B12-Homeostasis Flashcards

1
Q

What is homeostasis?

A

The maintenance of a constant internal environment in the body.

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2
Q

Why does temperature need to be controlled?

A

Many important enzyme-controlled reactions such as respiration would be affect as Enzymes work best at 37 °C.

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3
Q

What does the thermoregulatory centre in the hypothalamus in the brain do?

A

Thermoregulatory centre is sensitive to temperature of blood flowing
through it.It also receives information about skin temperature from receptors in
skin and coordinates body’s responses to keep core temperature at 37 °C.

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4
Q

What happens when temperature is too high?

A

Blood flows through thermoregulatory centre in brain, which monitors temperature and sends impulses to lower body temperature.Blood vessels supplying capillaries in skin vasodilate, increasing volume of blood in capillaries and increasing cooling by radiation from skin
surface. More sweat produced by sweat glands, cooling skin surface as sweat evaporates. Thermoregulatory centre monitors blood temperature and stops cooling
mechanisms when it returns to normal.

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5
Q

What happens when body temperatures are too low?

A

Blood flows through thermoregulatory centre in brain, which monitors temperature and sends impulses to increases body temperature.Blood vessels supplying capillaries in skin vasoconstrict, decreasing volume of blood in capillaries and decrease heat transfer to skin
surface. Skeletal muscles contract rapidly and we shiver. These contractions need energy from
respiration, and some of this is released as heat.The hairs on the skin also help to control body temperature. The hairs lie flat when we are warm, and rise when we are cold.If we are too cold nerve impulses are sent to the hair erector muscles which contract. This raises the skin hairs and traps a layer of insulating air next to the skin.

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6
Q

What are the 3 ways that water is removed from the body?

A

exhalation,(uncontrolled)
sweating,(uncontrolled)
excretion in urine(controlled

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7
Q

What is Urea and why does it have to be removed

A

Urea is nitrogenous waste product formed from breakdown of excess amino acids in liver. Urea is poisonous to body cells
in high concentrations.

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8
Q

How is the liver involved in the production of urea?

A

Excess amino acids carried to liver in bloodstream. Liver removes amino group from amino acids by deamination. This initially forms ammonia, which is converted into urea.

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9
Q

Why is it importance to maintain the balance of mineral ions and water in the body?

A

Balance of water, mineral ions, and nitrogenous waste (urea) in body important because of effect solute concentrations in cells, tissue fluid,
and blood have on osmosis. If solute concentration outside body cells higher than cell contents, water will leave cells by osmosis and cells will shrink and stop working. If solute concentration outside body cells is lower than cell contents, water will enter cell by osmosis and cells will swell and may burst. Balance enables body cells to retain shape and work efficiently.

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10
Q

What are the kidneys?

A

The kidneys are organs of the urinary system - which remove excess water, salts and urea.
Blood is transported to the kidney through the renal artery. The blood is filtered at a high pressure and the kidney selectively reabsorbs any useful materials such as glucose, salt ions and water. After it has been purified, the blood returns to the circulatory system through the renal vein.

The kidneys produce urine and this helps maintain water balance. The urine is taken from the kidneys to the bladder by the ureters. The bladder stores the urine until it is convenient to expel it from the body.

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11
Q

What is urine?

A

Urine contains water, urea and salts. Urea is produced in the liver when excess amino acids are broken down. Urea is the main waste product removed in the urine, as it is not reabsorbed in the kidney.

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12
Q

How does ADH stimulate water balance?

A

Too much water:
Blood would become diluted.
Receptor cells in brain would detect reduced blood concentration and pituitary gland would release less ADH into blood.Kidney tubules would absorb less water, so you would produce lots of very dilute urine.
Too little water:
Receptor cells in brain would detect increased concentration of urea in blood (even with loss of mineral ions in sweat) and pituitary gland would release more ADH into blood.Kidney tubules would absorb more water, conserving both salt (being lost in sweat) and water, so you would produce small quantities of urine containing concentrated urea but a relatively low concentration of mineral ions.

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13
Q

What is selective reabsorption?

