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Serum ammonia levels from time of admission to resolution of hyperammonemia. Serum ammonia levels substantially decreased with the addition of CRRT to pharmacologic scavenger therapies (Ammonul™). Although both therapies were effective in decreasing serum ammonia levels, it appears that CRRT combined with Ammonul™ provides a more robust decrease. CRRT rate settings in both cases were: blood flow of 40 ml/min, dialysate flow of 1,400 ml/h, and replacement flow of 200 ml/h.
