Kidneys and Fluid Homeostasis Flashcards

1
Q

What are the functions of the kidney?

A
  • Part of the urinary system.
  • Act as a filtration unit, clearing waste products from the body produced during the body’s metabolism.
  • Regulate and maintain water, electrolyte and acid-base balance.
  • Activate vitamin D.
  • Produce and secrete erythropoietin (the hormone that stimulates the formation
    of red blood cells).
  • Produce and secrete renin (an enzyme involve in blood pressure regulation)
  • Clear medications/drugs from the body.
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2
Q

Where are the kidneys located?

A
  • Lie on posterior abdominal wall
  • One on each side of spine
  • Below diaphragm
  • Right kidney is usually slightly
    lower than the left one
  • Held in position by a mass of
    fat
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3
Q

What are the 3 different areas of tissue that form the gross structure of the kidney?

A
  • An outer fibrous capsule:
    covers the kidney
  • The cortex: a reddish-brown layer immediately below the capsule (surrounds the renal pyramids)
  • The medulla: the inner most layer
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4
Q

What is the anatomy of a nephron?

A
  • The nephrons are the structural
    and functional unit of the kidney
  • Each kidney contains over 1 million
    nephrons.
  • There are thousands of collecting
    ducts (which collect fluid from
    several nephrons).
  • Each nephron consist of a renal
    corpuscle and a renal tubule.
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5
Q

How do the kidneys work?

A

Urine formation and the adjustment of blood composition involve
three processes:
1. Glomerular filtration (“dumping into the waste container”)
2.Tubular reabsorption (“reclaiming what the body needs to keep”)
3. Tubular secretion (“selectively adding to the waste
container”).

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6
Q

What is Glomerular Filtration Rate (GFR)?

A
  • GFR = volume of filtrate formed by both kidneys each minute.
  • In a healthy adult, the GFR is about 125 mL/min
  • Nearly all filtrate is later reabsorbed from the tubules.
  • Less than 1% of filtrate eventually becomes urine (i.e. 1 to 1.5 litres excreted as urine).
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