Kidneys Flashcards

1
Q

What is the function of the kidneys?

A

remove waste products and filters blood
regulates electrolytes
regulates blood pressure
reabsorption of water, glucose and amino acids

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2
Q

What does the volume of fluid depend on?

A

balance of fluid intake and output, kidneys are a major part of this process

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3
Q

Where do we get the feeling of thirst?

A

receptor cells in hypothalamus activate when hypertonic conditions secrete hormones
receptor cell cease secretion when hypertonic condition is balanced

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4
Q

How does the body know when there is too much fluid in the body?

A

heart activates stretch receptors which signals reduction of anti-diuretic hormone and less fluid reabsorbed by kidneys, which leads to dilation

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5
Q

What happens when there is an increase in glomerular blood pressure?

A

increased filtration and less water being reabsorbed into plasma

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6
Q

What are the hormones that are produced by kidneys?**

A

erythropoietin, renin-aldosterone-angiotensin system, 1,25 dihydroxyvitamin D3 (100%)

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7
Q

What is the site of synthesis of erythropoietin in adults? (TQ)**

A

kidney

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8
Q

What is the site of synthesis of erythropoietin in fetuses? (TQ)**

A

liver

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9
Q

Is erythropoietin a neurotransmitter?**

A

no

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10
Q

What is the function of erythropoietin?**

A

stimulate development of RBCs in bone marrow

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11
Q

What is erythropoietin a treatment for?

A

anemia

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12
Q

What can cause high levels of erythropoietin?

A

performance enhancing drug, but can cause dehydration (increased in exercise)
can also increase thickness of blood (leading to heart attacks and strokes)

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13
Q

What does erythropoietin control the secretion of?**

A
STH
endorphins
substance P
ADH
oxytocin
thyroxine
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14
Q

What is the function of renin-angiotensin-aldosterone system?**

A

regulates blood pressure and fluid balance, stimulates release of norepinephrine, increases vasoconstriction of blood vessels (increase blood pressure when pressure is too low)

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15
Q

What happens if there is a loss of blood volume or blood pressure?**

A

the baroreceptors in the carotid sinus sense the drop in the BP or blood volume
the macula densa cells signal the juxtaglomerular cells to release renin

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16
Q

What does the macula densa do?**

A

senses decrease in blood pressure, which causes decrease in glomerular filtration rate (GRF) and increases amount of water retension

17
Q

WHAT DOES PLASMA RENIN ACTIVATE THE CONVERSION OF?

A

ANGIOTENSINOGEN FROM LIVER –> ANGIOTENSIN i AND IS CONVERTED TO –>ANGIOTENSIN II - BY ANGIOTENSIN CONVERTING ENZYME FOUND IN THE LUNGS

THUS, LUNG PROBLEMS CAN LEAD TO KIDNEY PROBLEMS AND VICE VERSA

18
Q

What releases renin into circulation to decrease fluid flow?*

A

juxtaglomerular cells

19
Q

What does angiotenin II do in the renin-angiotensin-aldosterone system?

A

causes blood vessels to constrict and stimulate the release of aldosterone from the adrenal cortex

20
Q

What is the function of aldosterone in the renin-angiotensin-aldosterone system?**

A

increases reabsorption of sodium and water increasing blood pressure and fluid volume

21
Q

What are the hormones of the kidneys?

A

anti-diruetic hormone, aldosterone, parathyroid hormone, atrial naturetic hormone

22
Q

What is the function of the renin-angiotensin-aldosterone system?

A

brings blood pressure back to normal