GFR and clearance Flashcards

1
Q

What is the goal of renal function?

A

. The goal of renal function is to maintain the volume

and composition of plasma.

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2
Q

How would you define a medical condition characterized by abnormally high levels of nitrogen-containing compounds (such as urea, creatinine, various body waste compounds, and other nitrogen-rich compounds) in the blood.

A

Azotemia

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3
Q

Hypertension and hyperglycaemia would be what types of kidney problem?

A

Pre-renal.

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4
Q

A kidney with intrinsic damage e.g. interstitial
fibrosis has what kind of problem?
.

A

Renal

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5
Q

Where might Post-renal kidney problems occur?

A

something happened after the

kidney e.g. urethral blockage, stenosis

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6
Q

Renal damage of the tubules causes problems with what?

A

Re-absorption and secretion.

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7
Q

Interstitial kidney problems make what hard?

A

Concentrating urine.

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8
Q

How do NSAIDs work?

A

NSAIDS are prostaglandins blockers which widen the afferent vessels and reduce glomerulus pressure.

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9
Q

Define GFR?

A

Glomerular filtration rate (GFR) is the
volume of fluid filtered from the
glomerular capillaries into the Bowman’s
capsule per unit time

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10
Q

What is the GFR of a 25kg dog?

A

75 mI/mm

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11
Q

What is the GFR of a 500kg horse?

A

750ml/min

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12
Q

At what % of nephron loss do Cr and BUN indicate renal disease?

A

70-75%

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13
Q

How does oedema occur in proteinuria?

A

Reduced efficiency to move fluid from tissues into

blood because less protein in it so oedema forms in tissues.

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14
Q

What determines hydrostatic pressure?

A

— Cardiac output generates pressure
— Afferent and efferent arterioles determine
relative pressure difference across glomerulus
— Concentration of plasma proteins

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15
Q

What does renal clearance depend on?

A

Renal clearance depends on glomerular filtration rate (G FR), tubular reabsorption AND tubular secretion.

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16
Q

What is the osmolality of ultrafiltrate of the glomerulus?

A

Isothenuric.

17
Q

Apart from creatinine what else can be used to measure GFR?

A

— lohexo
— Inulin
— Tc-99m DTPA