Renal System Refresher Flashcards

1
Q

Normal Renal Functions? (5)

A
  1. Removal of water and wastes from the blood
  2. Maintains electrolyte balance
  3. Maintains acid-base balance
  4. Regulates blood pressure by renin secretion
  5. Stimulates production of red blood cells by erythropoietin secretion
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2
Q

Parts of Nephron?

A

Corpuscle (glomerulus) & tubule

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3
Q

3 stages urine is produced in?

A
  1. Glomerular filtration
  2. Tubular reabsorption
  3. Tubular secretion
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4
Q

What is GFR?

A

The rate at which the kidney’s clear waste products

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5
Q

What is the job of nephrons?

A

> 120ml per min

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6
Q

What are the 4 segments of the tubule?

A
  1. Proximal tubule, drains Bowman capsule; a thin looped structure
  2. Loop of Henle, a distal coiled portion
  3. Distal convoluted tubule;
  4. Collecting tubule
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7
Q

Where does filteration occur?

A

Renal Corpuscle or Glomerular

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8
Q

Large proteins & RBCs and WBCs should________

A

NOT be found in Urine

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9
Q

In which segment of the tubule is reabsorption fine-tuned?

A

Distal

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10
Q

What is the Glomerular Blood hydrostatic pressure?

A

Blood pressure in glomerular capillaries (55 mm Hg). It promotes filtration by forcing water and solutes through the filtration membrane.

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11
Q

The glomerular hydrostatic blood pressure is opposed by?

A
  1. Capsular hydrostatic pressure (15 mmHg) by fluid
  2. Osmotic blood colloid by protein in blood (30 mm Hg)
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12
Q

GFR depends on 3 factors.

A
  1. Total surface area for filtration (total number of nephrons)
  2. Filtration membrane permeability
  3. G hydrostic BP
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13
Q

Normal GFR depends on?

A

Blood flow and BP

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14
Q

Changes in BP either______

A

Increase or decrease the nephrons ability to produce filtrate

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15
Q

How does hypertension affect kidney function?

A

Impairs blood flow to the kidneys by causing hypertrophy of the afferent arterioles and reducing lumen and blood flow, and damages the endothelium which can cause atherosclerosis

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16
Q

Kidney receives how much of CO for what?

A

20 - 25% to provide enough plasma for high rates of glomerular filtration needed for regulation of body fluid volumes

17
Q

What is the effect of Hypotension on the kidneys?

A

Lowers blood flow to kidneys

18
Q

Decreased renal blood flow can result in?

A

oliguria - 300 to 500ml of filtrate
anuria - < 50 ml of filtrate

19
Q

Decreased renal blood flow decreases the work of the
kidney and therefore also?

A

O2 to the kidneys, leadind to renal cell death