Renal-Chapter 28 pt 2 Flashcards
What is renal clearance?
The volume of plasma cleared of a substance per unit of time.
Give renal clearance formula
Clearance of substance= urinary concentrationXurine flow rate/plasma concentration
What would be renal clearance of substance that is freely filtered and not reabsorbed or secreted?
Cs=UsXV/Ps=GFR
What is formula of urinary excretion
UsXV
What is formula of filtration rate of substance by kidney
GFRXPs
What substances can be used to estimate GFR
Creatinine clearance
Plasma creatinine concentration
Insulin clearance
What makes creatinine clearance not a perfect marker of GFR
Small amts secreted by tubules
Slight error in measuring plasma creatinine
(but these two errors normally cancel each other out
Formula when creatinine clearance used to calculate GFR
Ccr=UcrXV/Pcr=GFR
What are nomral canine creatinine plasma concentration values
0.6-1.4 mg/dl
When plasma concentration is 2X the normal, what happends to GFR?
GFR is reduced to 50%
If a substance were copletely cleared on a pass through the kidney, clearance would equal
Clearance=RPF
What is used to estimate RPF?
Para-aminohippuric acid (PAH)