Test 3 - Urinary, Reproductive, Genetics Flashcards
3 Main Functions of Kidneys
1) Regulate volume, composition and pH of bodily fluids
2) Remove metabolic waste from blood (nitrogenous and sulfur-containing products of protein metabolism)
3) Control rate of red blood cell production, blood pressure, and calcium absorption by activating Vitamin D
Afferent/Efferent
Afferent: convey towards
Efferent: convey away
Glomerulonephritis
- Bacterial infection in kidneys
- Block the glomerular capillaries
- Capillaries become too permeable; allowing plasma proteins and RBC to enter urine
Urine contains ____, _____, and ______
wastes; excess water; electrolytes
Urine is the final product of these 3 processes:
1) Glomerular filtration (180 liters of fluid)
2) Tubular reabsorption (most of 180 liters of fluid reabsorbed)
3) Tubular secretion (substances that body must eliminate)
Urinary excretion =
glomerular filtration + tubular secretion - tubular reabsorption
Glomerular Capillaries
-Specialized for filtration
Tubular reabsorption
- Substances move from the renal tubules into the interstitial fluid where they go into the peritubular capillaries
- Composition changes in filtrate but not in urine
Tubular secretion
-Renal tubule specialized to control movement of substances from the blood into the renal tubule
Glomerular Filtration
- Substances move from blood to glomerular capsule
- Small molecules and ions only
- Proteins are restricted
- Glomerular capillaries are much more permeable
- Glomerular filtrate has the same composition as tissue fluid (which is a lot like blood plasma, except w/o large protein molecules)
Main force that moves substances by filtration through the glomerular capillary wall is…
… hydrostatic pressure of the blood inside, which is high compared to other capillaries
Outward force, glomerular hydrostatic pressure =
+60 mm (look at diagram dude!)
Inward force of plasma colloid osmotic pressure =
-32 mm (look at diagram dude!)
Inward force of capsular hydrostatic pressure
-18 mm (look at diagram, dude!)
Net filtration pressure
+10 mm (look at diagram dude!)
___ is directly proportional to ______
Glomerular filtration rate; net filtration pressure
Net filtration pressure =
= force favoring filtration (glomerular capillary hydrostatic pressure) - forces opposing filtration (capsular hydrostatic pressure and glomerular capillary osmotic pressure)
3 Forces responsible for Filtration Rates
-Normally the glomerular net filtration pressure is positive, causing filtration
1) Glomerular Hydrostatic pressure
2) Osmotic pressure
3) Hydrostatic pressure of the fluid in the glomerular capsule
Glomerular hydrostatic pressure
- Influences glomerular filtration rate
- Vasoconstrict, which changes the diameter of arteries and changes pressure
- Vasoconstricts of afferent and efferent arterioles have oppposite effects
Osmotic pressure
- Influences glomerular filtration rate
- High concentration of blood plasma protein increase osmotic pressure, and decrease glomerular filtration rate
Hydrostatic pressure in glomerular capsule
- Influence glomerular filtration rate
- It may change as the results of obstruction, fluids back up into the renal tubules and increase the pressure in the capsule
Proximal convoluted tubule
- Reabsorbs 70%
- Glucose, water, proteins, and creatine
- Amino, lactic, citric and uric acids
- Phosphate, sulfate, calcium, potassium, and sodium ions
4 Features of Peritubular Capillary Blood that helps reabsorption
1) Low pressure
2) More permeable than other capillaries
3) High rate of glomerular filtration increase the protein concentration in plasma, therefore increases the osmotic pressure in the peritubular capillary plasma
4) Epithelial cells on the convoluted portion of the tubule have microvilli which increase surface area
3 Limits of Active Transport
1) Limited transport capacity
2) Glucose renal plasma threshold (too much glucose in blood, concentration gradient too high, cannot reabsorb)
3) Osmotic diuresis (non-reabsorbed glucose increases the osmotic concentration in tubular fluid > less water reabsorbed by capillaries, increase in urine volume)
Water reabsorption
Passively by osmosis, and closely related to sodium reabsorption
Sodium reabsorption
- Active transport
- When sodium reabsorption increases, then water reabsorption increases
- Positive charged ions attract negative ions crossing membrane, and also increase osmotic pressure
______ reabsorb ___ ions and ___, and at the _____ of the tubule, osmotic equilibrium is reached.
proximal convoluted tubules; 70%; water; end
Isotonic Tubular Fluid pathway
1) Sodium ions are reabsorbed by active transport
2) Negatively charged ions are attracted to positively charged ions
3) As concentration of ions (solute) increases in plasma, osmotic pressure increases
4) Water moves from proximal tubule to capillary by osmosis
The Nephrotic Syndrome
Increased permeability of glomerular membrane -> plasma protein entering the urine -> low osmotic pressure (less ions in plasma!) -> edema
Distal convoluted tubule
- Na+ goes from ascending loop into peritubular capillary (reabsorption)
- K+ or H+ go from peritubular capillary into collecting duct (secretion)
- Hydrogen ions make urine acidic
- Potassium ions are attracted to negatively charged regions
Urine formation
- Glomerular filtration of materials from blood plasma
- Tubular reabsorption of substances: glucose, water, urea, sodium
- Tubular secretion of substances: hydrogen ions, potassium ions
Countercurrent Mechanism
- In descending and ascending limps
- Ensures that medullary interstitial fluid becomes hypertonic
- Creates a large osmotic gradient for water reabsorption in the interstitial fluid surrounding the distal convoluted tubules
Hypotonic
Refers to a solution with lower concentration of solutes (lower osmotic pressure)