Renal [Urine] Flashcards
Equation for glomerular filtration
NFP = GBHP - CHP - BCOP
GBHP
Glomerular blood hydrostatic pressure
Pressure between afferent and efferent arterioles. Drives filtrate into capsular space.
CHP
Capsular hydrostatic pressure
Pressure exerted on plasma filtrate by elastic recoil of glomerular capsule
BCOP
Osmotic force of proteins left in the plasma which pull on the water in the plasma filtrate
What 2 things do the mechanisms controlling glomerular filtration aim to do?
Regulate GBHP or surface area available for filtration
Anything that constricts the afferent arteriole will ____ whereas anything that constricts the efferent arteriole will ___
Reduce flow to glomerulus therefore GBHP.
Increase GBHP.
Auto regulation of glomerular filtration involves ____ or _____
Muscle
Tubuloglomerular feedback
Tubuloglomerular feedback of glomerular filtration
An increase in GFR causes an increase in ____ which causes an increase in _____. The __ cells then decrease ____ release which causes _____.
Tubular flow rate in the ascending limb. Tubular ion and h2o sensed by macula densa cells. Juxtaglomerula apparatus NO Afferent arteriole vasoconstriction
3 ways glomerular filtration is regulated
Auto regulation
Neural
Hormonal: A2 + ANP
Hormonal ways of regulating glomerular filtration
A2: vasoconstriction
ANP: relaxation of mesangial cells, increase SA
The proximal tubule has a ____ on the apical membrane. The largest amount of ______ occurs here: name the % of each.
Brush border
Solute and water reabsorption
60% glomerular filtrate
60% NaCl + H2O
All glucose
Na+ movement in the proximal tubule occurs via symporters _____ and antiporters _____. The osmolarity is similar to ____.
Na+/Glucose
Na+/H+
Plasma
Descending loop of henle - what happens?
H2O out ONLY
Becomes super concentrated near medulla
Ascending look of henle - what happen?
What is the link to the loop of henle here?
Ions out, H2O same
Becomes more dilute
The ions absorbed here provide the gradient for water to come out from the descending limb. Further supported by countercurrent mechanism in vasa recta.
Distal tubule and collecting duct - what happens?
Most has been absorbed but some NaCl is absorbed. Also impermeable to water UNLESS ADH PRESENT.
K+ secreted