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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.
First aid. Even a small blast of anhydrous ammonia can be extremely harmful to the skin, eyes, and mucous membranes in the nose, mouth, and throat. When ammonia contacts the skin or eyes, tissue damage occurs rapidly. This damage results from a combination of dehydration, freezing, and caustic action.