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Tnpap and drinking

Has 6 years experience. Specializes in LTC.

Hello!
I’m in TNPAP under a monitoring agreement and I drank about 1/4 of a strawberry daiquiri yesterday thinking it was a virgin at first until my friend told me she spiked it. ( I couldn’t taste the alcohol) She did not know about my restriction. Do you think it could show on a Peth test if I’m selected for it in a week? That is the only drink I’ve had in 6 months. No lectures please! TIA

New mommy 26, BSN, RN

Has 17 years experience. Specializes in Med/Surg; Case Management; LTC.

I am so sorry this happened to you. This is one of the biggest reasons I never went to parties for the past 6+ years. Yes it is entirely possible that it will show up. I would not tell your monitor case manager yet until you test. If you do then I would have your friend call your case manager and tell her or write a letter. You are early into this process yet so maybe the consequences will not be as terrible. No more drinking something that is not in its original container like a bottle of water at parties. Hang in there.

17 hours ago, sam2brooke said:

Hello!
I’m in TNPAP under a monitoring agreement and I drank about 1/4 of a strawberry daiquiri yesterday thinking it was a virgin at first until my friend told me she spiked it. ( I couldn’t taste the alcohol) She did not know about my restriction. Do you think it could show on a Peth test if I’m selected for it in a week? That is the only drink I’ve had in 6 months. No lectures please! TIA

If that is all you had, and nothing more in the weeks prior to that, the odds are very low that it would be detected in a blood PETH test. A standard drink has 14g of alcohol. 1/4th of a drink would have 4gm (rounding up) of alcohol. If you were theoretically thin at 110 lb (50kg), your intake of alcohol would be 0.08g/kg. (4g/50kg). At any weight above that your value would be lower than 0.08g/kg. This research article shows positive PETH detection for 3-12 days after a single binge drinking episode of 1g/kg which you did not even come close to. https://pubmed.ncbi.nlm.nih.gov/27596747/

Use this scare as a lesson going forward. Bring your own bottled drinks to any party or gathering and keep it with you at all times. You need to always be vigilant to stay safe in these monitoring programs. You can do this!

rn1965, ADN

Has 24 years experience. Specializes in Med/Surg, Women's Health, LTC.

When I attend BBQ's, family things, I always bring my own drinks, and never let them out of my hands. Paranoid? Maybe! Safe? definitely!

Sorry your friend did that to you! I do not know if you consider yourself in recovery or not, but, man oh man, that would pi$$ me off if someone did that to me. Everyone I know is aware I am a recovering alcoholic (15+ years now) and I would hope that would never be an issue, but, I do not trust anyone.

I wouldn't say anything to your case manager just yet, as you do not know when you will be tested and for what.

Stay strong and I am sending good vibes your way!

sam2brooke

Has 6 years experience. Specializes in LTC.

Thank you! That is all I’ve had. Apparently it was a daquari mix with I guess vodka. I’m not thin I weigh 200 pounds.

The last time I drank before that was dec of 2019. Alcohol was not my DOC

sam2brooke

Has 6 years experience. Specializes in LTC.

Do y’all think it would show in a hair follicle test ( if I am selected for one)?

5 minutes ago, sam2brooke said:

Do y’all think it would show in a hair follicle test ( if I am selected for one)?

Odds again very low. Agree with the others who suggested not notifying your case manager as it will likely bring on the level of testing that you are currently inquiring about.

Nanapoot

Has 6 years experience. Specializes in Med/Surg.

I'll keep my fingers crossed but think you'll be fine. How often have you gotten a peth test?

sam2brooke

Has 6 years experience. Specializes in LTC.

Never had one through TNPAP. Just through the monitoring company when I was in IOP.

You'll be fine. Don't worry. Lesson learned.

I honestly think you’ll be okay now that we are four days out from the drink and you couldn’t possibly be tested til Monday, IF you got selected. I collect urine and blood for Affinity where I work (I’m not allowed to test there, I only do it for local doctors and pharmacists in monitoring contracts.) I will tell you this, but I wouldn’t worry about a peth as much as I would have about a straight urine drug screen last week. ETG can show up in it up to 80 hours later. A peth is designed to detect multiple servings for up to 2-4 weeks after ingestion. From what it sounds like, you didn’t ingest enough to show on that.

Now this may sound like overkill, but I’ve not even ordered a ‘virgin’ drink since I’ve been in monitoring. To me, unless I can see the drink being made and it doesn’t leave my sight until it’s served to me, there is always a chance it might have alcohol. I’m not paranoid about food or other things like vanilla or hand sanitizer, but until I’m out of monitoring, I will just stick to soda, juice, and water. I was really nervous at first that people would notice I wasn’t drinking at weddings, ballgames, etc, but nobody has ever lifted an eyebrow. I actually had a ready-made excuse if someone asked but have never had to use it. 😂

ETA: I’m 2.5 years in and I’ve never had a peth test.

Edited by DistressedRN

Find new friends that don’t think it’s OK to drug you behind your back. If you were smart you would fill out a police report for your own legal protection.

sam2brooke

Has 6 years experience. Specializes in LTC.

Well pretty sure I was selected for a Peth test today. $130. 12 days from my strawberry daiquiri being spiked. Wish me luck! I terrified of being positive! 

I’ve had $130 tests that weren’t Peth.  If they do fingersticks and blot them on paper, that’s a peth.   If it’s just a blood draw, that isn’t.  How much of the spiked drink did you have?  

sam2brooke

Has 6 years experience. Specializes in LTC.

1/4 of a 15 ounce strawberry daiquiri. Pre mixed I believe. I had it on 8/16. I haven’t drank Anything at least 7 months Prior 

sam2brooke

Has 6 years experience. Specializes in LTC.

I’m sorry it was a 32 ounce mug 

sam2brooke

Has 6 years experience. Specializes in LTC.

My test was option 12. The instructions were for a Peth test blood draw. They just drew blood. What is this testing for. 

SNB1014, ADN, RN

Has 4 years experience.

50 minutes ago, sam2brooke said:

My test was option 12. The instructions were for a Peth test blood draw. They just drew blood. What is this testing for. 

That depends- what is the lab you use?

sam2brooke

Has 6 years experience. Specializes in LTC.

Affinity

What was the testing code?  It is usually something like H-737675 or something similar.  I will say that Option 12 is normally the whole blood collection for peth.  Also,  O-792070 is definitely a whole blood peth test.

Edited by DistressedRN

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