Homeostasis Flashcards
Why is calcium important?
Critical for muscle and nerve function
Found primarily in the bone, extracellular fluid and blood
bones are impacted if anything goes wrong with calcium homeostasis
What hormones are involved in homeostasis?
Parathyroid Hormone
Calcitriol
Calcitonin
Parathyroid Hormone
Source is the parathyroid glands
stimulates osteoclast activity and elevates extracellular calcium ion concentration
calcitriol
source is the kidneys
promotes calcium and phosphate ion absorption along digestive tract
parathyroid hormone stimulates vitamin D to be changed into calcitriol
Calcitonin
source is the thyroid gland
inhibits osteoblast activity
promotes calcium loss by kidneys
reduces extracellular calcium ion concentration
What hormones change bone density?
Growth hormone
Thyroxine
Sex hormones
Growth hormone
source is the pituitary gland
stimulate osteoblast activity and the synthesis of bone matrix
Thyroxine
Source is the thyroid gland
with growth hormone, stimulates osteoblast activity and the synthesis of bone matrix
Sex hormones
source is the ovaries and the testes
stimulate osteoblast activity and the synthesis of bone matrix
stimulate epiphyseal closure
Causes of hypercalcaemia
reneal insufficiency- inability to excrete calcium or retain calcium
Hyperparathyroidism- increases osteoblasts so there is more calcium in our extracellular fluid which leads to calcium leaching out of the bone
hormone problems- not producing thyroxine which will affect osteoblasts
Immobilisation
Symptoms of hypercalcaemia
Groans- constipation
Moans- fatigue, depression, lethargic
Bones- calcium mainly stored in bone, stress fractures
Stones- kidney stones, more calcium can crystallise
Causes of hypocalcaemia
resistance to PTH
Vitamin D deficiency- can’t be converted in calcitriol which is important for calcium
chronic kidney disease- kidneys produce calcitriol
liver disease- albumin levels help to keep calcium in the blood
Symptoms of hypocalcaemia
convulsions arrhythmias tetany spasms numbness in fingers, hands and feet