Osmoregulation Flashcards

1
Q

What are the 3 big picture goals of osmoregulation?

A

Maintain an osmolality of fluid appropriate for cells to bathe in
Maintain a fluid volume appropriate for filling vascular tree
Allow heart to generate arterial pressure necessary for perfusion

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2
Q

What receptors regulate water excretion?

A

Osmoreceptors
Baroreceptors

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3
Q

Where are osmoreceptors found?

A

Supraoptic and paraventricular areas pf anterior hypothalamus

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4
Q

What do osmoreceptors regulate?

A

Release of ADH

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5
Q

Where is ADH synthesized?

A

Hypthalamus as a large precursor molecule

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6
Q

Where is the precursor molecule transported to?

A

Posterior pituitary where it’s cleaved to a nonpeptide

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7
Q

What is ADH stored as in nerve terminals?

A

Insoluble complexes in secretory granules

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8
Q

What happens upon release?

A

Dissociate rapidly due to dilution and pH increase

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9
Q

What does ADH act on?

A

Principal cells of collecting duct

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10
Q

What other factors stimulates ADH secretion?

A

Nicotine
nausea
angiotensin II

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11
Q

What other factors inhibits ADH secretion?

A

Atrial natriuretic peptides
Ethanol

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12
Q

What are intrarenal baroreceptors?

A

Pressure sensitive juxtaglomerular cells of afferent arteriole

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13
Q

What do intrarenal baroreceptors secrete?

A

Renin

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14
Q

How do baroreceptors control ADH secretion?

A

Decrease their rate of firing which increases ADH release

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15
Q

What does haemorrhage cause?

A

Increases ADH release via baroreceptors so water is retained

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16
Q

What are 3 malfunctions of the ADH system?

A

Central diabetes insipidus
Nephrogenic diabetes insipidus
Syndrome of inappropriate ADH secretion

17
Q

What area of the brain controls thirst?

A

Lateral pre optic area

18
Q

Define free water clearance.

A

Volume of pure water that must be removed from, or added to, the flow of urine to make it iso-osmotic with plasma
CH2O = V - Cosm

19
Q

What does osmolar clearance equal to?

A

Cosm = Uosm X V/Posm

20
Q

What does positive free water clearance mean?

A

Hypotonic

21
Q

What does negative free water clearance mean?

A

Hypertonic