Test For Detoxification Function Flashcards
Assess the extent of liver damage
Enzyme test
Indicator of cell injury in early or localized liver disease
Enzyme test
Hepatic enzymes
ALT
AST
5N
GGT
LDH
OCT
Diagnostic marker of hepatic failure
Ammonia
Detoxified into urea (liver), then eliminated by the kidneys (urine)
Ammonia test
Ammonia is neurotoxic that lead to coma?
Yes
Ammonia test reference value
19-60 ug/dl
Protein —-> amino acid
Proteolysis
Amino acids ——> ammonia
Transamination and oxidation deamination
Ammonia ——-> urea
Enzymatic synthesis in the urea cycle (krebs cycle)
Specimen
Venous blood
- heparin, EDTA, potassium oxalate
Specimen precautions
Smoking
Exercise
Probing of vein
Under filling of tube
Hemolysis
SEPUH
Storage
Frozen
Decrease in absorbance at 340 nm as NADPH is consumed
Glutamate dehydrogenase methods