reg renal blood flow and the GFR- neural and humoral control mechs Flashcards
Normal perfusion of blood per minute in adults in the kidneys
1000 to 1300 mL
Whats the points of this blood flow
to maintain GFR for waste removal more than the metabolic needs of the kidney
What percent of cardiac output is 1000-1300 mL
20-25%
What portion of the kidney does the sympathetic sys affect
the afferent and efferent arterioles
What does increased sympathetic sys activity cause
vasoconstriction
When might you see intense sympathetic stimulation
shock or trauma
How would sympathetic stim affect the blood flow and GFR
they would decrease because of the vasoconstrition
What are some humoral substances that can cause vasoconstrition of renal vessels
ADH, angiotensin II, and endothelins
What are some substances that can cause vasodialation
dopamine
nitric oxide
prostaglandins E2 and I2
Under certain surcumstances what might decrease blood flow and GFR through inhibiting prostaglandins
aspirin and NSAIDS
Why might aspirins and NSAIDS have this effect on blood flow and GFR
prostaglandins are thought to protect the vasoconstricting efffects of sympathetic stimulation and angiotensin II