Reg of K+, Ca2+, PO4 (lec 15) Flashcards

1
Q

K+ important for excitability of nn and mm how?

A

K+ gradient controls rest MP

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2
Q

Levels of K+ in ECF dependent on?

A

total K+ in body (ingested/excreted)

distribution b/w ECF/ICF

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3
Q

K+ controlled by what hormones? (3)

A

1) Epi
2) Insulin
3) Aldosterone

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4
Q

Epi control of K+?

A

Muscle and Liver:

⍺1 shifts K+ out of cell (hyperK+)
β2 shifts K+ into cells (hyopK+)

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5
Q

Insulin control of K+?

A

↑ uptake into cells via Na+/K+ATPase

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6
Q

Aldosterone control of K+?

A

↑ uptake into tubules
↑ excretion
stim Na+/K+ATPase

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7
Q

Acid/Base control of K+?

A

Acid moves K+ out of cells

Base moves K+ into cells

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8
Q

Transport of K+ in PCT/LOH affected by [K+] in body how?

A

Δ in [K+] does not Δ transport

87% of K+ reab in PCT/LOH

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9
Q

K+ regulation happens where?

A

DCT/CD

12% of K+ reab here

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10
Q

Response to low K+ intake?

A

↓ excretion

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11
Q

K+ reab in distal nephron mechanism?

A

K+/H+ATPase from lumen into cell

Passive diffus out of cell into blood

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12
Q

Response to high K+ intake?

A

Aldosterone released -> K+ excreted

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13
Q

K+ excretion mechanism?

A

baso memb of Principle Cells, Na+/K+ATPase pulls K+ into cell from blood

K+ diffuse thru luminal memb

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14
Q

Ca2+ reabsorbed by nephron where?

A

everywhere except descending LOH

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15
Q

What % of plasma CA2+ if filtered by kidney?

A

60% (U) 7.5 mg/min

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16
Q

What % of filtered Ca2+ is excreted in urine?

A

1%

17
Q

Ca2+ reab in DCT mechanism?

A

Ca2+ channels from lumen into cell

thru baso memb via Ca2+ATPase and Na+/Ca2+ exchange

18
Q

Ca2+ uptake in DCT stimulated by?

Mediated by?

A

PTH

cAMP

19
Q

What % of plasma PO4 filtered by kidney?

Where?

A

95%

glomerulus

20
Q

What % of PO4 reabsorbed by kidney?

Where?

Reab inhibited by?

A

85% (15% excreted in urine)

PCT

PTH

21
Q

PO4 important for urine how?

A

buffer in acid-base balance