4.5.3.3 Maintaining Water and Nitrogen Balance in the Body (biology only) Flashcards

1
Q

How should the body keep the levels of water in the blood?

A

important that body keeps level of water in blood as constant as possible

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2
Q

What is the effect on cells of osmotic changes in body fluids?

A
  • if blood becomes too dilute then water moves into cells by osmosis
  • if blood becomes too concentrated water move by osmosis out of cells into blood
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3
Q

What happens to body cells if they gain or lose too much water and what does the body have in place to prevent this?

A
  • if body cells gain or lose too much water by osmosis then they don’t work efficiently
  • so body has a system in place to maintain its water balance - part of homeostasis
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4
Q

How does the body take in water?

A

body takes in water through food and drink

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5
Q

How does the body lose water?

A
  • water leaves body via lungs during exhalation
  • water, ions (e.g. sodium ions) and urea are lost from the skin in sweat
    • no control over water, ion or urea loss by the lungs or skin - as sweating is part of body’s temperature control system
  • excess water, ions and urea are removed by the kidneys in the urine
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6
Q

How does the body control water loss through urine?

A
  • if blood is too dilute, the kidneys remove the excess water and produce greater volume of urine
  • urea and excess ions also removed in urine
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7
Q

How many kidneys do humans have?

A

2 kidneys

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8
Q

How does blood enter and leave the kidney and what does the kidney remove?

A
  • blood enters kidneys through an artery and this blood contains the waste product urea
  • the kidney removes this urea as well as excess ions and excess water
  • these leave the kidney as urine and is stored in the bladder
  • blood leaves the kidney through a vein and the blood then contains no urea
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9
Q

How do the kidneys adjust the levels of molecules in the blood?

A
  • blood passes through capillaries
    • small molecules are filtered out of the blood into tiny tubules - includes urea, ions and water as well as the sugar, glucose
    • protein and blood cells not filtered out of blood due to larger molecule size
    • these pass into a tube - all of the glucose, some of the ions and some of the water is reabsorbed back into the blood (selective reabsorption)
    • glucose and ions get reabsorbed via active transport, which requires cells to have and use energy using aerobic respiration which requires oxygen
  • urea, excess ions and excess glucose are released as urine
  • kidneys remove all of the waste product urea out of the blood and adjust the levels of ions and water
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10
Q

How do the concentration of urea, ions and glucose change in the blood after it passes through the kidney?

A
  • concentration of ions has decreased after it has passed through the kidneys - kidneys filter ions out of the blood
    • then reabsorb certain amount of ions back into the blood depending on the body’s needs
  • concentration of urea in the blood falls to virtually 0 as it passes through the kidneys
    • kidneys filter out all of the urea and do not reabsorb it
  • concentration of glucose in blood remains same as kidney filters out the glucose and then the blood reabsorbs it
  • all of urea has been removed from the blood and the concentrations or water and ions have been adjusted - kidneys carrying out homeostasis
  • urea has higher concentration in urine as other substances have been removed (reabsorbed - glucose, most of ions and water)
    • water gets reabsorbed - due to ADH
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11
Q

How do the kidneys produce urine?

A

kidneys produce urine by the filtration of the blood and selective reabsorption of useful substances such as glucose, some ions and water

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12
Q

What are proteins?

A

proteins are long chains of amino acids

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13
Q

How does the kidney deal with excess amino acids?

A
  • get a lot of protein in our diet
  • digestion of protein leads to excess amino acids in the blood which need to be excreted safely
  • often eat more protein than the body needs so the excess amino acids are deaminated in the liver to form the chemical ammonia
  • ammonia is a toxic chemical so it is immediately converted to urea by the liver for safe excretion
  • urea can then be safely excreted by the kidneys
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14
Q

What hormone controls the water level in the body and how?

A

hormone ADH cause kidney tubules to become more permeable

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15
Q

What happens if the blood becomes too concentrated?

A
  • if blood becomes too concentrated (level of water in blood falls) then the pituitary gland releases the hormone ADH into the bloodstream
  • ADH travels to the kidneys and causes the kidney tubules to become more permeable to water - so more water can pass out of the kidney tubules → more water reabsorbed back into the blood from the kidney tubules
    • because of this less urine is produced and the amount of water in the blood rises back to its normal level
    • controlled by negative feedback
  • as levels of water in blood returns to normal, pituitary gland stops releasing ADH
  • negative feedback cycle
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16
Q

What happens if blood becomes too dilute?

