Chapter 15- Excretion Flashcards
Why uncertain diagnosis may occur in px over 65?
Older people may have more complex medical problems
How peritoneum may differ in its function from artificial membrane in a dialysis machine used in haemodialysis?
- can perform active transport
- can perform facilitated diffusion
Why px receiving peritoneal dialysis need to have the fluid replaced 4 times a day but those receiving haemodialysis only need treatment three times a week?
- can remove less waste
- in haemodialysis, dialysis fluid is constantly changed
- haemodialysis maintains conc gradient as uses counter current flow. In peritoneal dialysis, the conc gradient reduces
Type of cell which RBC are formed and where this is found?
Erythropoietic cell
Bone marrow
Where is glucose selectively reabsorbed?
pct
Regions of nephron in cortex?
- PCT
- DCT
- Collecting duct
- bowman’s capsule
How longer loop of Henle able to prevent excessive water loss?
- More Na+ C l- ions pumped out of ascending limb into medulla
- builds up high water potential gradient
- allows removal of more water from CD
Drugs for body building?
Anabolic steroids
Blood in glomerulus has high what pressure?
Hydrostatic
What does hydrostatic pressure do?
Forces small molecules such as water, urea, amino acids, it amino out of glomerulus
Process at glomerulus + BC?
Ultrafiltration
Where cells that detect decrease in water potential of blood found?
Hypothalamus
Cells that detect decrease in water potential of blood?
Osmoreceptors
Walls impermeable to water?
Ascending limb
Most of water reabsorbed into blood?
PCT
Role of loop of Henle in production of urine?
- role of loop of Henle is to cause a decrease in the water potential of medulla
- descending limb permeable to water. Water removed from DL
- AL impermeable to water. Active transport outwards of Na+ Cl-
- water potential of tissues surrounding CD lower than fluid inside it
- water
Organ that produces urea?
Liver
Pregnancy hormone?
hCG
Why high intake of protein will result in high conc of urea in urine?
- high intake of protein leads to large amount of amino acids
- excess amino acids cannot be stored
- amino acids concerted to ammonia by deamination
- NH3 enters ornithine cycle for conversion to urea
- increased blood conc of urea leads to more urea in urine
How glomerulus able to perform its function?
- afferent arteriole has bigger diameter than efferent arteriole
- high hydrostatic pressure
- endothelium wall of capillary wall has fenestrations
- these allow ultrafiltration
Specialised cells in BC?
Podocytes?
Kidney failure. Composition of blood
- high in urea
- high in water
- high in ions
Need for closely matching donated kidney to recipient?
- if not closely matched, donated kidney will be recognised as foreign as the antigens will be different. Causes rejection by recipients immune system
- need for suitable size of kidney in specific case e.g. if recipient is small child