Renal 8 Flashcards

1
Q

whats the opposing pathway to renin angiotensin system

A

the ANP pathway

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2
Q

what region of the brain is responsible for thirst and salt

A

hypothalamus

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3
Q

2 main stimuli for ingesting salt

A

aldosterone
angiotensin II

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4
Q

whats an avoidance behaviour

A

avoid heat to avoid fluid loss

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5
Q

the cv system responds to changes in ________________ and _________

A

blood volume and pressure

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6
Q

the renal system responds to changes in ________________ and ___________

A

blood volume
osmolarity

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7
Q

what situation can cause hypokalemia or hyponatremia

A

no change in volume but a decrease in osmolarity
(sweating but only water replaced)

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8
Q

what happens during dehydration

A

decreased volume
increased osmolarity

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9
Q

does dehydration result in low BP

A

yes

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10
Q

what are the 3 factors that aim to restore dehydration

A

conserving fluid
trigger cardiovascular reflexes to increase blood pressure
stimulate thirst

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11
Q

what are the 4 compensatory mechanisms to overcome symptoms of dehydration

A
  1. cardiovascular mechanisms
  2. renin angiotensin system
  3. renal mechanisms
  4. hypothalamic mechanisms
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12
Q

whats the first thing that happens when you are dehydrated

A

carotid and aortic baroreceptors signal CVCC to increase sympathetic activity and blood flow

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13
Q

what decreases GFR to maintain body fluid

A

a drop in blood pressure

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14
Q

what are the 5 steps to fixing dehydration

A
  1. baroreceptors signal CVCC to increase sympathetic activity and vasoconstricts afferent arterioles
  2. That causes a decrease in GFR
  3. paracrine feedback from macula densa cells in the nephron cause granular cells to release renin
  4. granular releases renin
  5. ANGII, and the low blood pressure stimulates vasopressin release and the thirst centres of the hypothalamus
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15
Q

why isn’t aldosterone release during dehydration

A

the high osmolarity inhibits it as the body doesn’t need more solute

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16
Q

whats the normal pH of the body

17
Q

are humans neutral

A

no we are slightly alkaline (7.4)

18
Q

does a single pH unit change represent a large hydrogen change

19
Q

what can a change in pH do to protein

A

denature and change function

20
Q

whats a low pH called

21
Q

whats a high pH called

22
Q

what can acidosis do

A

CNS depression
confusion
coma

23
Q

what can alkalosis do

A

hyperexcitability in neurons and muscles

24
Q

are we exposed to more acid or base

25
what are the 3 pH homeostasis mechanisms
1. buffers 2. ventilation 3. renal regulation of H+ and HCO3-
26
what range do buffers function
the normal 7.38-7.42
27
whats the slowest pH regulation
renal regulation
28
what does a buffer do to hydrogen
buffer combines with hydrogen to moderate hydrogens contribution to pH
29
What is vasopressin also called
ADH AVP