Glomerular Filtration 3 Flashcards
What is congenital nephrotic syndrome
Leaking of proteins due to damage in slit diaphragm
GFR is dependent on
Kf (SA and thickness) x net filtration pressure
Is inulin bound to proteins
No
GFR _____ clearance of INU
Equals
Why is calculating inulin clearance not practical
Requires cathederization and expensive
80% of creative is found in urine is _________, 20% found in urine is from _________
Filtration, reabsorbtion
T/F P creatine is used clinically to test for kidney function
True
Mesangial cells have what kind of mechanism
Myogenic
T/F Major changes in arterial pressure significantly impacts renal plasma flow and GFR
False, MAP does not make a big impact on filtration
How does myogenic auto regulation work
An increase in the pressure stretches blood vessels, membranes depolarate and Ca++ causes smooth muscle contraction
What is the result of NaCl in DCT with high GFR
High NaCL
What is the effect of adenosine, angiotensin II, EPI, NE, NSAIDS, and ADH on AA
Vasoconstriction
What it’s the effect of PGE2 and PGI2, histamine on AA
Vasodilation
What does angiotensin II at low does promote? At high dose?
Constriction at EA, Constriction at AA and EA
What does prostaglandin cause
Dilation of afferent and efferent arterial
(Vasodialator)
Increases renal plasma flow, but also reduces outlet pressure. Doesn’t increase GFR much
What are NSAIDS do to prostaglandins
Cause them to go down, not able to vasodilator
What does Atrial neurotic peptide (ANP) do
Decrease resistance in afferent, increase resistatence in efferent
Tries to decrease blood volume
What is the affect of sympathetics on GFR
Increases resistance in afferent
If you need to fight or flight, that isn’t a time to be making urine
What does low level angiotensin do
Step on hose outlet
increase GFR, increases absorption too
What is a moderate increase in angiotensin do
Constrict to the efferent and afferent
What is the filtration load
GFR x plasma concentration
Angiotensin II is a
Vasodialator
RAAS is the best known hormonal system involved in regulating
Na
What does aldosterone do
Increases Na Reabsorption by DCT