GFR & RBF Flashcards

1
Q

Define PGC

A

Hydrostatic pressure within the glomerular capillary

Favors filtration

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2
Q

Define PBC

A

Hydrostatic pressure within Bowman’s capsule

Favors absorption

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3
Q

Define (Pi)GC

A

Oncotic (colloid osmotic) pressure within the glomerular capillary

Favors absorption

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4
Q

Define (Pi)BC

A

Oncotic (colloid osmotic) pressure within Bowman’s Capsule

Favors filtration

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5
Q

What is the equation for Net Filtration

A

Net filtration = PGC - PBC - (pi)GC

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6
Q

What three factors contribute to GFR

A

Hydraulic conductivity (the permeability of the endothelium) (Lp)

Surface area for filtration (Sf)

Capillary ultrafiltration pressure (PUF)

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7
Q

What is an equation for GFR

A

GFR = Kf x PUF

Where Kf = (Lp) x (Sf)

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8
Q

Is the permeability or the surface area is increased, what happens to the GFR

A

It increases

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9
Q

What is the equation for PUF

A

PUF = PGC - PBC - (Pi)GC

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10
Q

What can alter the PUF

A

CHANGING glomerular capillary pressure (PGC)

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11
Q

What determines PGC

A

Renal arterial BP

Afferent and Efferent arteriolar resistance

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12
Q

What within the glomerulus can change surface area and what does this cause

A

The mesangial cells can contract which decreases surface area and thus Kf and thus GFR

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13
Q

Where is the first drop in hydrostatic pressure within the renal system

A

At the afferent arteriole

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14
Q

How does (Pi)GC changes as the blood moves through the capillary

A

On the afferent side, it is low and filtration is high, however towards the efferent side, it rises and levels out, causing less filtration because more fluid is removed and thus more proteins are present, limiting the filtration

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15
Q

Where does most filtration take place in the capillary? What about least

A

Most @ afferent arteriole

Least @ efferent arteriole

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16
Q

What are the intrinsic control mechanisms?

A

Autoregulation

Tubuloglomerular feedback

17
Q

What are the extrinsic control mechanisms

A

SNS
Hormones
Blood composition

18
Q

Strong SNS does what to arterioles and RBD/GFR

A

Constricts arterioles and decreases GFR/RBF

19
Q

There are more a1 receptors on what

A

The AFFERENT arteriole

20
Q

What are some local vasodilators

A
PGE2
PGI2
NO
Bradykinin
DA
ANP
21
Q

Define the myogenic feedback reflex

A

BV stretch during hypertension which causes a smooth muscle contraction in the afferent arteriole to limit incoming blood and a dilation in the efferent arteriole to allow for a decreased pressure