Pathophysiology of Sodium Handling Flashcards

1
Q

A “no added salt diet” usually results to ___________.

A

about 4 grams of salt per day

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2
Q

A “low salt diet” means ___________.

A

2 grams of salt per day

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3
Q

How much sodium is ____________.

A

50 grams

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4
Q

Freely permeable solutes (like __________) do not affect the tonicity of water compartments.

A

urea

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5
Q

Sodium is important (partly) because it determines ECF ________, which consequently determines left ventricular filling volume and mean arterial pressure.

A

volume

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6
Q

Where are the low-pressure baroreceptors located?

A

In the venous system:
• Cardiac atria receptors.
• Left ventricular receptors.
• Pulmonary vascular bed receptors.

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7
Q

Where are the high-pressure baroreceptors located?

A

In the arterial system

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8
Q

What stimulates renin release?

A
Decreased arterial pressure
Decreased sodium delivery
ß-adrenergic input
Prostaglandins
Nitric oxide
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9
Q

What decreases renin secretion?

A

Increased arterial pressure
Increased sodium delivery
Angiotensin II
ANP

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10
Q

What is glomerular-tubular balance?

A

A property of the kidney whereby changes in GFR induce proportional changes in proximal tubule resorption

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11
Q

The intrarenal sensors are _________ sensors.

A

stretch

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12
Q

What percent of filtered sodium is resorbed at the thick ascending loop of Henle?

A

30%

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13
Q

Aldosterone deficiency can lead to ____________.

A

salt-wasting nephropathy

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14
Q

What is TGF?

A

Tubulo-glomerular feedback; the process by which increased sodium levels in the distal arteriole increase afferent-arteriole vasoconstriction

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15
Q

Dopamine and bradykinin work to _________ sodium reabsorption.

A

decrease

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16
Q

The proximal tubule reabsorbs ______ percent of the sodium.

A

60%

17
Q

In the proximal tubule, which side of the luminal cells have Na/K ATPases?

A

The basolateral side

18
Q

On the apical side of the proximal tubule, most of the transporters are symporters. Which is an antiporter?

A

The Na/H antiporter

19
Q

What transporter does thiazide bind to?

A

A Na/Cl symporter

20
Q

You get metabolic __________ from loss of upper GI fluid and metabolic ________ from loss of lower GI fluid.

A

alkalosis; acidosis

21
Q

Thiazides increase ________ reabsorption.

A

calcium

22
Q

What proteins are defective in Barter’s and Gitelman’s syndromes?

A

Barter’s: Na/K/2Cl symporter in the TALH

Gitelman: Na/Cl symporter in the DCT