final exam Flashcards
functions of urinary system
excretion, elimination (urination), homeostatic regulation
urinary system does what
removes metabolic wates
kindeys remove metabolic waters and produce urine
three metabolic wastes
urine
creatinine (breakdown of creatine phosphate)
uric acid
organic wastes
dissolved in bloodstream
eliminated only when dissolved in urine
removal
-to remove wastes, flush out with water -> water loss
damaged kidney leads to
build-up/ elevated creatinine in blood
excess sodium or potassium
pulls water with it
urinary system functions
-regulates blood volume (plasma) and pressure by adjusting water lost in urine
-regulats plasma ion concentrations
-sodium, potassium, chloride
-calcium controlled by calcitrol
homeostatic functions of urinary system
stabilize blood pH
controls loss of hydrogen and bicarbonate
-conserves nutrients by preventing loss while removing metabolic wastes
-assists liver in detox of positions
organs of urinary system
kidneys: produce urine
urinary tract: eliminates urine
-ureters
-urinary bladder
-urethra
-urination or micturition: eliminates urine
ureters
transport urine towards urinary bladder
urinary bladder
`temporarily stores urine prior to urination
urethra
conducts urine to exterior
parts of kidney
renal pelvis
hilium
renal cortex
renal medulla
fibrous capsule
kidney functions on blood
blood -> filters
whatever is supposed to come out on the other end comes out, others are retained in blood
-filtrate: comes out on the other end
what is not filtered by kidneys
big protiens
red blood cells
after eliminated as urine
goes to minor calyx -> major calyx -> hilium/ renal pelvis -> ureter
renal artery
blood vessel branches/ divides and gets smaller until it reaches glomerulus
glomerulus
wrapped in blood vessels oi a ball
-pushes against the nephron
cortical nephron
initial filtration of all plasmas in blood
hydrostatic pressure
like a pison that pushes down on water, trapped surface but water flows through
oncotic pressure
two containers, semipermiable membrane allows water through, not particles B -> A
cortical vs juxtamedullary nephron
cortical: spans cortex
juxtamedullary: spans medulla, longer
affarent
brings blood in from renal artery -> glomerulus -> bowmans capsule (filtrate)
efferent
“exit”
non-filtrates (dont pass filtrate)
functions of nephron
manage products
-remove waste via filtration
-reabsorb what you filtered iyt but need back
blood volume regulation
-retain water
-push into urine
arteriole vs tubule
arteriole: inside
tubule: outside
glomerular filtration
-hydrostatic pressure
-across filtration membrane
-small solute molecules pass thru
-larger molecules cant
three components of glomerular filtration
-fenestered endothilium
-basement membrane
-foot processes of podocytes
podocytes
tentacles; suction to side of glomerulus
innermost layer of veesel
endothilium
nephrotic syndrome
podocyte foot processes lose electric charge
glomerular capillaries
fenestered
small pores
prevent passage of blood cells
basement membrane
selective
only allow small plasma proteins, nutrients and ions
filtration membrane
renal corpuscle
blood pressure forces water and small solutes into capsular membrane
sodium: protein-free filtrate
renal corpuscle is a combination of
glomerulus and bowmans capsule
filtration
BP forces water and solutes across walls of glomerular capillaries
reabsorption
movt of water and solutes from filtrate -> peritubular fluid
secretion
transport of solutes from peritubular fluid -> tubular fluid
PCT
secretion and reabsorption mostly occur here
peritubular
outside/along tubules are wrapped within blood vessels
-add and remove things
glomerular filtration is balanced by
hydrostatic pressure (one direction) and colloid osmotic pressure (sometimes pulls in other direction; if semi-permeable membrane, fluid in both compartments but one has more solute in it, water goes where theres more solute)
Glomerular hydrostatic pressure (GHP)
flows into efferent arteiole in smaller luminal diameter
-GHP is higher than hydrostatic pressure in peripheral capillaroes
-pushes water and solutes out of bloodstream into filtrate
in glomerular space and peritubular space
oncotic pull - whichever has more protiens = greater oncotic pull of plasma into it
factors controlling glomerular filtration
GHP: pushed onto tubule filtrate
BCOP: pressure of proteins i in glomerulus pulling water back
NFP: net pressure
CsHP: small amount of hydrostatic pressure of capsule pushing back
net filtration pressure
add up all pressures
creatinine
kidney function
GFR
pushing of filtering plasma into tubular fluid
-125 mL/min
-net filtration pressure determines GFR
Renal corpuscle filtration
-passive
-solutes entering capsular space
-glucose, free fatty acids, amino acids, vitamins
glucose, fatty acids, amino acids and vitamins are reabsorbed
renal tubules and collecting system
renal tubule functions
reabsorb organic nutrients, water in filtrate, secrete wastes that did not enter filtrate at glomerulus
functions of PCT
reabsorption of organic nutrients, ions, water
-secretion
decending limb of nephron loop
freely permeable to water
reabsorbs sodium and chloride from tubular fluid
three processes at DCT
secretion of ions, acids, drugs and toxins into tubule
reabsorption of sodium and calcium
reabsorption of water
ascending limb of nephron loop
impermeable to water
removes sodium and chloride
very long in juxtamedullary nephrons (nephrons downto medulla)
reabsorption at DCT
-transport Na and Cl out of tubular fluid
-reabsorb Na in exchange for K
collecting system
transports tubular fluid from nephrons to renal pelvis
determines final osmotic conc and volume of urine
when body needs more water reabsorption
