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Hyperammonemia, or high ammonia levels, is a metabolic disturbance characterised by an excess of ammonia in the blood. Severe hyperammonemia is a dangerous condition that may lead to brain injury and death. It may be primary or secondary. Ammonia is a substance that contains nitrogen. It is a product of the catabolism of protein.
The comprehensive metabolic panel, or chemical screen (CMP; CPT code 80053), is a panel of 14 blood tests that serves as an initial broad medical screening tool. The CMP provides a rough check of kidney function, liver function, diabetic and parathyroid status, and electrolyte and fluid balance, but this type of screening has its limitations.
Outside the United States, blood tests made up of the majority of the same biochemical tests are called urea and electrolytes (U&E or "U and Es"), or urea, electrolytes, creatinine (UEC or EUC or CUE), and are often referred to as 'kidney function tests' as they also include a calculated estimated glomerular filtration rate. The BMP provides ...
The diagnostic criteria for hyperammonemia is ammonia blood levels higher than 35 μmol/L. This is accomplished by observing urine ketones , organic acids, enzyme levels and activities, and plasma and urine amino acids. [ 5 ]
Ammonia forms 1:1 adducts with a variety of Lewis acids such as I 2, phenol, and Al(CH 3) 3. Ammonia is a hard base (HSAB theory) and its E & C parameters are E B = 2.31 and C B = 2.04. Its relative donor strength toward a series of acids, versus other Lewis bases, can be illustrated by C-B plots.
Carbamoyl phosphate synthetase I deficiency (CPS I deficiency) [1] is an autosomal recessive metabolic disorder that causes ammonia to accumulate in the blood due to a lack of the enzyme carbamoyl phosphate synthetase I. Ammonia, which is formed when proteins are broken down in the body, is toxic if the levels become too high.
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