renal regulation Flashcards

1
Q

how do you control Glomerular Filtration Rate and Renal Plasma Flow

A

by controlling the resistance of the afferent arterioles

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2
Q

how do sympathetic nerves regulate RBF and GFR

A

sympathetic nerves bind to alpha 1 receptors on afferent arterioles causing vasoconstriction
overall causes RBF and consequently GFR

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3
Q

why is sympathetic nerve vasoconstriction important

A

it is an important response to hemorrhage to decrease RBF and consequently GFR

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4
Q

relationship between hydrostatic pressure of the glomerular capillaries and the afferent arteriolar resistance

A

inverse relationship
as the afferent arteriolar resistance goes up the hydrostatic pressure in the glomerular capillaries goes down and as a result globular filtration in reduced and as a result RBF is reduced in the efferent arteriole

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5
Q

relationship between hydrostatic pressure in glomerular capillaries and glomerular filtration rate and RBF in the efferent arteriole

A

direct relationship
as hydrostatic pressure in glomerular capillaries goes down, the glomerular filtration rate also goes down and as a result RBF is reduced in the efferent arteriole

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6
Q

how does AngII

regulate RBF and GFR

A

there is vasoconstriction of both the afferent and efferent arterioles
the efferent arteriole is more sensitive
overall this causes an increase in the glomerular filtration rate and a decrease in the RBF in the efferent arteriole

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7
Q

relationship between efferent arteriolar resistance hydrostatic pressure of the glomerular capillaries

A

directly related
as the efferent arteriolar resistance is increased the hydrostatic pressure of the glomerular capillaries is increased and therefore the glomerular filtration rate is increased

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8
Q

how do Prostaglandins (PGE2, PGI2)

regulate RBF and GFR

A

they cause a vasodilation
this acts as a protective measure (has a protective effect)
overall there is an increase in renal blood flow

as the affterent arteriolar resistance is decreased (vasodilated) the hydrostatic pressure of the glomerular capillaries is increased and therefore the glomerular filtration rate is increased

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9
Q

how does dopamine

regulate RBF and GFR

A

they cause a vasodilation
this acts as a protective measure (has a protective effect)
overall there is an increase in renal blood flow

as the affterent arteriolar resistance is decreased (vasodilated) the hydrostatic pressure of the glomerular capillaries is increased and therefore the glomerular filtration rate is increased

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10
Q

dopamine in shock

A

dopamine is administered during shock to increase RBF

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11
Q

which receptors does dopamine act on in order to vasodilator

A

D1 D3 and D5

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12
Q

afferent arteriole vasodilators

A

prostaglandins, dopamine, ANP and NO

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13
Q

NO

A

Nitric oxide

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14
Q

ANP

A

Atrial Natriuretic Peptide same this as Atrial Natriuretic Factor

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15
Q

Starling Forces Across Glomerular Capillaries

A

changes in glomerular filtration rates can be brought about by changes in any one of these strain forces

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16
Q

Pressure in Bowman’s capsule and glomerular filtration rates

A

as Pressure in Bowman’s capsule increases, the glomerular filtration rates decrease
vice versa
inversely related

17
Q

Mean Arterial Pressure and glomerular filtration rates

A

as Mean Arterial Pressure in increases, the pressure in in the glomerular capillaries increases and the glomerular filtration rates increases
directly related

18
Q

Oncotic pressure in the glomerular capillaries and glomerular filtration rates

A

as Oncotic pressure in the glomerular capillaries increases, the glomerular filtration rates decrease
vice versa
inversely related

19
Q

Hydrostatic pressure in glomerular capillaries and glomerular filtration rates

A

favor

directly related

20
Q

Oncotic pressure in glomerular capillaries and glomerular filtration rates

A

oppose

inversely related

21
Q

Hydrostatic pressure in Bowman’s capsule and glomerular filtration rates

A

oppose

inversely related

22
Q

Oncotic pressure in Bowman’s capsule and glomerular filtration rates

A

favor

directly related

23
Q

small MW solutes in filtrate

A

All small-MW solutes appear in filtrate in the same concentrations as in blood plasma

24
Q

GFR depends on the sum of the Starling forces across

A

across the capillary wall: forces favoring – forces opposing