A
  • if blood becomes too dilute pituitary gland stops releasing ADH
  • kidneys tubules stop becoming more permeable to water and so reabsorb less water into the blood
  • more urine produced and the conc of water in blood returns back to normal
17
Q

What happens if your kidneys fail?

A
  • You have two kidneys, but you can manage with just one
  • But if both kidneys fail, urea (waste) rises, and the body is poisoned
18
Q

What are the treatments for kidney failure?

A
  • dialysis
  • kidney transplant
19
Q

How does dialysis work?

A
  • You are attached to a kidney machine via a tube from a vein
  • when a patient has a kidney failure, their blood will contain a higher concentration of water ions and urea than it should
  • in kidney dialysis the patients blood passes over a semi-permeable membrane, flows into a machine, is cleansed and then returns to your body
  • excess salt moves out of the blood along a concentration gradient
  • urea moves out of the blood by diffusion along a steep concentration gradient
  • dialysis fluid also contain normal concentrations of water and ions so some of the water and some of the ions will diffuse from the blood into the dialysis fluid
  • because of this, concentrations of water and ions in the patient’s blood will return to normal
  • larger molecules like blood cells and proteins cannot pass through the dialysis membrane
  • dialysis membrane - partially membrane
  • dialysis fluid - low in salt and ureas; sugar and mineral concentration is the same as blood
  • there is no net movement of sugar and other substances needed by the body
  • fluid and blood moves in opp directions and dialysis fluid constantly refreshed to maintain high conc gradient
20
Q

What does dialysis do?

A
  • Restores the concentrations of dissolved substances in the blood to normal levels
  • It removes the waste product urea and excess water
21
Q

Which substances are retained in kidney dialysis?

A
  • Dialysis fluid contains the same concentration of useful substances as the blood so glucose and useful mineral ions are not lost – as if it has a lower conc then the useful substances will diffuse into the dialysis fluid from the blood from area of high con to area of low conc
  • But urea passes out from the blood into the dialysis fluid – dialysis fluid does not contain any urea so diffuses into dialysis fluid from area of high urea conc
22
Q

How long are you attached to a dialysis machine?

A

you are attached for about 4 hours, 3 times per week

23
Q

Haemodialysis:

A
  • being ‘on dialysis’ in the traditional understanding means being linked up to a machine for several hours while the machine filters your blood
  • Most people need three sessions of haemodialysis a week, with each session lasting around four hours
  • The dialysis machine is made up of a series of membranes that act as filters and a special liquid called dialysing fluid
24
Q

Haemodialysis diagram:

A
25
Q

Peritoneal dialysis:

A
  • where a fluid is pumped into your abdomen and drains away into a bag
  • waste products are removed from the blood by diffusion as the dialysis fluid sits in the abdominal cavity
26
Q

Peritoneal dialysis diagram:

A
27
Q

What is a kidney transplant?

A
  • An operation to remove your failed kidney and replace it with a working kidney from a donor
  • One or both kidneys may need to be transplanted
28
Q

What is needed for a successful organ match?

A
  • For a successful organ match, the donor and transplant patient ideally should have compatible:
    • Blood group
    • Tissue type
    • And a variety of other factors involving the white blood cells that would reduce the chances of rejection
29
Q

Pros of dialysis:

A

works quite well

30
Q

Cons of dialysis:

A
  • dialysis isn’t cheap – about £23,000 per year, for life
  • time consuming and inconvenient- attached for about 4 hours, 3 times per week
  • eat controlled diet so don’t produce too much urea
31
Q

Pros of kidney transplant:

A
  • someone with a successful transplant can lead a completely normal life
  • diseased kidney is replaced with healthy kidney from a donor
  • changes in concentrations of substances in blood and urea in blood is minimised → so less chance of causing damage to body cells
  • not repeatedly puncturing skin/in contact with machine unlike in dialysis → less chance of infection / less or no chance of blood clots / don’t need to take anti-clotting drugs
32
Q

Cons of kidney transplant:

A
  • taking drugs (immunosuppressants) to stop their body rejecting the new kidney
  • expensive - a transplant costs about £42,000 for the operation plus £6,500 a year in drugs and check-ups
  • in some cases, donated kidney might be rejected by patient’s immune system