kidneys and urinary Flashcards

1
Q

what % of cardiac output do kidney receive

A

20-25

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2
Q

start of the urinary plumbing

A

calyx

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3
Q

nephrons are mostly in the

A

cortex, approx 1 million

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4
Q

what are nephrons

A

smallest unit that can preform all the functions of the kidney - ie forming urine

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5
Q

each nephron has 2 components

A

vascular component and tubular

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6
Q

vascular componnet

A

glomerulus; renal artery, afferent arteriole, then flows through ball like glomerulus, then efferent (existing) arteriole and into peritubulues which surround tubular part of nephron and supply blood exchange

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7
Q

what are the long peritubules that dip into the medullas callled

A

vasa recta

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8
Q

in response to atria being stretched

A

ANP- atrial natriuretic petide

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9
Q

what is ANP

A
- inhibits RAAS
antagonist for aldosterone 
- so this inhibits Na+ reabsorption and excretes more salt - in response to a stretched atrial 
- increases GFR= more water loss
- inhibits renin from kidneys
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10
Q

what’s natriuresis

A

excreting excess salt

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11
Q

what else does ANP cause

A
  • increase GFR
  • inhibit renin from kidneys
  • it is here to decrease blood pressure and loss more water and salt
  • afferent arteriole dilation
  • sympathetic nervous system = less heart rate
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12
Q

aldosterone

A

main mineralocorticoid steroid hormone produced by adrenal cortex- cause reabsorption of sodium

  • acts by increasing the transcription of new NA+ and K+ pumps
  • save NA+ , excrete K+
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13
Q

how is aldosterone excreted?

A

from the adrenal cortex upon the stimulus of RAAS ( low blood pressure- kidneys release renin)

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14
Q

how would aldosterone release get inhibited?

A

inhibition of RAAS- ANP,

depletion of K+ in body

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15
Q

Aldosterone

A

raises blood pressure and lowers K+ levels

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16
Q

increase in sympathetic nerve response in kidneys casues

A

“fight or flight”, vasoconstriction to send blood to other parts of body, vasoconstrictor in afferent artery- cause less filtering ( not important RN)

17
Q

myogenic regulation principle

A

when you stretch a smooth muscle, it contracts. in afferent tubule. high blood pressure–> stretch, ateroiole contracts, reducing GFR!

18
Q

macula densa

A

detect salt levels, high means high GFR, they release adenosine–> vasocontrict to lower GFR