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Why would a physician order an ammonia level (3)?

a) Evaluate liver function
b) Assess renal function
c) Monitor electrolyte balance
d) Diagnose hyperthyroidism

User Gypsa
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Final answer:

A physician would order an ammonia level test to evaluate liver function since ammonia is a byproduct of protein metabolism that the liver converts into urea. Elevated levels of ammonia in the blood can indicate liver dysfunction, which can have toxic effects on the CNS, leading to serious complications. The correct option is a) Evaluate liver function.

Step-by-step explanation:

A physician would order an ammonia level test primarily to evaluate liver function. Ammonia is a toxic byproduct of protein metabolism in the body. It is originally formed in the liver from the deamination of amino acids and then transformed into urea.

Urea, being less toxic and more water-soluble than ammonia, can be excreted in the urine. However, if the liver is not functioning properly, ammonia levels will not be properly regulated, leading to an accumulation in the blood, which can have toxic effects on the central nervous system (CNS). Symptoms of high blood ammonia levels can include flapping tremors, slurring of speech, and, in severe cases, coma and death.

This test is not typically used to assess renal function, monitor electrolyte balance, or diagnose hyperthyroidism. The kidneys do produce ammonia and help regulate acid-base balance, but an ammonia level test does not specifically assess overall kidney function. Additionally, electrolyte balance is typically assessed with a complete metabolic panel rather than an ammonia test, and hyperthyroidism is diagnosed with specific thyroid function tests.

An increase in blood ammonia levels can point to conditions such as hepatic encephalopathy, a decline in brain function due to severe liver disease. Consequently, understanding and monitoring blood ammonia levels can be crucial in the diagnosis and management of liver-related health issues.

User Chad Scherrer
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