14. Changes in glomerular dynamics Flashcards
effect oof NSAIS on renal function
NSAIDS inhibit prostaglandins ( that preferentially dilated afferent arteriole and increase RPF and GFR , no the FF)
–> constriction of afferent arteriole –> RPF and GFR, not FF—> constriction of afferent arteriole –> decrease of RPF and GFR, not the FF -> IN LOW RENAL BLOOD STATES –> ACUTE RENAL FAILURE
effect of ACE inhibitors on renal function
ACE inhibitors decrease angiotensin 2 ( that preferentially constricts efferent arteriole and decrease RPF, increase GFR and increase FF) –> dilation of efferent arteriole –> increase RPF, decreased GFR, so decrease FF )
prostaglandins vss angiotensin 2 on renal function
prostaglandins –> preferentally dialted affent arteriole and increase RPF and GFR, not he FF
- angiotensin 2 –> preferentially constricts effernt arteriole and decrease RPF, increase GFR and increase FF
Affrent arteriole constriction -
GFR, RPF, FF?
GFR,: decreased
RPF: decreased
FF:-
Efferent artetiole constriction
GFR, RPF, FF?
GFR,: increased
RPF: decreased
FF: increased
increased plasma protein concentration
GFR, RPF, FF?
GFR,:decreased
RPF:-
FF:decreased
decreased plasma protein concentration
GFR, RPF, FF?
GFR,:increased
RPF:-
FF:increased
constriction of ureter
GFR, RPF, FF?
GFR,:decreased
RPF:-
FF:decreased
dehydration
GFR, RPF, FF?
GFR,:decreased
RPF: decreased
FF: iNCREASED
filtration fruction on dehydration
increased
• Describe the effects of afferent arteriole constriction on renal plasma flow, glomerular filtration rate, and filtration fraction.
Renal plasma flow decreases; glomerular filtration rate decreases; filtration fraction does not change
• Describe the effects of efferent arteriole constriction on renal plasma flow, glomerular filtration rate, and filtration fraction.
Renal plasma flow decreases; glomerular filtration rate increases; filtration fraction increases
• Describe the effects of elevated plasma protein concentration on renal plasma flow, glomerular filtration rate, and filtration fraction.
Renal plasma flow does not change; glomerular filtration rate decreases; filtration fraction decreases
• Describe the effects of reduced plasma protein concentration on renal plasma flow, glomerular filtration rate, and filtration fraction.
Renal plasma flow does not change; glomerular filtration rate increases; filtration fraction increases
• Describe the effects of ureter constriction on renal plasma flow, glomerular filtration rate, and filtration fraction.
Renal plasma flow does not change; glomerular filtration rate decreases; filtration fraction decreases