Mechanisms to adjust water Flashcards

1
Q

What type of transport occurs in the proximal tubule?

A

Co transport with glucose, amino acids and phosphate

counter transport Na/H

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2
Q

What type of transport occurs in the TAL

A

Na, K Cl co transport

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3
Q

what type of transport occurs in the early DT

A

NaCl co transport

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4
Q

what type of transport occurs in the late DT and collecting ducts

A

luminal Na and K channels

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5
Q

Why is it important to note the TAL luminal fluid has a positive charge

A

causes reabsorption of Mg and Ca

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6
Q

when can Cl reabsorption take place

A

always linked with Na resorption

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7
Q

What is the descending limb of henle permeable to? impermeable?

A

permeable to water

impermeable to Na and Cl

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8
Q

What is the ascending limb permeable to? impermeable

A

permeable to water

thick transport has active na Cl K pump

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9
Q

Why does chloride transport take a while to reabsorb

A

because has to go transcellular via Cl Na cotranprt then K Cl co transport into blood

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10
Q

What hormones have their effects on the late DCT and collecting duct

A

aldosterone and ANP and ADH

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11
Q

What is the driving force for K to secrete

A

the negative charge in the lumen from Na reabsorption

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12
Q

How does aldosterone increase Na reabsorption in principal cells

A

incorporate Na channels

incorporate Na/K ATPase

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13
Q

Which part of the medulla has the highest solute concentration

A

the inner medullary interstitial fluid

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14
Q

the countercurrent multiplier mechanism has integrated function of what 3 components

A

descending, ascending
vasa recta
collecting ducts

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15
Q

Where does ADH promote urea reabsorption

A

inner medullary collecting duct

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16
Q

Why is it important that the vasa recta has slow blood blow

A

so little solute is pulled out

17
Q

does the vasa recta remove more water and solute than is brought in

A

yes

18
Q

How is osmolar clearance calculated

A

Uosm x V / Posm

19
Q

How do you calculate free water clearance

A

Volume- Cosm

20
Q

What is the fractional excretion of a solute

A

(Ux x V) / (Px x GFR)

Ux x Pcr) / (Px x Ucr

21
Q

If the fractional excretion is below 1% what does that mean

A

pre-renal