L24: Renal System II Flashcards
urinary excretion of a substance depends on
its filtration, reabsorption, secretion
glomerular filtration
from glomerulus to Bowman’s capsule
reabsorption
from tubules to peritubular capillaries
secretion
from peritubular capillaries to tubules
excretion
from tubules out of the body
filtered quantities of a substance are generally
larger than the amounts of the substances in the body
reabsorption of waste products
is relatively incomplete, large fractions are excreted
reabsorption of most useful plasma components
is complete
reabsorbed substance must move
across two barriers: the tubule epithelium and the capillary endothelium
primary barrier to reabsorption
epithelial cells lining the renal tubules
___ limit the passage of substances between cells
tight junctions between the renal tubule epithelial cells
transport can be
active or passive
barrier for secretion are
the same as for reabsorption
substances such as ___ move from the peritubular capillaries into the tubular lumen
hydrogen ion, potassium, organic anions
tubular secretion is an important mechanism for
disposing of drugs and drug metabolites, eliminating undesired substances that have reabsorbed by passive processes, removing excess K+, controlling blood pH
glomerular filtration is driven by
hydrostatic pressure in the glomerular capillaries
glomerular filtration is opposed by
hydrostatic pressure in Bowman’s space and the osmotic force due to the proteins in the glomerular capillary plasma
under normal conditions,
losses of salt and water equal gains
urinary loss regulation
matching of losses and gains of salt and water
Na+ reabsorption
an active process occurring in all tubular segments except the descending limb of the loop of Henle
water reabsorption
is by osmosis and is depended upon Na+ reabsorption
Na+ is actively transported
across the basolateral membrane of renal tubule cells establishing an osmotic gradient for water reabsorption
active transport of Na+ out of renal tubule cell keeps
intracellular Na+ lower than the renal tubular fluid Na+