Function Flashcards

1
Q

What are the Physiological components of Renal function?

A

Renal Blood Flow
Glomerular Filtration
Tubular Reabsorption
Tubular Secretion
Urinary Secretion
Osmolality Regulation
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2
Q

What is able to pass freely through the Glomerulus?

A

Water
Electrolytes
Small dissolved solutes
Negatively charged

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3
Q

What is the volume of blood filtered per minute?

A

Glomerular Filtration Rate (GFR)

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4
Q

What does the Tubular generally filter?

A

Waste products and substances that are valuable to the body

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5
Q

What is the most metabolically active part of the Nephron?

A

Proximal Tubule
75% of water; 100% of glucose

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6
Q

How does the Proximal Tubule reabsorb?

A

Active Transport (ATP, Sodium)
Passive Transport (No ATP, water and Cl)

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7
Q

What is the Renal Threshhold?

A

The plasma concentration above which the substance appears in urine

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8
Q

Where do Anti/Diuretics do their work?

A

On the loop of Henle to increase or decrease urine production

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9
Q

What two hormones allow the Distal Tubule to make it’s adjustments?

A

ADH/AVP: (Hypothalamus; Stored in Pituitary Gland)
Aldosterone: Reabsorption of Sodium (Produced by Adrenal Glands)

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10
Q

Where is a secondary place Chloride and Urea can be absorbed?

A

Collecting Duct

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11
Q

How should Urine be in a healthy patient?

A

Sterile and clear
Amber color
Slightly acidic (4.7 - 7.8)
Specific Gravity of 1.003 - 1.035

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12
Q

What are the alterations of Urinary out-put?

A

Anuria (< 100mL)
Oliguria (< 400mL)
Polyuria ( >3L)

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13
Q

What controls electrolytes in the body and what are the major ones?

A

Dietary intake and Kidneys
Sodium, Potassium, Chloride, Bicarbonate

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14
Q

What are the primary functions of the Kidneys?

A

Production of Renin, Erythropoietin, and Vitamin D3

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15
Q

What is the purpose of Renin?

A

Initial component of the Renin Angiotensin Aldosterone System

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16
Q

What is the purpose of Erythropoietin?

A

Increases number of RBC’s by acting on bone marrow
Regulated by blood oxygen levels

17
Q

What is the purpose of Vitamin D3?

A

Activated by the kidneys
Regulates Phosphate and Calcium balance
Bone Calcification

18
Q

What defines a secondary function of the Kidneys?

A

Hormones go to the kidneys to act or be degraded

19
Q

What is the function of Antidiuretic Hormone (ADH/AVP) and where is it produced?

A

Made by Hypothalamus; Stored in Pituitary
Retention of Water
Vasoconstriction properties

20
Q

What is the purpose of the Juxtaglomerular Apparatus (JGA)?

A

Maintains blood pressure and sodium concentration by releasing Renin when it is low in the Afferent tube.

21
Q

What does Renin do in the RAAS?

A

Cleaves Angiotensinogen which creates Angiotensin I

22
Q

What is the function of Angiotensin I?

A

Gets converted to Angiotensin II in the lungs by Angiotensin Converting Enzyme (ACE)

23
Q

What is the role of Angiotensin II?

A

Increases blood pressure and releases Aldosterone
Hypothalamus releases ADH/AVP to increase sodium levels

24
Q

What are Nonprotein Nitrogen Compounds and what are the three principal compounds?

A

Waste products after metabolism of Nucleic Acids, Amino Acids, and Proteins
Urea, Creatinine, Uric Acid