Isnap diluted urine

gabby3 · Jul 3, 2016

Abnormal is when your creatinine is low, and the result will say dilute if the creatinine and specific gravity is out of range.

The day I test and will stop all caffeine at least 6- 8 hrs, then have a protien drink and or some protien rich meal. I don't take any diuretic(hctz) until after my test.

I know Indiana uses Affinity computer monitoring like Florida. We get a warning after 1 abnormal/Dilute if another one happens in 6 months they will increase drug testing. After 3 in a year they can ask for an evaluation.

The first test was probably a routine drug test the 2nd probably has Etg , they are making sure you are not trying to dilute your urine.

Gabby

crazin01 · Jul 3, 2016

My contract states no 'mood-altering medications' and ambien/zolpidem is most definitely within that realm. I'm pretty sure there's no wiggle room on different states considering ambien a non mood altering med, but I could be wrong. So I imagine they would be looking for that substance along with many others, depending on the test you're selected for (alcohol vs OTC, opiates, etc).

gabby3 · Jul 3, 2016

Not all states have ambien on drug test. Florida has same rule. But I know of nurses that are allowed to take ambien and they just need to see a addiction doctor monthly

SororAKS, ADN, RN · Jul 3, 2016

Regarding the Ambien, as long as you inform your caseworker about the medication, I know of no specific prohibitions against that. I'm also not aware of a specific test that is being done for that particular drug.

Most of what has been said about hydration, eating protein based meals the day you test, etc is good advice so I won't repeat it. I had issues with that a while ago, got a letter that gave instructions on how to appropriately hydrate myself, and haven't had a problem with it since.

crazin01 · Jul 4, 2016

this may be a silly question, as I know all states are different and set their own rules. Even though controlled substances may have a valid prescription/documented necessity etc, do different states allow them in monitoring programs? I have heard of some that require any licensed individual to see an addiction specialist/therapist monthly for the privilege of maintaining their license if they choose to remain on their meds.

I'm just interested in knowing others' experiences, as in 1 years time, PA went from an abstinence only program to allowing substances for participants with the stipulation of monthly meetings.

gabby3 · Jul 4, 2016

They all say abstinence only. Each state has special circumstances to allow certain medications.

Jrlanham76 · Jul 10, 2016

I have been in ISNAP for about 3 years and I was told the only sleeping pill that I could take was trazadone. I think that ambien is on our restricted list

RN2364 · Jul 11, 2016

I live in AZ and take prescribed medications and have for many years after an injury. That's how I got to where I in this program to begin with. I self reported that I had an Rx for certain medications. I had no diversion, theft, taking another persons medications, no work problems such as impairment etc, just taking my own medication as prescribed in the privacy of my own home. The BON is ok with it as long as it is prescribed monthly by a qualified prescriber. The prescriber knows I am in this monitoring program and they write a letter monthly at my appt to this. The messed up thing in my opinion is now I am limited to what I can take in any other area. If I have a headache I can take Tylenol or Motrin or oxycodone. I can't try let's say Benadryl which works great for headaches. If I have flu symptoms I can take Tylenol or Motrin or oxycodone. Really? On one hand it seems they are forcing my hand to take something stronger without attempting a safer alternative. Isn't that what we are supposed to do as nurses ..... Find the safest effective solution without jumping from A-Z (I.e.straight to the diluadid when Tylenol would have worked). At this point it is what it is and I have to accept that.

As for Ambien I am not 100% sure if they test for it specifically (most often they do not but I wouldn't risk it) but just know Ambien can give you a false positive for benzo's. In a discussion with our in house Physician about 6 months ago he said he has seen it occur as often as 30% of the time with Ambien users. I have seen this myself working in emergency department but it's very difficult to prove because as we all know patients with positives in their UDS aren't always a reliable source of information. So just because they don't test for it doesn't mean your safe. That goes the same for many other common so called harmless ess OTC medications. I have also heard of Benadryl give a false positive for methadone. False positives are the one thing that scares the crap out of me! All my life I was never much of a drinker and now all I worry about are foods/medications/heigene products with hidden ETOH or HAND SANITIZER!!

aflahe00 · Jan 19, 2017

I Am in ISNAP and we are not to take any mood altering drugs which includes ambien for sure, as well as some OTC meds like Benadryl and sudafed.. they do not care how long you've been prescribed any of your meds, if it's a controlled substance you will not be allowed to take it. The only exception would be if you were seriously injured- then and only then would you be allowed narcs for pain control for a short time only.