Long Term Control Of Blood Pressure Flashcards

1
Q

Describe the experiment conducted in dogs regarding baroreflex and blood regulation.

A

The experiment involved comparing mean arterial pressure regulation in healthy dogs versus dogs with sinoaortic-denervation, showing that dogs without input from arterial baroreceptors struggled to regulate blood pressure.

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2
Q

Define the role of the kidney in regulating mean arterial pressure.

A

The kidney plays a crucial role in regulating mean arterial pressure by controlling plasma volume, which directly impacts blood pressure.

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3
Q

How does the kidney regulate plasma volume to influence mean arterial pressure?

A

The kidney regulates plasma volume by processes such as filtration, reabsorption, and secretion along the nephron, ultimately impacting blood pressure.

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4
Q

Describe the pathway of filtrate through the kidney, starting from Bowman’s capsule.

A

Filtrate enters the proximal tubule, then moves through the loop of Henle (descending and ascending limbs), before reaching the collecting duct and eventually being excreted as urine.

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5
Q

What is the significance of the efferent arteriole in kidney function?

A

The efferent arteriole closely follows the path of filtrate, allowing for reabsorption (from filtrate to blood) and secretion (from blood to filtrate) processes to occur, aiding in kidney function.

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6
Q

Explain the concept of the counter-current system in the kidney.

A

The kidney utilizes a counter-current system to create a concentration gradient that facilitates reabsorption and secretion processes, crucial for maintaining fluid balance and regulating blood pressure.

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7
Q

Describe the process of building up a sodium gradient in the loop of Henle.

A

Sodium is transported out as the filtrate moves down the loop of Henle, creating a higher concentration of sodium in the extracellular fluid, leading to a significant osmotic gradient.

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8
Q

How does controlling the permeability of the collecting duct affect water reabsorption?

A

By controlling permeability, the collecting duct can either allow water to follow the osmotic gradient, leading to water reabsorption, or prevent water reabsorption, resulting in more water being lost in urine.

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9
Q

Define diuresis in the context of the urinary system.

A

Diuresis refers to the process of producing a large volume of very dilute urine due to the collecting duct being very impermeable, leading to little water reabsorption.

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10
Q

Explain the significance of retaining lots of water in the body.

A

Retaining lots of water leads to an increase in plasma volume and mean arterial pressure.

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11
Q

What is the role of the renin-angiotensin-aldosterone system in regulating water reabsorption?

A

The renin-angiotensin-aldosterone system senses disturbances in plasma volume and mean arterial pressure, producing hormones like renin to elicit an appropriate response.

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12
Q

How does modulating sodium transport impact the osmotic gradient in the kidney?

A

Modulating sodium transport can change the size of the osmotic gradient in the kidney, affecting the reabsorption of water in the collecting duct.

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13
Q

Describe the three triggers for renin production.

A

Activation of sympathetic nerves to the juxtaglomerular apparatus, decreased distension of the afferent arterioles (renal baroreflex), and decreased delivery of sodium and chloride through the tubule.

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14
Q

What is the role of the juxtaglomerular cells in the process of renin release?

A

Juxtaglomerular cells release renin in response to stimuli like sympathetic innervation, decreased distension of afferent arterioles, and reduced delivery of sodium and chloride to the Macula densa.

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15
Q

How does sympathetic activation contribute to the release of renin?

A

Sympathetic activation increases contractility in the heart, heart rate, stroke volume, cardiac output, and mean arterial pressure, which in turn activates juxtaglomerular cells to release renin.

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16
Q

Define the renal baroreflex.

A

The renal baroreflex refers to the decreased distension of the afferent arterioles, which is one of the triggers for renin production in response to changes in mean arterial pressure.

17
Q

Describe the filtration process in the Bowman’s capsule.

A

Blood enters the Bowman’s capsule through the afferent arteriole, gets filtered under high pressure, and the filtrate moves through the proximal tubule, loop of Henle, and back past the Bowman’s capsule.

18
Q

How does reduced delivery of sodium and chloride to the Macula densa signal a reduction in mean arterial pressure?

A

Low blood pressure leads to less filtration in the Bowman’s capsule, resulting in reduced delivery of sodium and chloride to the Macula densa, which signals a decrease in mean arterial pressure and triggers renin release.

19
Q

Describe the role of renin in the body.

A

Renin is an enzyme that converts inactive angiotensinogen into angiotensin I.

20
Q

What is the function of angiotensin II in the body?

A

Angiotensin II stimulates the release of aldosterone, increases sodium reabsorption, and acts as a vasoconstrictor.

21
Q

How does aldosterone affect the body’s water balance?

A

Aldosterone increases sodium reabsorption in the loop of Henle, leading to water retention and reduced diuresis.

22
Q

Define anti-diuretic hormone (ADH) and its role in the body.

A

ADH is a hormone that increases water reabsorption in the collecting duct, reduces diuresis, and stimulates thirst.

23
Q

Describe the synthesis and release of ADH in the body.

A

ADH is synthesized in the hypothalamus, stored in the posterior pituitary gland, and released into the bloodstream in response to triggers like decreased blood volume.

24
Q

Explain the concept of a negative feedback system in the context of mean arterial pressure regulation.

A

Multiple mechanisms detect a decrease in mean arterial pressure, leading to the release of renin and subsequent actions to increase mean arterial pressure, maintaining homeostasis.

25
Q

Describe the trigger for ADH release.

A

ADH release is triggered by an increase in osmolarity of the interstitial fluid, sensed by osmoreceptors in the hypothalamus.

26
Q

What is the function of ADH in the collecting duct?

A

ADH increases the permeability of the collecting duct to water, reducing diuresis.

27
Q

Define vasopressin and its role in the body.

A

Vasopressin, also known as ADH, causes vasoconstriction, increasing total peripheral resistance and mean arterial pressure.

28
Q

How do ANP and BNP affect mean arterial pressure?

A

ANP and BNP decrease mean arterial pressure by promoting natriuresis, inhibiting renin release, and acting on cardiovascular centers.

29
Q

Do ANP and BNP have similar origins in the heart?

A

Yes, both ANP and BNP are produced from myocardial cells, with ANP from atria and BNP from ventricles.

30
Q

Describe the relationship between fluid volume and osmolarity.

A

Decreased fluid volume leads to increased osmolarity, affecting the release of hormones like ADH and triggering regulatory mechanisms.

31
Q

Describe the role of ANP and BNP in regulating mean arterial pressure.

A

They are released in response to increased mean arterial pressure to bring about a reduction in pressure.

32
Q

Define essential hypertension.

A

It refers to the vast majority of hypertension cases with unknown causes.

33
Q

How does the long-term control of mean arterial pressure involve hormonal systems?

A

Hormonal systems act on the kidney to control plasma volume.

34
Q

Do drug treatments for hypertension rely on understanding blood pressure regulation?

A

Yes, a good understanding of blood pressure regulation forms the basis for drug treatments for hypertension.

35
Q

Describe some classes of drugs used for hypertension treatment.

A

These include calcium channel blockers, beta blockers, diuretics, ACE inhibitors, and angiotensin II antagonists.

36
Q

How does redundancy in the blood pressure regulation system indicate its importance?

A

The redundancy suggests the critical nature of regulating blood pressure in the long term.