Lecture 33 physio Body water - distribution and regulation Flashcards
whats the general functions of the kidneys?
Water homeostasis (hydration, blood pressure)
Salt/ion homeostasis (Na+, K+, Ca2+ blood pressure)
Re-absorption of nutrients (amino acids, glucose)
What drives and regulates body water homeostasis?
- distribution of body water
- osmolarity/tonicity of solutions
- reabsorption of water in the nephron
- changes in body osmolarity
- effects of osmotic changes in the kidney
whats the distribution of body water?
TBW (55%-60%) ICF (2/3 of TBF) ECF (1/3 of TBW) Plasma (1/5 of ECF) ISF
whats the distribution of body water compared amongst males and females?
- TBF
- ICF
- ECF
- ISF
- Plasma
males have more than females
whats the distribution of body water in males?
- TBF
- ICF
- ECF
- ISF
- Plasma
42L (60%) 28L 14L 11.2L 2.8L
whats the distribution of body water in females?
- TBF
- ICF
- ECF
- ISF
- Plasma
- 5L (55%)
- 8L
- 7L
- 2L
- 5L
whats osmolarity based on?
number of osmotically active ions or solutes
145 mM NaCl =
145 mM Na+ + 145 mM Cl- = 290 mosmol/L
what can osmolarity be estimated by?
specific gravity (density of solutions)
whats osmolarity units?
mosmol/L
what are the terms given in osmolarity?
Iso - same osmolarity
Hypo - low osmolarity
Hyperosmotic - higher osmolarity solutions
Whats tonicity based on?
the effect of a solution on cells
what does an isotonic solution not do?
does NOT change water homeostasis between cells
whats the osmolarity in the ECF (plasma) and ICF (muscle)?
275-295 mosmol/L
body water – whats the composition of ECF (plasma) and ICF (muscle)?
Na+ K+ Ca2+ Cl- HCO3- pH osmolarity
ECF
- 145
- 4-5
- 2
- 110
- 24
- 7.4
- 275-295 mosmol/L
ICF
- 15
- 150
- 10^-4
- 5
- 10
- 7.1
- 275-295 mosmol/L
total body water remains relatively constant.
what must the intake and loss of water be? and what is adjusted to maintain balance?
balance
urine output is adjusted to maintain balance (1400mL)
what are the 4 important places within the nephron, where sodium is reabsorbed?
PCT (67%),
TAL (25%),
DCT (5%),
CCT (3%)
what are the three important places within the nephron, where water is reabsorbed?
PCT (67%),
tDLH (25%),
CCT (2 - 8%)
water re-absorption in the proximal tubule (67% of the filtered load). what is it driven by?
Na+ reabsorption (isosmotic!!)
what is water re-absorption facilitated by?
aquaporins (trans-cellular) and via leaky tight junctions (paracellular)