AMMONIA (TOPIC 3 NON-PROTEIN) Flashcards
Produce from the deamination of amino acids during protein metabolism. Mainly by intestinal and bacterial enzymes.
Ammonia
removal of amino terminal end of amino acid
Deamination
most predominant in blood.
Ammonium
Ammonia is converted in the liver to?
Urea for excretion
Ammonia is also produce from _____ during ___
skeletal muscle
exercise.
Used to asses the liver function.
Ammonia
Ammonia can be quantify in ?
Blood and urine
Anticoagulant for ammonia determination
Heparin and EDTA
____ increases ammonia prior to test.
Cigarette smoking
Ammonia determination (chemical method)
Ion-Selective Electrode (ISE)
Diffusion of NH3 through selective membrane and measured by potentiometer.
Ammonia determination (chemical method)
Spectrophotometric
NH3 + bromphenol blue = blue color
Ammonia determination (enzymatic method)
Glutamate dehydrogenase (GLDH) method
NH4 + 2-oxoglutarate + NADPH –(up arrow)GLDH,(down arrow)catalyzes)–> glutamate + NADP (340nm)
most common in automated instrument
Normal Value for ammonia in plasma
19-60 ug/dl
A rare disease of the liver mainly in children.
Deficiency in urea-cycle enzymes
Characterized by fatty liver infiltration of the liver.
Preceded by viral infection and aspirin consumption.
Reye’s syndrome
impaired brain function as a result of sever liver disease. Cause by chronic hepatitis, cirrhosis or Reye’s syndrome.
Hepatic encephalopathy-