Renal blood flow and glomerular filtration Flashcards

1
Q

what is kidney failure

A

an abrupt fall in glomerular filtration

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2
Q

GFR

A

glomerular filtration rate

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3
Q

what is glomerular filtration

A

formation of an ultrafiltrate of plasma in the glomerulus

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4
Q

DESCRIBE glomerular filtration

A

passive

fluid driven through fenestrated golomedrular capllaris into bowman’s capsule by the hydrostatic pressure of the hart

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5
Q

what are fenestratd capillaries permeable to

A

fluids

small solutes

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6
Q

what is the concentration of solutes in the filtrate

A

the same as in the plasma

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7
Q

what are cells impermeable to

A

cells
proteins
drugs

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8
Q

how are cardio and renal problems elated

A

hart failure = reduced CO

reduced pressure = kidney failure

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9
Q

amount excreted =

A

amount filtered + amount secreted - amount absorbed

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10
Q

what is reabsorbed

A

valuble substances - ions a essential elements

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11
Q

consequence of reabsorbtion

A

concentrated urine

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12
Q

purpose of secretion

A

get rid of unwanted material

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13
Q

driving force for filtration

A

hydrostatic pressure in gloerulus capillaries

Pgc

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14
Q

GFR

A

glomerular filtration rate

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15
Q

Kf is

A

ultra filtration coefficient

membrane permeability and available for filtration

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16
Q

what is produced from glomerular filtration

A

ultrafiltrate
free from blood and proteins
contains electrolytes and small solutes
called primary urine

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17
Q

vol of GFR

A

120ml/min

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18
Q

opposing forces for filtration

A

hydrostatic pressure of tubule
Pt
osmotic pressure of plasma proteins in glomerular capillaries
Pi gc

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19
Q

Puf=

A

Pgc-Pt-Pi gc

20
Q

GFR =

21
Q

Kf is

A

ultra filtration coefficient

22
Q

what causes a change in GFR

A

change in Kf
or filtration force
or SA

23
Q

effect of kidney disease

A

reduce func glomeruli
reduce SA
reduced Kf
reduced GFR

24
Q

effect of dilation of arterioles by drugs/hormons

A

increase Kf

25
GFR definition
th amount of fluid filtered from the glomeruli into Bowman's capsule per unit time ml/min sum of filtration rate of all functioning nephrons
26
purpose of renal blood flow
delivers O2 nutrients and substances for secretion
27
vol of renal blood flow
1L/min
28
vol of renal plasma flow
o.6L/min
29
what is renal plasma flow measured by
para aminohippurate (PAH) clearance = 625ml/min
30
GFR = (using RPF)
RPF x FF
31
effect on plasma of renal failure
subsatnces build up | including drugs - can cause overdose
32
myogenic mechanism for autoregulation
as CO increase arteriole stretch reflex cause constriction of arteriole reduced flow and pressure GFK remains constant
33
effect of severe haemorrage of GFR
decrease
34
effect of obtruction the the nephron tubule of GFR
decrease - opposing pressure has increased
35
effect of reduced plasma protein on GFR
inrease
36
what is renal clearance
the extent to which substances are removed from the blood | number of L of plasma completely cleared of the substance per unit time
37
eqn for renal clearance
C= (UV)/P ml/min
38
U
conc in urine
39
P
conc in plasma
40
V
rate of urine production
41
what type of molecule is used to estimate GFR using clearance
freely filtered | neither reabsorbed or secreted in nephron
42
molecules that can be used in renal clearance calculations
inulin - plant so have to be transfused | creatine
43
creatin
waste product from muscle met amount is constant amount in urine is stable low values of clearance indicate renal failure
44
what is renal plasma flow measured by
para aminohippurate (PAH) clearance = 625ml/min
45
how dos PAH travel through the kidney
filtered and actively secreted all is removed therefore clearance = renal plasma flow
46
effect on plasma of renal failure
sbsatnces build up | inclding drugs - can cause overdose