fong VIII Flashcards
how much Ca2+ is filtered at the glomerulus?
~60%
do the kidneys secrete Ca2+?
no
how is calcium absorbed in the proximal tubules?
passive, paracellular
how is calcium absorbed in the distal tubules?
transcellular
what regulates calcium at the level of the bone and kidney?
PTH
1, 25 dihroxvitamin D stimulates what?
intestinal Ca2+ uptake
Thiazide diuretics to what to DT Ca2+ absorption?
enhance it
resting membrane potential, Vm, is determined largely by what?
membrane K+ conductance
what happens when K+ is in excess?
K+ is excreted
what 2 things happen in acute regulation of K+ in ECF?
- uptake into ICF (Na+/K+ ATPase)
- skeletal muscle is a major reservoir
what 2 things happen in long term regulation of ECF K+?
- fecal loss
- renal excretion
most of the K+ in the body resides where?
in the intracellular space
what cells secrete K+ in the CD?
principle cells
K+ is inhibited by what?
acidosis
K+ is stimulated by what?
alkalosis
T/F: aldosterone stimulates ROMK.
true
at a low K+ load:
ROMK is sequestered
BK is closed
at a modest K+ load:
ROMK is open
BK is closed
at a high K+ load:
ROMK is open
BK is open
how are BK channels regulated?
by flow
acidic ECF = hyper or hypo kalemia
hyperkalemia
-acidic inhibits ROMK
alkaline ECF = hyper or hypo kalemia
hypokalemia
-alkaline actives ROMK