lecture 25: renal physiology 1 Flashcards
main functions of the kidney
- water and electrolyte balance
- maintain blood osmolarity
- regulate blood volume
- regulation of blood pressure
- execrete metabolic waste/foreign chemicals
- regulate blood pH
- regulate RBC production
- regulate hormone production
- regulate blood glucose levels
process of osmosis
movement of water by diffusion through selectively permeable membrane from an area of low solute area to high solute area.
osmotic pressure
the pressure required to prevent net water/solvent movement (the pressure required to return starting distribution of water before osmosis occurs)
hyperosmotic
a solution with a higher osmotic pressure than another
isosmotic
two solution with same osmotic pressure
hyposmotic
a solution with a lower osmotic pressure than another
distribution of fluid in the body 70kg male
- 60% fluid
- 2/3 intracellular
- 1/3 extracellular (20% plasma, 80% interstitial
osmolarity
osmotic pressure exerted by a solution across a perfect semipermeable membrane compared to pure water. dependantn on concentration of particles in solution. = molarity x dissociation factor = osmol/L
tonicity
the affect of osmotic pressure/osmolarity ont he cell. the capability of a solution to modify the volume of cells by altering their water content. considers the solute concentration and permeability to the membrane
hypertonic
a solution with a higher osmotic pressure than another, solute concentration higher outside so water leaves cell causing shrinkage
isotonic
two solution with the same osmotic pressure, so no net movement since solute concentration is same on inside
hypotonic
a solution with lower osmotic pressure than another. water moves into the cell causing swelling because solute concentration is higher inside cel
relative concentrations of Na+
- intacellular fluid: lower (10mM)
- extracellular fluid: higher (142 mM)
relative concentrations of K+
- intacellular fluid: higher (140mM)
- extracellular fluid: lower (4mM)
relative concentrations of Cl-
- intracellular fluid: lower (4mM)
- extracellular fluid: higher (102mM)
electrolyte distribution in body
- NaK ATPase sets up uneven ion distributions
- Na and Cl have high extra cellular concentrations
- K ions have high intracellular concentration
kidney absorption
180L/day and the majority is then reabsorbed. some things are secreted back to be removed via urine
filtration and urine production
blood via afferent arteriole to glomerulus. filtration into nephrone. most of blood contents filtered
absorption and urine production
reabsorption of most things in the renal tubule from tubular fluid into blood. glucose is almos tentirely reabsorbed
secretion and urine production
tubular secretion of some things from blood back into tubular fluid so that it can be urinated out. creatine is almsot entirely secreted