Regulation of Osmolarity Flashcards

1
Q

What is water controlled by ?

A

ADH

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2
Q

How does plasma osmolarity affect ADH?

A

Increased plasma osmolarity causes an increased rate of ADH secreting hormones. and then ADH increases

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3
Q

Where are osmoreceptors found?

A

The anterior hypothalamus

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4
Q

What occurs when the volume of osmoreceptors changes?

A

There is a change in osmoreceptor discharge

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5
Q

What is the rate of normal plasma osmolality?

A

280-290mOsm/kg H2O

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6
Q

What occurs when you increase NaCl concentration?

A

There is a decrease in plasma volume, an increase in discharge and an increase in ADH

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7
Q

Why is osmolarity uneffective without tonicity?

A

No osmotic drag is created without tonicity

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8
Q

The amount of urine produces is dependent on what?

A

ADH concentration and the amount of solute to be excreted

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9
Q

What does the ingestion of hypertonic solition do to the body?

A

Increases urine flow which induces dehydration

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10
Q

Where is the site of water regulation?

A

The collecting duct

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11
Q

What occurs when vasopressin binds to the membrane receptor?

A

cAMP is activated and cells insert AQP2 water pores into the apical membrane. Water is then absorbed by osmosis into the blood

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12
Q

When is [ADH] at a maximum level?

A

During a water deficit. It effectively adds pure H2O into the ECF

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13
Q

Describe the oncotic pressure level of the vasa recta during a water deficit?

A

It is increased

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14
Q

What happens when ADH is absent?

A

Collecting ducts are impermeable to h20 so a large volume of dilute urine is excreted, compensating for H2O excess

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15
Q

Why is urea retained during anti-diuresis?

A

To save water and reinforce medullary gradient in region of thin ascending limb of LoH

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16
Q

Why is it important for urea to be reabsorbed?

A

If it remained in the tubule, it would exert an osmotic effect to hold h2o in the tubule. This reduces potential for rehydration

17
Q

What does an increase in ecf volume have on ADH?

A

Decreased ADH

18
Q

What does a decrease in ECF volume have on ADH/?

A

Increases ADH

19
Q

Where are low pressure receptors found?

A

Left and Right atria, great veins

20
Q

Where are high pressure receptors found?

A

The Carotid and Aortic branches

21
Q

What does a moderate decrease in ECF volume cause?

A

Primarily affects the atrial receptors

Decrease in ECF, Decrease in Atrial Receptor Discharge and an Increase in ADH

22
Q

What increases ADH?

A

Pain, emotion, stress, exercise, nicotine, morphine

Traumatic surgery can also cause inappropriate ADH secretion

23
Q

What decreases ADH?

A

Alcohol

24
Q

What is an ADH deficiency also known as ?

A

Diabetes Insipidus

25
Q

What can cause Diabetes Insipidus?

A

Tumours or meningitis.

Surgery can cause damage = CENTRAL DIABETES INSIPIDUS

26
Q

What are the characteristics of Diabetes Insipidus?

A

Polyuria and polydipsia

27
Q

How is Diabetes Insipidus treated?

A

Giving synthetic ADH

28
Q

How would drinking a large amount of water affect osmolarity and ecf volume?

A

Decreased osmolarity and increased volume