Dilluting and concentrating function of the kidneys Flashcards

1
Q

Urine as a product of the kidneys represent?

A

A complex solution containing multiple organic and inorganic solutes

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2
Q

Solutes are drawn or secreted from…?

A

drawn from blood plasma or secreted in the tubules of the nephrons

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3
Q

Which steps does urine production include?

A

1) Primary urine after glomerular filtration

2) secondary (definitive) urine after reabsorption and secretion in kidney tubules –> excretion

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4
Q

Most important parameters of urine as a diluted substance is..?

A

Specific mass (density) (consistence, specific gravity)

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5
Q

What does the diluting and concentrating functions of the kidney refer to?

A

Mechanisms allowing for changes of the specific mass of the urine according to dynamic need of organism.

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6
Q

Instrument for measurement of specific mass is called?

A

Urometer (urinometer)

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7
Q

Which other instrument can also be used to measure density of urine?

A

Refractometer

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8
Q

How can we test the diluting function of the kidneys?

A

Measure pre- dilution.
Person drink 1,5 l of water
Re-measure specific mass after 15, 30, 45 and 60 min

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9
Q

What is diuresis?

A

increased or excessive production of urine.

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10
Q

How can drinking a large volume of liquid influence the urine?

A

By increased diuresis, increase of volume and decrease of specific mass

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11
Q

What is polyuria?

A

production of abnormally large volumes of dilute urine.

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12
Q

Which function inhibits the release of ADH?

A

Water reabsorbed from GIT –> increase in osmotic BP i

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13
Q

Inhibition of ADH leads to…?

A

A higher excretion of hypotonic (little solutes) urine

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14
Q

When does water excretion start after water intake and why?

A

After 15 minutes –> maximum after 40 min. delay due to time intervals necessary for water reabsorption, ADH inhibition and degradation of present ADH.

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15
Q

Which temperature is the urometer usually calibrated against?

A

15 C

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16
Q

How must the value be corrected if the measured temperature is different than 15 C?

A

For every 3 C up –> + 0,001 g/l
for every 3 C down –> - 0,001 g/l
to the specific mass value.

17
Q

Specific mass of urine depends on…?

A
  • conc. of diluted substances
  • ability of water reabsorption
  • food/water inntake
  • physical load
  • temperature
  • water release
18
Q

What can shift the specific mass value to higher levels?

A

Ascorbic acid (700 mg/l)

19
Q

What can shift specific mass to a lower value?

A

pH increase above 6,5

20
Q

What is the specific mass interval in farm animals?

A

1,010 - 1,045 g/l

21
Q

Urine colour depends on?

A

concentration of solutes, diet, treatment ( drugs)