Kidney Flashcard
Parathyroid PTH
increases blood calcium levels
Renin
-stimulated in response to low BP
-efferent arteriole constriction
-inc. in FF and GFR
-stimulates aldosterone
-Na+ reabsorption in the proximal and distal tubule
Aldosterone
-secreted in response to low BP and high K in plasma via RAAS
-increases blood pressure by the reabsorption of Na+ into the kidney and secretion of K+ and H+ through urination
Vasopressin
(ADH) causes the insertion of
aquaporin channels (AQP2) and increased water retention into the collecting duct
Atrial natriuretic peptide
-Secreted in response to high atrial pressure
-Decreases blood pressure through Na+ loss and volume loss
-Increases GFR
Angiotensin(I) Converting Enzyme (ACE)
-a therapeutic target (ACE-I) for treating hypertension
-turns angiotensin I to angiotensin II
what coordinates blood pressure homeostasis?
The renal, cardiovascular and autonomic nervous systems
Explain the steps of the RAAS system
- system is activated when there is a low renal pressure
- juxtaglomerular cells produce renin
- the renin turns angiotensinogen into angiotensin I
- Angiotensin I is converted to angiotensin II by ACE
- Angiotensin II constricts systemic constriction, it also releases aldosterone, and the hypothalamus tells us that we want to drink water
- ADH increases water retention, aldosterone increases sodium retention
Factors that affect GFR include:
- Changes in renal blood flow, systemic blood pressure
- Arteriole constriction (afferent or efferent)
- Changes in protein concentration, dehydration,
osmolarity - Changes in hydrostatic pressure within Bowman’s capsule
The filtration rate (GFR)
determines how fast material
moves from the plasma to the urine
hypokalemia