Fluid Electrolytes Flashcards
Major determinant of resting membrane potential
ration of K cell and K in ECF
most important in the regulation of K balance
Na K ATPase
Plasma K
Increases activity of Na K ATPase
catecholamines and insulin
Inhibits NaKATPase
Digitalis
Increase in K for every unit 0.1 fall in pH
0.2 to 1.7 meq/L
Increase in plasma K for every 10 mOsm/kg elevation in POsm (hypergly, hypernat, mannitol)
0.4 to 0.8 meq/L
secretion of K to lumen
Distal nephron
principal cells CCT
cells in adjacent connecting segment
outer medillary collecting tubule
K proximal tubile
passive transport
almost complete reabsorption
K thick ascending LOH
Na K 2Cl carrier
K absorption
intercalated cells in cortical and outer medillary collecting tubule
H K ATPase
Major physiologic regulators of K secretion
Aldosterone
Plasma K
Augments K secretion by Increasing the number of open Na K Channels in the luminal membrane and activity of Na K ATPase
Aldosterone
Enhancr distal K secretion by increase number of luminal channels
ADH
K in hypoaldosteronism vs hypoaldosteronism
Hyperkalemia
Hypokalemia (enhance urinary K loss)
Decrease distal flow rate volume depletion: K secretion
Decrease K secretion, hyperkalemia