Scenario 3A clinician has a patient taking Vicodin 750-7.5 mg daily (The numbers refer to 750 mg acetaminophen and 7.5 mg hydrocodone per tablet). The lab reported finding hydromorphone in the confirmation, but does not report a positive result for hydrocodone. The clinician is now asking the toxicology laboratory technologist if this result is consistent with the patient's prescription. Which of

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Scenario 3

A clinician has a patient taking Vicodin 750-7.5 mg daily (The numbers refer to 750 mg acetaminophen and 7.5 mg hydrocodone per tablet).

The lab reported finding hydromorphone in the confirmation, but does not report a positive result for hydrocodone. The clinician is now asking the toxicology laboratory technologist if this result is consistent with the patient's prescription.

Which of the following is a correct response?

Please select the single best answer

	Yes the result is consistent with the prescribed medication. Hydromorphone is a metabolite of hydrocodone and perhaps only metabolite is present in the urine.
	No it is not consistent with the prescribed medication. Hydrocodone should be positive because it is present in the prescribed medication.