Renal Formulas Flashcards

1
Q

GFR

A
  • = Kf x NFP
  • = (U inulin x V) / (P inulin)

(ml/min)

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2
Q

Excretion rate

A

= V x U

V - urine excretion rate
U - urine concentration of compound

(mg/min, mmol/min, mEq/min)

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3
Q

Urine concentration of compound (U)

A

= plasma concentration x GFR

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4
Q

Ohms law

A

Delta P = GFR x vascular resistance

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5
Q

Clearance

A

= (V x U) / plasma concentration

(ml/min)

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6
Q

Filtration fraction

A

= GFR / renal plasma flow

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7
Q

Renal plasma flow

A
  • = renal blood flow x (1-HCT)
  • = (U pah x V) / (arterial pah x venous pah)

(ml/min)

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8
Q

Clearance ratio

A

= Cs / C inulin

(No units)

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9
Q

Renal blood flow

A
  • = RPF / (1-HCT)
  • = delta P (renal art - renal vein) / total vascular resistance

(ml/min)

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10
Q

Reabsorption rate

A
  • = filtered load - excretion rate
  • = (GFR x Ps) - (Us x V)

(mg/min, mmol/min, mEq/min)

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11
Q

Secretion rate

A

= excretion rate - filtered load

(mg/min, mmol/min, mEq/min)

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12
Q

Filtered load

A

= GFR x plasma concentration

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13
Q

OAT

A
  • anions (-)
  • Na+ dependent
  • basolateral side:
    1) symport: 3 Na+ with 1 a-KG
    2) Na/K/ATPase pump
    3) antiport: 1 anion in and 1 a-KG out
  • luminal:
    1) anion into lumen
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14
Q

OCT

A
  • cations (+)
  • H+ dependent
  • basolateral side:
    1) Na/K/ATPase pump
    2) uniport: cation in (inside of cell is -)
  • luminal:
    1) antiport: 1 H+ in, C+ out
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15
Q

Endogenous OAT (7)

A
  • bile salts
  • fatty acids
  • hydroxybenzoate
  • hippurate (PAH)
  • oxalate
  • urate (uric acid)
  • prostaglandins
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16
Q

Exogenous OAT (6)

A
  • furosemide
  • salicylates (ASA)
  • sulfonamides
  • chlorathiazides
  • ethacrynic acid
  • PCNs (1942, WW2, competitive inhibition with PAH)
17
Q

Endogenous OCT (8)

A
  • NE/Epi
  • dopamine
  • ACh/choline
  • creatinine
  • histamine
  • thiamine (B1)
  • guanidine
  • serotonin
18
Q

Exogenous OCT (8)

A
  • atropine
  • isoprel
  • cimetidine
  • meperidine
  • morphine
  • procaine
  • TEA (tetraethyl ammonium)
  • quinine
19
Q

Osmotic diuretics

A
  • mannitol
  • inhibits water and solute reabsorption by increasing osmolarity of tubular fluid
  • PCT
20
Q

Loop diuretics

A
  • furosemide, bumetanide
  • inhibits NKCC2 pump in luminal membrane
  • TAL
21
Q

Thiazide diuretics

A
  • HCTZ, chlorthalidone
  • inhibits NaCl cotransport in luminal membrane
  • early distal tubule
22
Q

Carbonic anhydrase inhibitors

A
  • acetazolamide
  • inhibits H secretion and HCO3 reabsorption which reduces Na reabsorption
  • PCT
23
Q

Aldosterone antagonists

A
  • spironolactone, eplerenone
  • inhibit action of aldosterone –> decreases Na reabsorption and K secretion
  • collecting tubules
24
Q

Na channel blockers (ENaC)

A
  • triamterene, amiloride
  • blocks entry of Na into ENaC on luminal membrane which decreases Na reabsorption and K secretion
  • collecting tubules