Kidney Function Flashcards
List the major functions of kidney and urinary system
*Dispose of waste products
*Maintain overall fluid and electrolyte
*Acid base balance
*Reabsorbing needed material
*Regulating blood pressure
*Creating hormones
What does the cortex of the kidney do?
The outer region of the kidney. It is the region that surrounds the renal medullas (pyramid shape region). Filtration occurs here (contains glomerulus)
What does the medulla of the kidney do?
Contains tubules of the nephrons and filters fluid from the blood.
List the parts of a nephron
*Bowman’s capsule at glomerulus
*Proximal tubule
*Loop of henle
*Distal convoluted tubule
*Collecting ducts
*Nephron empty into collecting ducts then towards renal pelvis
What is the approximate number of nephrons per kidney?
Approximately 900,000 to 1 million
Explain glucose threshold and what is the range of it?
A specific amount of something in the body such as glucose which has threshold of 160-180 mg/dL and once that threshold is reached excess glucose will be excreted in the urine
Describe the glomerulus of the nephron.
Filtration occurs, allows small molecules to pass through and large molecules are unable to enter the filtrate. This requires high hydrostatic pressure in order for liquid ot pass through. The bowman’s capsule has a set of negative charges in order to hold onro proteins . The ultrafiltrate that remains will pass on to the tubules.
Describe the tubule of the nephron
-Reabsorption: Needed components are returned to the body
-Secretion: wastes are removed from blood stream and excreted through the urine
-Involved passive and active transport
-Somethings are completely reabsorbed or secreted
-Somethings are secreted or reabsorbed based on their threshold
Describe the proximal tubule of the nephron
Essential substances are reabsorbed here along with 70% of water, K, Cl, and urea. Glucose, amino acids, proteins, lactate, citrate, Mg, and Ca are all actively transported through. Indirect active transports brings sodium that is coupled with another molecule while direct active transports uses the sodium potassium pump.
Describe loop of henle
this is where sodium and water recovery occurs through the creation of a concentration gradient. Descending is water permeable but ascending has ions come in and out.
Describe the distal tubule
This where the adjustments occur such as pH, Osmolality, electrolytes, and whatever is necessary in the the filtrate. Potassium, ammonia and hydrogen are secreted from this section whole sodium and bicarb are reabsorbed.
Describe how glomeruli and each renal tubule section are involved in creation of urine and compare volume of fluid processed per day to amount of urine excreted.
*180 L of plasma is filtered through the kidneys and 1.4 of this can become urine if the adult is well hydrated
*Average urine for a healthy hydrated adult is 1200-1500 mL of urine
*600-2000 in a 24 hr period
What is polyuria?
Abnormal increase in urine volume
Define Oliguria
Decrease in urine volume
Define anuria
No urine production