Renal system Flashcards

1
Q

Name the parts of a nephron

A
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2
Q

What do the afferent and efferent arterioles do?

A

Afferent arterioles bring blood into your kidney’s glomerulus (blood vessels that filter your blood). Afferent arterioles can dilate, or get wider, to allow for more filtration. Efferent arterioles take blood out of your glomerulus.

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3
Q

What is the function of the glomerulus and bowmans capsule and how does it work?

A

blood comes in from the renal artery, then into the afferent arteriole, being filtrated in the glomerulus through small pores, while the filtrated blood being carried into the efferent arteriole (and then the renal vein), the waste products and extra ions are being caught by the bowman’s capsule and transported to the rest of our nephron.

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4
Q

What is the function of the proximal convoluting tubule?

A

The main function of the PCT is to reabsorb water and solutes like sodium, which is transported back into the blood

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5
Q

Function of the ascending and descending loop of Henle?

A

Tubular reabsorption.
Descending limb - water is reabsorbed
Ascending limb - Na+ is reabsorbed

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6
Q

Function of the distal convoluting tubule and collecting duct?

A

Controlled salt reabsorption dependant on level of aldosterone.
DCT + CD is where hormones act to maintain fluid homeostasis.
ADH increases water permeability of the collecting duct, allowing to make concentrated urine.

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7
Q

What is anuria?

A

Anuria is the absence of urine production, defined as a urine output of fewer than 100 milliliters per day.This can happen as a result of conditions like shock, severe blood loss and failure of your heart or kidneys. It can also be due to medications or toxins.

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8
Q

What is oliguria?

A

Oliguria is defined as urinary output less than 400 ml per day or less than 20 ml per hour

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9
Q

What is polyuria?

A

Excessive urination volume (or polyuria) occurs when you urinate more than normal. Urine volume is considered excessive if it equals more than 2.5 liters

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10
Q

What is the function of juxtaglomerular cells?

A

Juxtaglomerular cells are responsible for the production, storage, and release of a hormone called renin which regulates blood pressure.

They are also called granular cells as they have a large amount of renin-secreting granules. They sense the blood pressure in the arteriole and release an adequate amount of renin.

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11
Q

What are macula densa cells?

A

Located at DCT and end of ascending limb of loop of henle.
Salt sensors that generate paracrine chemical signals in the juxtaglomerular apparatus
Renin secretion depends on NaCl delivery to and reabsorption by the macula-densa cells

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12
Q

What are extra glomerular cells?

A

Extra glomerular cells remove trapped residue, etc. from the glomerular basement membrane and filtration slit diaphragm and so maintain these structures free of debris.
Secrete molecules that assist in response to glomerular injury

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13
Q

List 7 main functions of the kidneys

A

Remove waste products
Remove drugs
Fluid homeostasis
Release hormones (ADH and renin)
Control production of RBC
Produce vitamin D
Electrolyte balance

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14
Q

Difference between juxtamedullary and cortical nephrons?

A

Juxtamedullary: 15% of nephrons
Cortical: 85% of nephrons

Juxtamedullary have a larger glomerulus and loop of henle - they have a bigger role in urine concentration

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15
Q

Name where which diuretics work

A
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16
Q

What is the relative volume of fluid in intracellular to extracellular?

A

2:1
Intracellular : extracellular

17
Q

Volume % of Na+ and K+ intracellular vs extracellular?

A

K+ ICF: 98%
K+ ECF: 2%

Na+ ICF: 7%
Na+ ECF: 93%

18
Q

What is hydrostatic, oncotic and osmotic pressure?

A

Hydrostatic - The hydrostatic pressure in the intravascular space (Pc) is the principle force driving water and electrolytes out of the capillary into the interstitial space. (tends to drive fluid out of capillaries)

Osmotic - Flow of water to regions with higher concentration of particles (tends to drive fluid into capillaries)

Oncotic - Oncotic pressure, or colloid osmotic-pressure, is a type of osmotic pressure induced by the plasma proteins, notably albumin, in a blood vessel’s plasma that causes a pull on fluid back into the capillary.

19
Q

Symptoms of hypernatremia?

A

Excessive thirst
Delirium
Muscle spasm
Seizures
Lethargy

20
Q

Symptoms of hyponatremia?

A

N+V
Headache
Delirium
Fatigue
Muscle spasms and seizures

21
Q

Symptoms of hyperkalemia?

A

Heart palpitations
Muscle weakness or numbness
N+V
Chest pain
Arrhythmias
Diarrhoea
Abdo pain

22
Q

Symptoms of hypokalemia?

A

Muscle cramps + weakness
Fatigue
Paralysis
Constipation
Respiratory failure
Arrhythmias

23
Q

What are colloid fluids?

A

Eg. albumin

Replaces fluid volume for volume, water is bound to large molecules which helps the fluid stay intravascular for longer

24
Q

What kind of fluid is 0.45% saline?

A

hypotonic

25
Q

What kind of fluid is 0.9% saline?

A

isotonic

26
Q

What kind of fluid is CSL?

A

Isotonic

27
Q

What kind of fluid is 3% saline?

A

Hypertonic