Manipulating Renal Physiology Flashcards

1
Q

Where can you find the counter current multiplier?

A

Loop of henle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which out of the afferent and efferent arterioles has the narrowest lumen ?

A

Efferent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the job of the podocytes?

A

To filter out large molecules and keep them in the blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What 6 molecules are sodium co-transport linked too?

A

Glucose, amino acids, hydrogen ions, phosphate, chloride flux,water (follows sodium passively)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What role does the loop of henle play?

A

it concentrates the urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does the macula densa control filtration rate?

A

If filtration rate too fast it constricts afferent arteriole and if too slow it activates RAS system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does renin do?

A

Cleaves angiotensinogen to form angiotensin I

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where can ACE be found that converts angiotensin I to angiotensin II?

A

The lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What effect does angiotensin II have?

A

Constricts the efferent aa, Enhances Na+ and water absorbtion by PCT and stimulates aldosterone system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What effects will ACE inhibitors have on filtration rate?

A

They will increase glomerular filtration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where is the composition of urine finely regulated?

A

Distal tubule and collecting duct.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What part of the kidney does ADH work on ?

A

The collecting duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What kind of diuretic is furosemide?

A

It is a loop diuretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where do thiazide diuretics have an effect?

A

On the early distal tubule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where do thiazide diuretics bind?

A

Bind to the Cl- site of the na/cl transporter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where do potassium diuretics work in the nephron?

A

Collecting duct

17
Q

What action do they have?

A

They inhibit the action of aldosterone

18
Q

Grade the diuretics in order of their diuretic effect

A

Loop diuretics cause loss of 25% of filtered load, Thiazide diuretics caise 10% loss of filtered load and potassium sparing diuretics diuretics are the weakest diuretics

19
Q

How do loop diuretics work?

A

They competitively bind to the cl- site of the Na/cl/k symporter… preventing uptake of the ions and therefore the subsequent following of water

20
Q

How can diuretics effect pre load?

A

They can reduce preload to the point that is negatively effects cardiac output

21
Q

What negative side effect can furosemide have on blood ion levels?

A

It can cause hypokaleaemia by losing too much sodium

22
Q

What other type of diuretic can also cause hypokaleaemia?

A

Potassium sparing diuretics

23
Q

How do diuretics interact with vasodilators?

A

They are synergistic

24
Q

How do NSAIDS interact with diuretics?

A

They exacerbate water and salt retention reducing diuretic efficacy