ADH Flashcards

1
Q

where is ADH produced and released from

A

produced in hypothalamus, released from posterior pituitary

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2
Q

when is ADH released

A

when dehydrated, ie an increase in plasma osmolarity

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3
Q

describe the effect ADH has on the water permeability of the collecting duct

A

it increases the permeability by inserting new water channels(aquaporins)

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4
Q

describe the effect of high ADH conc. on water permeability of the collecting duct and therefore osmolarity of urine

A

increased permeability, allow water to leave duct, making urine hypertonic
(less urine volume)

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5
Q

describe the effect of low ADH conc. on water permeability of the collecting duct and therefore osmolarity of urine

A

decreased permeability, water stays in duct, so urine hypotonic
(more urine volume)

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6
Q

what is another name for ADH

A

vasopressin

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7
Q

describe the tonicity of the interstitial fluid surrounding the collecting duct as it descends into the renal medulla

A

becomes more and more hypertonic as it descends

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8
Q

what is the only part of the nephron ADH acts on

A

cells of distal tubule and collecting duct

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9
Q

what effect does ADH have on blood vessels

A

arteriolar vasoconstriction

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10
Q

what is the role of ADH in central and nephrogenic diabetes insipidus

A
central = failure to produce ADH
nephrogenic = failure to recognise/respond to ADH
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11
Q

what symptoms are seen with diabetes insipidus

A

large volumes of dilute urine, due to low water reabsorption

and constant thirst

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12
Q

describe how arterial pressure can influence ADH

A

if significantly reduced arterial pressure, acts to increase ADH production
(need large changes in plasma volume)

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