Impaired metabolism of proteins secondary to a urea-cycle defect (inborn error of metabolism), severe liver disease, a reduction in vascular perfusion of the liver, renal failure and Reye’s syndrome all cause the accumulation of toxic levels of ammonia in the blood.
Irritability, tiredness, seizures, respiratory failure, difficulty in breathing and vomiting in neonates/infants Presentation of hepatic encephalopathy-type symptoms
0-50 μmol/L Neonates
|:|| 0-100 μmol/L
Lithium Heparin (green top) on ice rush to laboratory
Within 4 hours