Ammonia/Ammonium Flashcards
Ammonium
NH4+ dominant form in plasma and does not diffuse through membranes
Hyperammonemia
-Decreased clearance
-Increased production
Decreased clearance
Decreased functional mass of liver
Portosystemic shunt
Increased production
Postprandial (transient)
Strenuous exercise (transient)
Bacterial overgrowth
When should you measure blood ammonia
-Urea toxicity in cattle
-Hyperammonia in horses without liver disease
-Rare inhereited disorder of urea cycle
Hyperammonemia in horses without liver disease
Colic followed by encephalopathic signs due to urease producing bacteria
Samples used for Ammonium measurement
EDTA or heparinized
False increases
-Hemolysis
-Delayed harvesting of plasma from blood
-Delayed sample analysis
False dicreased
-Delayed analysis and exposed to air