahme. Jeder Notfallmediziner muss daher Sepsisursachen detektieren und ad\u00e4quat nach diesen fahnden. Brit Long und Kollegen publizierten im Journal of Emegency Medicine ein sehr eloquentes Review zur Sepsistherapie: Long B, et al. Pracitical considerations in septis resuscitation. J Emerg Med 2016;\u00a0http:\/\/dx.doi.org\/10.1016\/j.jemermed.2016.10.008 Ein\u2026","rel":"","context":"In &quot;Sepsis&quot;","block_context":{"text":"Sepsis","link":"https:\/\/news-papers.eu\/?cat=57"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/01\/Bildschirmfoto-2017-01-12-um-18.32.09-e1484242377993.png?fit=500%2C247&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":979,"url":"https:\/\/news-papers.eu\/?p=979","url_meta":{"origin":900,"position":4},"title":"Erregergewinnung bei beatmungspflichtiger ambulant erworbener Pneumonie &#8211; wie jetzt?","author":"Michael Bernhard","date":"April 28, 2016","format":false,"excerpt":"Der ein oder andere Notfallmediziner kommt in der Zentralen Notaufnahme in die Verlegenheit einen Patienten mit ambulant erworbener Pneumonie (community-acquired pneumonia, CAP) aufgrund einer respiratorischen Insuffizienz oder pneumogenen Sepsis maschinell nach endotrachealer Atemwegssicherung beatmen zu m\u00fcssen. Eine sehr interessante Publikation ist von Lindsay M. McCauley und Kollegen aus Utah, USA,\u2026","rel":"","context":"In &quot;Ambulant erworbene Pneumonie&quot;","block_context":{"text":"Ambulant erworbene Pneumonie","link":"https:\/\/news-papers.eu\/?cat=146"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/FullSizeRender.jpg?fit=900%2C1200&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/FullSizeRender.jpg?fit=900%2C1200&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/FullSizeRender.jpg?fit=900%2C1200&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/04\/FullSizeRender.jpg?fit=900%2C1200&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":9420,"url":"https:\/\/news-papers.eu\/?p=9420","url_meta":{"origin":900,"position":5},"title":"Klug entscheiden in der Notaufnahme &#8211; Teil 2","author":"Michael Bernhard","date":"Juni 1, 2019","format":false,"excerpt":"Fast genau vor einem Jahr haben wir auf news-papers.eu \u00fcber die Nationale Initiative \u201cKlug entscheiden \u2026\u201d berichtet:\u00a0http:\/\/news-papers.eu\/klug-entscheiden-in-der-notaufnahme Nach Einsch\u00e4tzung von Fachgesellschaften werden in der Notaufnahme einige richtige Vorgehensweisen nicht ausreichend beachtet, obwohl ihre wissenschaftliche Evidenz vorliegt. 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