Renal regulation of sodium, potassium, calcium, phosphate and magnesium Flashcards
Renal regulation of sodium
most common extracellular ion
needed to maintain blood pressure/ volume/ fluid balance
Renal regulation of sodium - FILTRATION
- sodium freely filtered through glomerulus
Renal regulation of sodium - REABSORPTION
PCT - 70%
- actively reabsorbed from tubular cells -> bloodstream
- na+/k+-ATPase pumps on basolateral membrane
loop of henle - 20% by na/k/cl- cotransporter
DCT/CD - 5% influenced by aldosterone
Renal regulation of sodium - SECRETION
sodium is not secreted
Renal regulation of sodium - EXCRETION
excretion
- ADH
- ANP
- aldosterone
Renal regulation of potassium
most common intracellular ion
needed for nerves/ muscles/ maintain RMP
Renal regulation of potassium - FILTRATION
potassium freely filtered at glomerulus
Renal regulation of potassium - REABSORPTION
PCT - na/k-ATPase
loop of henle - na/k/cl- cotransporter
Renal regulation of potassium - SECRETION
potassium secretion occurs in DCT/CD
- regulated by aldosterone which enhances na/k-ATPase activity
Renal regulation of potassium - EXCRETION
depends on dietary intake/ aldosterone/ acid-base levels
Renal regulation of calcium - FILTRATION
calcium is freely filtered through glomerulus
Renal regulation of calcium - REABSORPTION
PCT - 65% - paracellular
loop of henle - 25% - paracellular
DCT - 10%
Renal regulation of calcium - EXCRETION
too much calcium is excreted by action of PTH
Renal regulation of phosphate - FILTRATION
phosphate is freely filtered through glomerulus
Renal regulation of phosphate - REABSORPTION
- actively reabsorbed in PCT
- influenced by na/po34- cotransporters