24: Extrinsic regulation of arterial pressure, long term Flashcards
What are the mechanisms for renin release
Renal baro-receptors
Decreases in salt in tubule cells (macula densa)
Sympathetic stimulation
How do baro-receptors release renin
Sense change in glomerular arterial pressure
Decreased pressure on juxtaglomerular cells trigger renin release
What does Renin release trigger
angiotensin 2 production
What does Angiotensin 2 trigger
aldosterone and ADH release
Speed of aldosterone’s actions
slow
Increased stimulation of RAAS
Increased: TPR Na retention Water retention Blood pressure
ADH
acts on renal collecting duct to increase water absorption
When are vasopressin levels high
Dehydration and hemorrhage
What is atrial natriuretic peptide (ANP)
peptide released during excessive stretch
Increase diuresis and natiuresis
What is the primary trigger for ANP release
hypervolemia
ANP action on vasculature
Vasodilator
ANP direct effects
inhibit aldosterone
Inhibit collecting duct Na reabsorption
Increased filtration pressure