3C Flashcards
What do the kidneys do?
- filter blood so it doesn’t become toxic
- removes waste products and coverts filtrate into the urine
- regulates the composition of blood through reabsorption and secretion including ion levels and acid/base composition
- maintains blood volume and pressure through the reabsorption and secretion of water
What waste do the kidneys remove?
Urea, creatine
What ions do the kidneys regulate?
Na, K, H, HCO3
What do the ureters do?
transport urine from the kidneys where it is produced to the urinary bladder where it is stored
What does the bladder do?
expandable muscular sac that stores up to one liter of urine
What does the urethra do
-eliminates urine from the body
-males have longer urethra since it travels through the penis
What are the two types of nephrons?
cortical nephron
juxtamedullary nephron
What percentage of nephrons are cortical nephrons?
approximately 85%
What percentage of nephrons are juxtamedullary nephrons?
approximately 15%
What does the juxtamedullary nephron do?
-establishes osmotic gradient medulla from 300-1200 mOSm
- conserves H3O
-allows for the secretion of hypertonic urine
How does blood flow through the Nephron?
- arcuate artery
- interlobular artery
- glomerulus (capillary knot of renal corpuscle)
- efferent arteriole
- peritubular capillary (surrounds renal tubule)
- Vasa recta (surrounds nephron loop) adjusts absorption and secretion
- Interloular Vein
Which way does secretion move through the nephron?
blood to tubular fluid
Which way does reabsorption move through the nephron?
tubular fluid to blood
What drives filtration?
passive, pressure-driven process?
How do materials move through the renal corpuscle?
glomerular capillaries across the filtration membrane, into capsular space forming filtrate
What is the filtration membrane include?
the cells that form the wall of the glomerulus and associated podocytes
What is the relationship between the blood pressure in the renal corpuscle and systemic capillaries?
- bp is higher in the glomerulus compared to other systemic capillaries bc it is both fed and drained by arterioles and afferent arteriole has larger lumen than efferent tubule
When does filtrate become tubular fluid?
- once it exits the capsular space and enters the renal tubule
What happens in the renal tubule?
- composition of the tubular fluid is modified because of reabsorption and secretion
- has a fenestrated endothelium of the glomerulus and associated basement membrane and a little leaky so-formed elements (RBC, WBC, platelets) have large proteins that can’t cross membrane
What is the filtrate in the Renal Corpuscle?
- H2O, glucose, amino acids, ions, urea, some hormones, vitamins, B+C, ketones, small amounts of proteins
What is glomerular hydrostatic BP?
force that pushes H2O and some solutes out of the glomerulus and into the capsular space driving filtration force
What forces oppose glomerular hydrostatic BP?
- blood colloid osmotic pressure
- capsular hydrostatic pressure
- glomerular filtration rate
What is blood colloid osmotic presure?
osmotic pressure exerted by dissolved solutes in plasma
What is capsular hydrostatic pressure?
pressure in glomerular capsule due to filtrate already present
What is glomerular filtration rate?
the rate the glomerulus filters blood in ml/min
What is a normal glomerular filtration rate?
180l/day
What is the relationship between net filtration pressure and glomerular filtration present?
-directly correlated
-increase in NFP increases GFR
Can NFP be negative?
NO
How is GFR regulated?
- changes in the luminal diameter of the afferent arteriole
- altering SA of the filtration membrane
- intrinsic controls
-extrinsic controls
Why is GFR regulated?
to help kidneys control urine production based on physiological conditions
How does change in luminal diameter of afferent arteriole influence GFR?
- increase in diameter= increase in blood flow and GFR
- decrease in diameter= decrease in blood flow and GFR
How does altering the surface area of the filtration membrane influence GFR?
-increase in SA= increase in GFR
- decrease in SA= decrease in GFR