NPNs: Ammonia

Question 1

By product of AMINO ACID DEAMINATION

Answer 1

Ammonia

Question 2

Converted to Urea in the Liver
Excreted in the Kidney

Answer 2

Ammonia

Question 3

Clinical Applications:

1. Assess and diagnose HEPATIC FAILURE AND HEPATIC COMA
2. Diagnose Reye’s Syndrome
3. Inherited Deficiencies of Urea Cycle

Answer 3

Ammonia

Question 4

Patient has Increased CNS pH and GABA neutrotransmitter is inhibited

Answer 4

Hepatic Coma

Question 5

Cirrhosis
Hepatitis
Reyes Syndrome
Chronic Renal Disease
Acetaminophen poisoning

Answer 5

Increased Level ammonia

Question 6

Condition by which commonly occurs in children following aspirin medication after viral infection

Answer 6

Reye’s Syndrome

Question 7

80% of Liver Function is nonfunctional

Answer 7

Liver Failure

Question 8

Increased ammonia can lead to

Answer 8

Coma

Question 9

Laboratory Method for Ammonia:

Specimen used in Ammonia

Answer 9

Chilled HEPARINIZED and EDTA Arterial Plasma

Question 10

Specimen used in STAT for ammon

Answer 10

EDTA arterial specimen

Question 11

The specimen for ammonia testing must be centrifuged at ____ within ___ minutes from collection and plasma is removed

Answer 11

4 deg celsius
20 minutes

Question 12

Chilling of Heparinized sample is done using

Answer 12

Slurry Ice

Question 13

It should be avoided by RMT and PX when testing for Ammonia

Answer 13

Smoking (False Increased)

Question 14

1. ISE
2. Spectrophotometry
3. Berthelot Reaction
4. Nesslerization

Answer 14

Chemical Method for Ammonia

Question 15

Ammonia + bromphenol blue =

Answer 15

Blue dye

Question 16

Berthelot Reaction product

Answer 16

Blue

Question 17

Nessler’s Reaction Product

Answer 17

Yellow

Question 18

Enzymatic Method used for ammonia

Answer 18

Enzymatic -GLD method

Question 19

Measures the decrease in absorbance at 430 nm

Answer 19

Ammonia