Anatomy and Physiology: The Kidneys Flashcards

1
Q

Kidney Functions

A
  • Regulating water and electrolyte balance
  • Maintains acid:base homeostasis
  • Retains glucose and protein
  • Excretes wastes and toxins
  • Endocrine functions - secrete hormones
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2
Q

Define

Acid

Relative to Kidneys

A

Releases hydrogen ions
* pH <7

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3
Q

Define

Base

Relative to Kidneys

A

Accepts hydrogen ions
* pH >7

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4
Q

Define

Nephron

A

Functional unit of kidney
* made up of glomerulus and its tubules

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5
Q

Glomerulus

A

Part of the nephron (kidney)
* surrounded by Bowman’s capsule
* filtration through capillaries

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6
Q

GFR

A

Glomerular Filtration Rate
* driven by hydrostatic pressure from arterial pressure
* best indicator of true kidney function

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7
Q

Kidney Tubule

A

Sectioned into
* proximal tubule
* loop of Henle
* distal tubule
* collecting ducts

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8
Q

Proximal Tubule

A

Part of nephron (kidney)
* resorbs all glucose and amino acids
* resorbs most bicarbonate, phosphate, and water

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9
Q

Loop of Henle

A

Part of the nephron (kidney)
* responsible for urine concentration
* resorbes sodium and chloride

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10
Q

Renin

A

Secreted by the kidney
* regulates blood pressure
* increases angiotensin II production

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11
Q

Angiotensin II

A

Released when intravascular volume drops; causes
* aldosterone release
* increased release of ADH
* increased thirst
* constriction of efferent arteriole (maintain GFR)

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12
Q

Aldosterone

A

Stimulates sodium and water resorption in DT and collecting ducts
* function of kidney
* released from adrenal cortex when sodium is low

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13
Q

Sodium Exchange in Kidneys

A

Occurs in the distal tubules and collecting ducts
* sodium exchanges for potassium and hydrogen
* low sodium = alkalosis

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14
Q

ADH

A

Antidiuretic Hormone
* function of kidney
* stimulates water reabsorption - DT and collecting ducts more permeable to water
* more water = more concentration
* posterior pituitary gland secretes when osmotic pressure rises

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15
Q

Vitamin D

A

Produced by the kidneys
* can also be called calcitriol
* promotes calcium absorption from intestine

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16
Q

Erythropoietin

A

Produced by kidneys
* stimulates production of RBCs

17
Q

Kidney Monitoring

A
  • BUN (blood)
  • Creatinine (blood)
  • Electrolyte and Urine values beneficial
  • Increased amylase with impaired renal function
  • GFR best indicator of function
18
Q

Best Diet for Dogs / Cats
in Renal Failure

A

Low Phosphorus and Low Protein
* low protein = less urea waste = less workload of kidneys
* low phosphorous = less buildup in blood = no need for kidney to filter excess