Secretion/K+ Regulation Flashcards

1
Q

secretion

A

movement of a solute from blood into lumen of nephron

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2
Q

why do organic acids/bases competitively inhibit each other

A

they share a common carrier protein, experience competitive inhibition

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3
Q

how does low urine pH affect secretion

A

decreases

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4
Q

how does low urine pH affect excretion

A

decreases

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5
Q

how does low urine pH affect plasma concentration of organic acids

A

increases

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6
Q

are membranes more permeable to associated or disassocaited forms

A

associated

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7
Q

how do you calculated secretion

A

secreted = excreted - Filtered

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8
Q

why can you use PAH to measure ERPF?

A

PAH is filtered and secreted so it gets removed from the renal circulation - basically it’s a measure of volume of plasma that entered the kidney per unit time

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9
Q

what is ERPF

A

effective renal plasma flow

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10
Q

What is the equation for ERPF using PAH

A

Clearance = urine conc of PAH x volume/ plasma conc of PAH

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11
Q

calculate filtration fraction

A

FF = GFR/ERPF

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12
Q

why do the nephron segments upstream of distal tubule not contribute to the regulation of potassium balance

A

regardless of the conc of potassium in plasma the same percentage of filtered potassium is reabsorbed before you get to the distal tubule

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13
Q

how does hyperkalemia affect aldosterone secretion

A

stimulates

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14
Q

how does increased plasma potassium affect he Na+/K+APTase pump on the basolateral membrane of teh principle cells in the late distal tubule

A

the pump works. hypokalemia inhibits the pump

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15
Q

how does aldosterone affect the Na+?K+ATPase pump?

A

stimulates

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16
Q

What other effects does aldosterone have on the collecting duct

A

activates ENaC pumps which reabsorb Na and secrete K

17
Q

what are ENaCs

A

active epithelial sodium channels

18
Q

why do diuretics which inhibit sodium and water reabsorption can cause the depletion of body potassium.

A

they block the Na?K pumps which increases flow through the late distal tubule and collecting ducts and causes K secretion to increase

19
Q

what is the effect of alkalosis on potassium

A

increases K+ by stimulating Na+/K+ATPase

20
Q

does alkalosis cause hypo or hyperkalemia

A

hypokalemia