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(3) renal â glutamine break down in proximal tubule (combines with H+ -> NH4+ and eliminated) CAUSES OF HYPERAMMONAEMIA. Overproduction of ammonia. Protein/ amino acid load. gastrointestinal hemorrhage. gastric bypass. multiple myeloma. allogeneic stem cell transplantation.
These risks increase dramatically when ammonia is mixed with chlorine bleach or cleaners containing it. This chemical combination produces highly poisonous chloramine gas, which can cause severe lung damage. Ammonia can irritate or burn skin and mucous membranes, and it is highly toxic if swallowed. Ammonia fumes also react with nitrates in the environment to form unhealthy ammonium nitrate particles, which then linger in household dust, carpets, curtains and upholstery.