Chapter 15 - Urinary System Flashcards

1
Q

Define excretion:

A

The removal of metabolic wastes produced in the body

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2
Q

What produces CO2 and H2O?

A

Aerobic respiration

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3
Q

What produces nitrogenous wastes (i.e. urea and ammonia)?

A

Deamination of amino acids in the liver

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4
Q

Define elimination:

A

The removal of indigestible material

- Ex. Dietary fiber

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5
Q

What are the principal organs of excretion?

A

1) Lungs
2) Liver
3) Skin
4) Kidneys

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6
Q

How does excretion occur in the lungs?

A

CO2 and H2O vapour diffuse through blood and are exhaled

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7
Q

How does excretion occur from the skin?

A

Sweat glands in the skin excrete water and dissolved salts

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8
Q

How does excretion occur in the liver and kidney?

A

Processes nitrogenous wastes, hemoglobin, and other chemicals for excretion

  • Urea is produced by deamination of amino acids in the liver and diffuses into the blood for ultimate excretion in the kidneys
  • Kidneys function to maintain osmolarity of blood, excrete waste product/toxic chemicals, and conserve glucose, salt, and water
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9
Q

What role do bile salts have during excretion?

A

Bile salts are excreted as bile and pass with the feces

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10
Q

What is the function of the kidneys?

A

Regulate concentration of salt and water in the blood through formation and excretion of urine

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11
Q

What is the kidney composed of?

A

~1 million units called nephrons

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12
Q

What 3 regions is the kidney divided into?

A

1) Outer cortex
2) Medulla
3) Renal pelvis

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13
Q

What does a nephron consist of?

A

1) Bowman’s Capsule: Embraces capillary bed (glomerulus) that leads to a long, coiled tubule
2) Proximal Convoluted Tubule
3) Loop of Henle
4) Distal Convoluted Tubule
5) Collecting Duct

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14
Q

What part of the nephron runs through the medulla?

A

Loop of Henle & Collecting Duct

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15
Q

What part of the nephron runs through the cortex?

A

Bowman’s Capsule & Convoluted Tubules

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16
Q

Describe the flow of urine:

A
  • Urine in collecting tubules flows into the pelvis of kidney, a funnel-like region the opens into the ureter
  • Ureters from kidney empty into urinary bladder where urine collects until expelled by the urethra
17
Q

What is most of the nephron surrounded by?

A

Complex peritubular capillary network that facilitates reabsorption of amino acids, glucose, salts, and water

18
Q

What are the 3 processes of urine formation?

A

1) Filration
- BP forces 20% of blood plasma entering glomerulus through capillary walls into the Bowman’s Capsule (filtrate)
- Filtrate is isotonic with blood plasma
- Particles too large remain in the circulatory system
- Filtration is passive driven by hydrostatic pressure of blood; High BP results in increased hydrostatic pressure which exerts pressure on kidney tissue, and may lead to kidney damage

2) Secretion
- Wastes are secreted from IF into filtrate via passive and active transport

3) Reabsorption
- Essential substances and water are reabsorbed from filtrate and returned to blood
- Occurs mainly in proximal convoluted tubule (active)
- Movement of these molecules is accompanied by passive movement of water because water follows solute
- (Results in concentrated urine (hypertonic to blood)

19
Q

How does the nephron function?

A

Through selective permeability of the walls and maintenance of an osmolarity gradient
- Ability to regulate balance of salt and water in the body

20
Q

What is the primary function of the nephron?

A

Clean blood plasma of unwanted substances as the filtrate passes through the kidney

21
Q

What is the primary site of nutrient reabsorption?

A

Proximal convoluted tubule

22
Q

What is the primary site for regulation of water, sodium, and potassium?

A

Loop of Henle & Collecting Duct

23
Q

What is the major site for secretion of substances into the filtrate?

A

Distal convoluted tubule

24
Q

Describe the descending loop of Henle:

A
  • Permeable to water but not to ions or urea
25
Describe the thin ascending loop of Henle:
- Impermeable to water but permeable to ions
26
Describe the thick ascending loop of Henle:
- Sodium, potassium, and chloride are reabsorbed from the urine
27
How is concentrated urine produced? | - What does it depend on?
Establishment of osmolarity gradient between tubules and IF fluid - Exiting and re-entering, different segments of the nephron Na/Cl, create osmolarity gradient in which tissue osmolarity increasing from the cortex to the inner medulla - Counter-current-multiplier system
28
What does the counter-current-multiplier system do?
Causes IF space in medulla of kidney to be hyperosmolar with respect to dilute filtrate flowing through renal tubule - Filtrate travels down collecting ducts, water flows from ducts to IF through osmosis - Water returns to systemic circulation via capillaries in medulla - Reabsorption of water here permits concentration of urine, depends on permeability of collecting ducts to water
29
What regulates permeability? How?
Anti-diuretic Hormone (ADH) - I.e. Vasopressin - Increases permeability of collecting duct to water, allowing more water to be absorbed and more concentrated urine to be formed
30
What happens if people have access ADH?
Retain too much fluid
31
What is aldosterone? - What does it result in (urine)? - What does it result in (water)?
A steroid hormone that causes increased transport for Na and K ions along the distal convoluted tubule and collecting duct - Results in a decreased excretion of Na and increased excretion of K ions in the urine - Results in increased water reabsorption because water flows to area of higher solute concentration via osmosis
32
Does aldosterone affect renal blood flow?
No
33
Does ADH have the same affect as aldosterone on water? Explain.
Yes - However, ADH directly affects water absorption by distal convoluted tubule and collecting duct which opens aquaporins in these structures allowing water to be reabsorbed readily
34
What can both ADH and aldosterone do? What does it allow?
Decrease in urine output and increase in blood pressure | - Allows for body to compensate during period of dehydration or causes of low BP
35
What are diuretics?
Drugs that target different parts of the kidneys to cause an increase in urine production
36
What is the pH of the body?
7.4
37
How is pH maintained in the body?
Removal of CO2 via lungs and H-ions via kidney
38
What are 3 pH assessment tests?
1) Arterial pH 2) Arterial pressure of P-CO2 3) Plasma bicarbonate (HCO3)
39
What are 2 acid-base disorders?
1) Respiratory: Affects blood acidity causing changes in P-CO2 2) Metabolic: Affects blood acidity by causing changes in HCO3