A

Having filtered out small essential molecules from the blood - the kidneys must reabsorb the molecules which are needed, while allowing those molecules which are not needed to pass out in the urine. Therefore, the kidneys selectively reabsorb only those molecules which the body needs back in the bloodstream.

The reabsorbed molecules include:

all of the glucose which was originally filtered out
as much water as the body needs to maintain a constant water level in the blood plasma
as many ions as the body needs to maintain a constant balance of mineral ions in the blood plasma

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14
Q

What is dialysis?

A

Medical treatment in which blood is removed from the body and filtered before being returned.

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15
Q

Disadvantages of dialysis?

A

they are expensive
the patient must have his or her blood connected to the machine for several hours every week
patients must follow a very rigid diet to avoid complications
they only work for a limited time for a patient

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16
Q

How does the dialysis machine work?

A

Unfiltered blood that is high in urea is taken from a blood vessel in the arm, mixed with blood thinners or an anti-coagulant to prevent clotting, and pumped into the dialysis machine. Inside the machine the blood and dialysis fluid are separated by a partially permeable membrane the blood flows in the opposite direction to dialysis fluid, allowing exchange to occur between the two where a concentration gradient exists.
Dialysis fluid contains:

a
glucose
concentration similar to a normal level in the blood
a concentration of ions similar to that found in normal blood plasma
no
urea
As the dialysis fluid has no urea in it, there is a large concentration gradient - meaning that urea moves across the partially permeable membrane, from the blood to the dialysis fluid, by diffusion. This is very important as it is essential that urea is removed from the patients’ blood.

As the dialysis fluid contains a glucose concentration equal to a normal blood sugar level, this prevents the net movement of glucose across the membrane as no concentration gradient exists. This is very important as the patients’ need to retain glucose for respiration.

And, as the dialysis fluid contains an ion concentration similar to the ideal blood plasma concentration, movement of ions across the membrane only occurs where there is an imbalance.

If the patient’s blood is too low in ions, they will diffuse from the dialysis fluid into the blood, restoring the ideal level in the blood.
If the patient’s blood is too high in ions, the excess ions will diffuse from the blood to the dialysis fluid.

The blood then returns through a bubble trap where it removes air bubbles to prevent emobolisms happening in the body.

17
Q

Advantages of dialysis?

A

greatly reduced levels of urea – it is ‘cleaned blood’
no overall change in blood glucose levels
the correct water and ion balance maintained or restored (with only excess ions removed)

18
Q

Why does dialysis fluid contain no urea?

A

No urea ensures steep concentration gradient between blood and
dialysis fluid
to maximise removal of urea from blood into fluid by diffusion.
Normal plasma levels ensure that any excess salt, glucose, and mineral
ions in blood diffuse into fluid down concentration gradient to give ideal
blood concentration upon completion of dialysis.

19
Q

Why do people on dialysis have to have diet with less salts and proteins?

A

People with kidney failure cannot remove excess mineral ions such as salt or get rid of urea produced by the breakdown of excess amino acids from proteins, so they have to limit intake to keep levels in body as low as possible to remain feeling well between dialysis sessions.

20
Q

How to reduce organ rejection in Kidney transplants?

A

Tissue typing - a kidney is given to patients who have antigens that are very similar to the antigens of the donor kidney. This can lead to long waits for transplants while compatible donors become available - during which time patients must undergo dialysis, and in some cases they will die before a match is found.
Immuno-suppressant drugs – these drugs must be taken by transplant patients for the rest of their lives. They suppress the immune system, greatly reducing the immune response against the donor kidney. The negative effect of this is that it also suppresses the immune response against pathogens which enter the body, increasing the risk of infections.

21
Q

Advantages of transplants:

A

Patients can lead a more normal life without having to watch what they eat and drink
Cheaper for the NHS overall.

22
Q

Disadvantages of transplants:

A

Must take immune-suppressant drugs which increase the risk of infection
Shortage of organ donors
Kidney only lasts 8-9 years on average
Any operation carries risks

23
Q

How do kidney transplants work?

A

Transplanted kidney from a donor takes on functions of failed kidneys, balancing
blood chemistry and removing urea.