Kidney function Flashcards

1
Q

What are 6 functions of kidneys?

A
  1. Ion balance
  2. Osmotic balance
  3. Blood pressure
  4. pH balance
  5. Excretion of nitrogenous waste and other toxins
  6. Hormone production
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2
Q

What is the primary osmotically active ion in the extracellular fluid?

A

Sodium

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3
Q

What is hyperatremia?

A

Na+ concentration is too high in ECF

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4
Q

What is hypoatremia?

A

Na+ concentration is too low in ECF

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5
Q

What is hyperkalemia?

A

K+ concentration is too high in ICF

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6
Q

What is hypokalemia?

A

K+ concentration is too low in ICF

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7
Q

What is the primary osmotically active ion in the intracellular fluid?

A

K+

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8
Q

How do kidneys regulate the osmotic balance?

A

They regulate the volume and concentration of urine produced, which regulates the osmotic balance of the blood by excreting or retaining salts and water

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9
Q

How do kidneys regulate the blood pressure?

A

They regulate the blood volume, which regulates the pressure by extension

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10
Q

How do kidneys regulate the pH balance of the blood?

A

They can retain or excrete H+ or HCO3 into the urine, which changes the pH. Both NH3 creates acids or bases and urea production uses up bicarbonate, which creates an imbalance that needs to be fixed

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11
Q

What does it mean when the U/P ratio = 1?

A

Urine is isosmotic relative to the blood, so water and solutes are secreted in relation to the plasma concentrations and the osmotic pressure of the blood isn’t affected

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12
Q

What does it mean when the U/P ratio < 1?

A

Urine is hyposmotic relative to the blood. More water will be secreted and salts will be retained

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13
Q

What does it mean when the U/P ratio > 1?

A

Urine is hyperosmotic relative to the blood. More salts will be secreted and water will be retained

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14
Q

What is the U/P ratio of marine teleost urine?

A

U/P > 1. The urine is hyperosmotic because of the high concentration of divalent atoms

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15
Q

What is the U/P ratio of freshwater teleost urine?

A

U/P < 1. The urine is hyposmotic because the fish is retaining salts

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