1
urea cycle occurs in which cells
- hepatocytes
- kidney
- small intestine
2
enzyme defects in he urea cycle
- CPS
- OTC
- AS
- AL
- AGR
- in cps there was argent news about al octopus that it killed an aspiring student in the monster academy
3
enzyme defects outside the urea cycle
- HHH
- LPI
- NAGS
- hahaha that little pretty important note is about the nasez gas used in wars
4
monitoring
- symptoms
- growth
- ammonia
- essential AA
- Hb
- HTC
- albumin
- prealbumin
- total protein
5
treatment in acute in neonatal
- NPO
- no nitrogen intake for 24-48 hrsa
- IV fluids
- arginine hydrochloride 0.2-0.8 g/kg
- sodium benzoate 0.25 g/kg
- sodium phenylacetate 0.25 g/kg
- glucose 10% + intra lopids 5-30ml/kg > 1-2 hrs
- EN & PN BCAA
- B6 5mg
- folic acid 0.1 mg
- mannitol
- dialysis
6
chronic intervention
- low protein , HBV, 100% digestible, AA mixture
- supplements BCAA
- breast milk
- limited infant formula
- special formula > AA, FA, CHO, vit, minerals
- arginine, citrulline, fluoride supplements
- sodium benzoate, sodium phenylacetate
- additional fluids , energy
- 1% linolic acid
- 2% alpha linolic
- iron, copper, zinc, calcium, B, beta carotenes, C