Misc Kidney Physiology Flashcards

1
Q

What are the 4 functions that can give an indication of Kidney Function ?

A
  1. GFR
  2. Plasma Clearance of Solutes
  3. Renal Blood Flow
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2
Q

Why is Inulin useful in ascessing kidney function ?

A

It is not produced by the body, metabolized by the body. It is excreted by the kidney. It is not reabsorbed or secreted.

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3
Q

How do you calculate GFR ?

A

UF x Uin / Pin

  • UF is urine flow
  • Uin is urine inulin
  • Pin is plasma inulin
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4
Q

What is clearance ?

A

The volume of plasma cleared of a substance per unit time

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5
Q

If clearance of a substance is less than GFR what does that mean ?

A

The substance is reabsorbed

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6
Q

If clearance is greater than GFR what does that mean ?

A

The substance is secreted.

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7
Q

What is the extraction ratio ?

A

The fraction of substance removed from the plasma.

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8
Q

Plasma Inulin =

A

Rate of Infusion / Rate of Output

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9
Q

Filtration Rate =

A

GFR x Px

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10
Q

Excretion Rate =

A

UF x Ux

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11
Q

What are the 4 routes substances move in the kidney ?

A

Vein, Artery, Ureter, Lymph

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12
Q

Is NaCl produced in the body ?

Is Urea Ingested ?

A

No- you only have to worry about ingestion and excretion

No you only have to worry about production and excretion.

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13
Q

What is mass flow ?

A

It expresses solute movements as a function of time.

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14
Q

What is the extraction ratio of X ?

A

Ax - Vx [renal venous] / Ax

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15
Q

What will reabsorption do to the extraction ratio ?

A

It will lower it

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16
Q

What will secretion do to the extraction ratio ?

A

It will raise it .

17
Q

What do you use to measure renal plasma flow ?

A

Para amino hippuric acid

18
Q

What is the clearance rate of Creatine ?

A

140 ml per min

19
Q

How much creatine does the body make a day ?

A

2 g

20
Q

How do you calculate the renal plasma flow ?

A

C (pah) / Extraction Ratio

21
Q

How do you get renal blood flow from renal plasma flow ?

A

You get renal blood flow by dividing the plasma flow by ( 1 - hemacrit )

22
Q

What is the plasma flow of PAH ?

A

0.9 - 0.95

23
Q

What is C pah ?

A

It is a measure of effective renal plasma flow.

Cpah = (UF c Upah) / Ppah