No professional organization has published clinical practice guidelines or position statements on the risk stratification or perioperative management of patients with a positive drug screening for cocaine or methamphetamine.This lack of guidance has led to inconsistent practice among anesthesia professionals. We developed an evidence-based algorithm to guide anesthesia professionals on the risk stratification,screening, and management for patients with a history of cocaine or methamphetamine use in the elective surgery setting. This algorithm will be applied in various case studies to assess its effectiveness in supporting decision-making. Lastly, we will discuss the limitations of the research, ethical considerations associated with drug screening, and recommendations for future research and practice.

1. Discuss the physiological changes and perioperative risks associated with cocaine and methamphetamine use.
2. Perform risk stratification on patients with a history of cocaine and methamphetamine use.
3. Identify the indications for urine drug screening before an eletive procedure.

This program has been prior approved by the American Association of Nurse Anesthesiology for 1.0 Class A CE credits; Code Number 1044808; Expiration Date 2/20/2025.  AANA designates this program as meeting the criteria for up to 1.00 CE Credits in pharmacology/therapeutics.

• Laurent Estrada, BSN RN
• Omar Silva, BSN, RN

Accreditation Information:
The American Association of Nurse Anesthesiology is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. 

AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

Disclosure Statement:
Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

Post-Test Attempt Notice:
A minimum passing score of 80% is required to pass this course. You have TWO opportunities to achieve a passing score. If you fail to achieve a passing score of 80%, you will not receive CE credit for this course.

Content Disclaimer:
The views, information, or opinions expressed within the videos and audio are solely those of the individuals involved and do not necessarily represent those of the American Association of Nurse Anesthesiology.

Course content has been prepared by the presenter/developer, and each viewer agrees that the presenter/developer is solely responsible for the content and the accuracy thereof. The viewer agrees that the American Association of Nurse Anesthesiology has no responsibility or liability for the accuracy or completeness of the content.

Refund Policy:
Continuing education activities are nonrefundable.