PT  - JOURNAL ARTICLE
AU  - Alexander Broomfield
AU  - Stephanie Grunewald
TI  - How to use serum ammonia
AID  - 10.1136/archdischild-2011-300194
DP  - 2012 Apr 01
TA  - Archives of disease in childhood - Education & practice edition
PG  - 72--77
VI  - 97
IP  - 2
4099  - http://ep.bmj.com/content/97/2/72.short
4100  - http://ep.bmj.com/content/97/2/72.full
SO  - Arch Dis Child Educ Pract Ed2012 Apr 01; 97
AB  - Hyperammonaemia is a potentially extremely important indicator of impairment in intermediate metabolism. However, lack of experience in sample handling and confusion about what level is significant, can lead to its devaluation as a test. The aim of this article is to help the non-metabolic specialist to decide when it is appropriate to investigate for hyperammonaemia, to discuss potential investigatory pitfalls and to help in interpretation of results.