K+ Flashcards

1
Q

major mechanism of transport in the proximal tubule

A

Na-K-ATPase pump in the basolateral membrane

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2
Q

a-catecholamines

  • effect on K+
A

decrease cell uptake (hyperkalemia)

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3
Q

how does aldosterone enhance acid secretion of K+

A

production of systemic alkalosis

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4
Q

principal cells

  • reabsorb
  • secrete
A
  • Na+, H2O
  • K+
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5
Q

during volume expansion,

what increases distal K+ secretion and what decreases it

A
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6
Q

3 most important factors that stimulate potassium secretion

A
  1. increased ECF K+
  2. aldosterone
  3. increased tubular flow rate
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7
Q

alkalosis

  • effect on K+
A

increase cell uptake (hypokalemia)

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8
Q

effect on anion delivery on K+

A

increases K+ secretion

  • acts as osmotic diuretic and increases fluid flow rate
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9
Q

cell damage

  • effect on K+
  • mechanism
A

decrease cell uptake (hyperkalemia)

release of intracellular contents

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10
Q

strenuous exercise

  • effect on K+
  • mechanism
A

increase cell efflux of K+ via alpha catecholamines

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11
Q

during volume contraction,

what increases distal K+ secretion and what decreases it

A
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12
Q

effect of glucocorticoids on K+

A

increases K+ secretion via binding of mineralcorticoid receptor, increasing GFR, and increasing fluid flow rate

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13
Q

role of epinephrine on K+

A
  • decreases uptake into cells extrarenally
  • increases K+ secretion
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14
Q

beta-intercalated cells

  • reabsorb
  • secrete
A
  • H+, Cl-
  • K+, HCO3-
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15
Q

after K+ is secreted into cortical collecting duct, what part of the duct is it reabsorbed at

A

outer medullary and inner medullary

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16
Q

alpha-intercalated cells

  • reabsorb
  • secrete
A
  • K+, HCO2-
  • H+
17
Q

2 most important factors that stimulate potassium reabsorption

A
  1. K+ deficiency
  2. K+ loss through severe diarrhea
18
Q

during high water intake,

what increases distal K+ secretion and what decreases it

A

ADH does both

19
Q

in acidosis,

what increases distal K+ secretion and what decreases it

A
20
Q

when is K+ reabsorbed in the late DT and cortical CD

A

only if you have low K+ levels

21
Q

b-catecholamines

  • effect on K+
  • mechanism
A

increase cell uptake

NaKATPase w/ cAMP

22
Q

insulin

  • effect on K+
  • mechanism
A

increase cell uptake

NaKATPase

23
Q

where is the H+/K+ exhanger located for beta intercalated cells and alpha intercalated cells

A

beta: basolateral membrane
alpha: apical membrane

24
Q

hyperosmolality

  • effect on K+
  • mechanism
A

increase cell efflux of K+

contraction of ICF and increased intracellular K+

25
Q

after K+ is reabsorped from the OMCD and IMCD, where is it secreted into

A

late proximal tubule and descending LoH

26
Q

what are the two membrane transporters on prinicipal cells that secrete K+

A

BK (big potassium channel)

ROMK (renal outer medullary potassium channel)

27
Q

acidosis

  • effect on K+
  • mechanism
A

decrease cell uptake (hyperkalemia)

donnan effect; inhibition of NaKATPase

28
Q

filtered load equation

A

FL = GFR x Plasma concentration x %filterability