Set 7 (Part II) Flashcards
What is the countercurrent of exchange mechanism important for?
To create a salty medulla
What does the countercurrent of exchange mechanism refer to?
The flow of the vasa recta is opposite to the flow of the fluid moving down the tubule
What kind of urine does ADH create?
Salty, small volume of concentrated urine
How does an increase in water uptake due to thirst affect blood pressure?
- Increases blood pressure
- Cardiovascular reflexes lower the blood pressure rapidly
Describe the mechanism of aldosterone.
1) Aldosterone combines with a cytoplasmic receptor
2) Initiates transcription in the nucleus
3) New protein channels are made + increase in Na+/K+ channels
4) Na+/K+ ATPase speeds up
5) Increased Na+ absorption and K+ secretion
What is the net result of aldosterone?
- Increased Na+ reabsorption
- Increased K+ secretion into the lumen of the distal tubule
Where does aldosterone act?
Principal cells in the distal tubule
What kind of receptor does aldosterone bind?
Cytoplasmic receptor
What must be monitored if the aldosterone system is modified by drugs?
Potassium
What happens when the body needs salt?
Aldosterone is secreted
What happens when there is low blood pressure?
Renin-angiotensin-aldosterone system (RAAS)
What constantly produces angiotensinogen?
The liver
What occurs in granular cells of the kidney when blood pressure decreases?
- Granular cells produce renin
- Renin activates angiotensinogen
What activates ANG I in plasma?
Blood vessel endothelial contains ACE (enzyme), which converts ANG I to ANG II in plasma
What is the function of ANG II on arterioles?
- Vasoconstriction
- Increases blood pressure
What is the function of ANG II on the cardiovascular control center in the medulla oblongata?
- Increase in cardiovascular response (increases depolarization to contract the heart more forcefully)
- Increases blood pressure
What is the function of ANG II on the cardiovascular control center in the hypothalamus?
- Increases vasopressin
- Increases thirst
- Increases volume and maintains osmolarity
What is the function of ANG II on the cardiovascular control center in the adrenal cortex?
- Releases aldosterone
- Increases Na+ reabsorption
- Increases volume and maintains osmolarity
How does aldosterone increase water retention?
Increase in Na+ reabsorption (and Cl- passive reabsorption) increases water-holding capacity
What happens when there is high blood pressure?
Atrial Natriuretic Peptide (ANP) increases water loss
What is ANP secreted by? In response to what?
- Atria of the heart
- In response to being stretched by Na+ retention, expansion of ECF volume, and increase in arterial pressure
How does ANP affect the distal tubule?
- Inhibits Na+ reabsorption
- Increases Na+ output in urine
- Increases water loss
How does ANP affect afferent arterioles?
- Afferent arteriole vasodilation
- Increase in GFR
How does ANP affect the kidneys?
Inhibits renin secretion
What would be a secondary disease to chronic high blood pressure?
- Kidney disease
- Increase in GFR puts a huge strain on the kidneys
How does ANP affect the sympathetic nervous system?
- Decrease in cardiac output and total peripheral resistance
- Decrease in arterial blood pressure
What are causes of renal failure?
- Infectious organisms
- Toxic agents
- Inappropriate immune responses
- Obstruction of urine flow
- Insufficient renal blood supply
How is Buerger’s disease related to the kidney?
Immune system attacks epithelial cells in the kidney, which leads to kidney failure
What hormones do the kidneys release?
- Erythropoietin
- Renin
What do the kidneys convert into its active form?
Vitamin D
Ion regulation is a key feature of kidney function. What happens to the resting membrane potential of a neuron if extracellular K+ levels decrease?
Hyperpolarizes (becomes more negative)
What happens to the force of cardiac contraction if plasma Ca2+ levels decrease substantially?
Force of contraction decreases
Describe the movement of blood in the renal portal system.
- Renal arteriole
- Glomerulus
- Efferent arteriole
- Peritubular capillaries
- Renal vein
If the net filtration out of glomerular capillaries occurs, then you know that capillary hydrostatic pressure must be (greater than/less than/equal to) capillary colloid osmotic pressure.
greater than
If net reabsorption into peritubular capillaries occurs, then capillary hydrostatic pressure must be (greater than/less than/equal to) the capillary colloid osmotic pressure.
less than
What is filtration?
The movement of fluid from blood into the lumen of the nephron
Where does filtration ONLY take place?
Renal corpuscule, where the walls of glomerular capillaries and Bowman’s capsule are modified to allow bulk flow of fluid