release ADH from posterior pathway
-insertion of aquaporins - water is recollected and leaks into the body
reabsorption and secretion in collecting system
Aldosterone: salt absorption
-opposed by ANP
ADH: water reabsorption
-secretion is suppressed by ANP
too much ANP
too much fluid -> heart congestion (to get rid of fluif)
aldoesterone functions
retains fluid and maintains BP
ANP and BNP
released in heart in response to excessive blood volume
reabsorption in collecting system
sodium ion reabsorption
- Na exchanged for K
bicarbonate ion reabsorption
-HCO3 exchanged for Cl
-urea reabsorption by diffusion
urea is a biproduct of
protien metabolism
-not poisonous to body, excreted freely in urine
2 measures for determining health of kidneys
creatinine
GFR
blood, urea, nitrogen (BUN)
hypokalemia
reduction in plasma potassium conc
-produced by aldosterone stimulation
-sodium maintains BP
ANP
opposes secretion of aldosterone
-works on renal tubule pulls in Na, rids K
parathyroid hormone
calcium reabsorption at DCT
hydrogen ion secretion
hydrogen generated by dissociation of carbonic acid
-bicarbonate diffuses into bloodstream to prevent changes in plasma pH
hydrogen ion secretion functions
-acidifies tubular fluid
-elevates blood pH
-accelerates when blood pH falls
pH in blood decreases in
metabolic acidosis
ketoacidosis
acidosis
when pH is below 7.4
alkalosis
when pH is above 7.4
control of blood pH
aldosterone stimulates H+ secretion
-prolonged aldosterone causes alkalosis/ hypokalemia -> high pH
high blood pH
in response to acidosis
ties up H+ and yields bicarbonate ions
generates bicarbonate ions to buffer plasma
how urine is concentrated
countercurrent multiplication
-exchanges fluids moving in opposite directions
multiplication
exchange increases as movement of fluid continues
medullary osmotic gradient
1200 mOsm/L
Na and Cl pump out
remainder from urea
descending thin limb down
conc as you go down medulla, water is pulled out of osmotic gradient
-tubular fluid lets water go into medulla the lower it goes down
thick ascending limb
as it goes up, water cant leave but sodium can
role of urea
as water is reabsorbed, concentration of urea in tubular fluid rises
obligatory water reabsorption
85% of filtrate volume
facultative water reabsorption
DCT and collecting system
-15% filtrate volume
vasa recta
returns reabsorbed solutes and water to general circulation
-countercurrent exchange
as blood in vasa recta descends into medulla
increases in osmotic concentration
-solutes absorbed in descending portion do not diffuse out in ascending portion
reabsorption
goes back into body and blood vessels
secretion
removal
normal urine
clear, sterile liquid
-depends on osmotic movement of water
-yellow: urobilin
ureter to bladder
transitional epithelium
peristaltic contractions
sweep along ureter
forcing urine toward urinary bladder
urinary bladder
hollow, muscular organ
temporary storage for urine
1 L of urine
detrusor
main bladder muscle
center of trigone
leads to ureter
neck of urinary bladder
internal urethral sphinter
-involuntary control of urine discharge (brain controls)
urinary bladder innvervation
parasympathetic fibers
“rest and digest”
urethra
transports urine from neck to exterior of body
external urethral sphinter
voluntary control
-voluntary relaxation permits urination
urine voiding reflex
stretch receptors send impulses to pontine micturition center
-detrusor contracts
-internal and external urethral sphinters relax
Juxtaglomerular complex (JGC)
blood pressure and filtration formation
-consists of:
macula densa
JGC
extraglomeular mesangial cells
macula densa
chemoreceptors
baroreceptors (pressure)
juxtaglomerular cells
smooth muscle cells
baroreceptors and secrete renin (angiotensin -> aldosterone)
extraglomerular mesangial cells
between affarent and efferent arterioles
-provide feedback control
homeostasis when blood flow to kidneys decrease
-JGC releases renin
-Renin forms angiotensin I
-ACE converts I -> II
-AGII constricts efferent arterioles
-AGII increases aldosterone
-Aldosterone increases Na+ retention
-Increased ADH -> increases fluid retention -> increased cardiac output
angiotensin II
increased aldosterone
increased arterial pressures
stimulates thirst center
increased ADH
increased systemic BP and BV and restored normal GFR
aldosterone
Na pumps and channels
along DCT and collecting duct
reduces Na+ lost in urine
natriuretic peptides
released in response to stretched walls when too much blood volume
-dilation of afferent and constriction of efferent
-increase GFR
-more urine production, decreased BV and BP
vasodilation of affarent and efferent arterioles
decreases GFR, blood pressure goes down
autonomic regulation of GFR
sympathetic activation
-constricts affarent glomerular artioles
-decreases GFR
-slows filtrate production
acid base compensation
fully: pH is normal
partially: 3 values abnormal
uncompensated: PaCO2 or HCO3 is normal, other is abnormal
fluid balance
water gained = water lost
water loss
urinary system
-feces, perspiration, fever
body water content
mostly in ICF
ICF
inside cells
ECF
interstitial fluid, plasma
barriers
endothilieum, cell membrane
sources of water loss
skin and lungs
feces
sweat glands
fluid shifts
ICF volume greater than ECF
-ICF: water reserve
-prevents large osmotic changes in ECF
when ECF loses water
hypertonic
when osmotic water shifts from ICF into ECF
decreases ICF volume
-dehydration
severe water loss results from
perspiration
inadequate water
repeated vomitting
diarhea: determined by bacteria
homeostatic responses
ADH and renin secretion retain fluids
-increase fluid intake
RAS system causes thirst
hypothalamus and medulla
-detect loss of water -> thirst