Intesinal Secretion & Absorption Flashcards

1
Q

What is the primary function of the small intestine?

A

Absorption of:
Nutrients, water & electrolytes

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2
Q

What makes up the small intestine?

A

Duodenum, jejunum, and ileum

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3
Q

Where had fast absorption rate?

A

Duodenum and upper jejunum

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4
Q

What ions are partially absorbed and why?

A

Calcium and iron
Bigger molecules because of larger hydration shell

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5
Q

What is important about the ingestion of food?

A

Regulates the rate of caloric absorption

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6
Q

What are the ways to increase surface area?

A

Folds, villi, microvilli

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7
Q

Describe the absorption of water and electrolytes in the small intestine

A

99% of water and electrolytes absorbed
Defecation of water, Na+, Cl- and K+

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8
Q

What happens when water and electrolytes are not absorbed?

A

Rapid dehydration & circulatory collapse

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9
Q

What regulates water transport?

A

Electrolyte transport

To take water out, salt needs to be removed = to create osmotic pressure

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10
Q

What is the composition of intestinal juice?

A

Higher bicarbonate and lower Cl- than plasma
HCO3-/Cl- exchanger

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11
Q

Why are enzymes present in the small intestine?

A
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12
Q

What is the function of intestinal juice?

A

Fluidity of chyme
Neutralize the chyme, because juice is slightly alkaline

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13
Q

What triggers intestinal juice secretion?

A

Mechanical irritation of the mucosa
Distension of the gut
ACh & gastrin triggering increase in calcium
Secretin, CCK & GIP = triggering increase in cAMP

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14
Q

What is the pH like in the GIT?

A

pH varies through the GI tract = 1.5-8

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15
Q

Name some factors that affect pH?

A

Drugs and disease

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16
Q

What does pH have an effect on?

A

pH afects the % of un-ionized molecules

un-ionized = non-polar
More lipid soluble

17
Q

Describe the properties of colon/large intestine

A

90-150cm long
No villi
Microflora present
VIscous material = end point of material

18
Q

What is the function of the large intestine?

A

Similar to small intestine = absorption

19
Q

What does the large intestine secrete?

A

Mucuc and intestinal juice

20
Q

What is the composition of K+ and HCO3-?

A

High K+ and HCO3- = pH of 8-8.4
Not a major K+ excretion site
Buffer against H+ produced by bacterial fermentation

21
Q

What stimulates large intestinal secretion?

A

Parasympathetic nerve impulses
Mechanical or chemical irritation of the mucosa

21
Q

What inhibits large intestine secretion?

A

Sympathetic nerve impulse decrease secretion
When stressed = alica and mcuus is thick

22
Q

What happens when we fail to absorb electrolytes normally and what is the cause?

A

Congenital Cl- diarrhoea
Lacking Cl-/HCO3- exchanger
Retention of HCO3- cause metabolic alkalosis

23
Q

What does failure to absorb nutrients cause?

A

Carbohydrate malabsorption syndromes

24
Q

Name types of oral rehydration therapy

A

Glucose-saline solution = monosaccharide causes absorption of Na+ to lose less water
Amino acid saline solution

25
Q

What causes secretory diarrhoea?

A

Enhanced secretion of water and electrolytes = wash out toxic substances