body water balance and diabetes insipidus A W7 Flashcards

1
Q

area in brain sensitive to osmotic pressure? where is it located and what is it connected to?

A

osmoreceptor/osmosensor
floor of 3rd ventricle
thirst centre and 2 nuclei in hypothalamus (supraoptic and paraventricular)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

where is ADH released and what does it act on?

A

ADH is released from the posterior pituitary gland and acts on the kidneys to regulate body water balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

thirst pathway?

A

deficit of water raises plasma osmolarity and plasma sodium, thirst is stimulated, higher centres alter behaviour so water is found and ingested

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what can cause loss of thirst sensation?

A

hypothalamic damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ADH release pathway?

A

increased plasma osmolarity causes ADH release from posterior pituitary
this acts on V2 receptors allowing increased urine concentration so water is retained by the kidney, causing decreased plasma osmolarity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

another name for ADH?

A

vasopressin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

V1a receptors action?

A

vasopressor effects-
maintain blood volume and circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

V1a receptors main site?

A

vascular/cardiac muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

V2 receptors action?

A

appropriate water retention
maintain osmolality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

V2 receptors main site?

A

distal nephon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

V1b(V3) receptors action?

A

role in ACTH/stress responses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

V1b(V3) main site?

A

anterior pituitary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

OT receptors action?

A

uterine contraction at birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

OT receptors main site?

A

myometrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

different receptors affinity for AVP?

A

V2»V1>OT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

name of AVP receptor antagonists?

A

‘vaptans’

17
Q

ascending pathways affecting AVP (ADH) levels?

A

peripheral stimuli - low blood pressure, low ECF volume, pain, nausea, etc.

18
Q

feedback loop of vasopressin complicated by what?

A

non-osmotic stimuli

19
Q

problems with ADH release?

A

inadequate ADH action (diabetes insipidus, DI)
ADH in excess of needs of water balance - non-osmotic ADH release (physiologically inappropriate = SIADH)