L89- Physiology of hypertension 3 Flashcards

1
Q

what does the renin angiotensin aldosterone system do?

A

it important in control of blood volume and therefore blood pressure

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2
Q

where does angiotensinogen get released from?

A

liver

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3
Q

whee does renin come from?

A

kidney

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4
Q

what does renin act on and what happens?

A

angiotensin to form angiotensin I

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5
Q

where is angiotensin- converting enzyme (ACE) released from?

A

lungs

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6
Q

how is angiotensin II made?

A

ACE acts on angiotensin I to form it

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7
Q

what does the renin-angiotensin system do?

A
  • drop in blood pressure

- drop in fluid volume

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8
Q

how does vasoconstriction occur in the renin-angiotensin system?

A

angiotensin II acts directly on blood vessels to stimulate vasoconstriction

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9
Q

how is aldosterone released?

A

angiotensin II acts on the adrenal gland to stimulate release of aldosterone

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10
Q

where does aldosterone act on?

A

acts on the kidneys to stimulate reabsorption of salt and water

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11
Q

how does angiotensin II cause vasoconstriction?

A

if angiotensin II acts on AT1 receptor it causes vasoconstriction which would lead to hypertension

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12
Q

what does angiotensin II do to calcium concentration?

A

it acts on AT1 receptors and increases

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13
Q

what does increasing water or sodium reabsorption do to blood pressure?

A

it causes high blood pressure

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14
Q

how does angiotensin regulate muscle tension in the artery walls?

A

it causes the muscle to contract and leads to increasing blood pressure

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15
Q

how does atrial natriuretic hormone(ANH) regulate muscle tension in the artery walls?

A

it causes the muscle to relax and this causes a decrease in blood pressure

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16
Q

how does aldosterone regulate salt and water balance?

A

increases retention of salt this therefore increases blood volume and pressure

17
Q

how does antidiuretic hormone(ADH) regulate salt and water balance?

A

increases retention of water

18
Q

what is being lost from the descending limp of the loop of Henle?

A

water is being lost

19
Q

what is being lost from the ascending limb of the loop of Henle?

A

NaCl

20
Q

how does aldosterone cause K+ secretion and sodium reabsorption and the secondary effect of water following the sodium?

A

1) aldosterone combines wit a cytoplasmic receptor
2) hormone-receptor complex initiates transcription in the nucleus.
3) new protein channels and pumps are made
4) aldosterone induced proteins modify existing proteins
5) results is the increased Na+ reabsorption and K+ secretion