Urine Concentration and Dilution Flashcards

1
Q

Average urine produced per day

A

1.5L

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2
Q

When is angiotensin released?

A

Low salt, low water

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3
Q

Effect of angiotensin release

A

Constrict efferent arteriole preferentially

Increased glomerulus pressure, GFR

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4
Q

What do ACE inhibitors do?

A

Inhibit constriction of efferent arteriole

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5
Q

Location of osmoreceptor cells

A

Anterior hypothalamus

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6
Q

Does water come from metabolism?

A

Yes

From aerobic respiration

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7
Q

Effect of negative water balance on osmolarity

A

ECF osmolarity will increase

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8
Q

In what is a negative water balance most quickly detected?

A

ECF osmolarity, not plasma volume

Negative water balance spread through all tissues in the body, and there is more water in ECF than in blood

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9
Q

Effect of vasopressin

A

Promotes aquaporin recruitment into kidney tubule walls

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10
Q

What do aldosterone and angiotensin II affect?

A

Na balance

NOT water balance (at least not directly)

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11
Q

Hormones that result in more concentrated urine

A

Aldosterone
Angiotensin II
Vasopressin

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12
Q

Most important hormone for water retention

A

Vasopressin

Can make concentrated urine without aldosterone and angiotensin II, but not without vasopressin

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13
Q

Why can concentrated urine be made without aldosterone and angiotensin II but not without vasopressin?

A

Vasopressin makes the collecting duct permeable to water with aquaporins

Aldosterone increases Na reabsorption in collecting duct –> if duct is impermeable to water, osmotic gradient has no effect

Angiotensin II promotes Na reabsorption in proximal convoluted tubule. Water is reabsorbed here, but not in the collecting duct.

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14
Q

What increases osmolarity?

A

Loss of water from the body

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15
Q

Normal setpoint for body osmolarity

A

300mM

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16
Q

Role of proximal tubule

A

Bulk absorption

17
Q

Role of ascending limb

A

Dilution of filtrate

18
Q

Role of collecting ducts

A

Fine tuning of filtrate concentration according to needs

19
Q

Necessary amount of solute to excrete each day

A

600mOsm

20
Q

Necessary amount of water to excrete each day

A

500mL

21
Q

Urine osmolarity range

A

3 - 1200 mOsm/Kg of water

22
Q

Role of descending limb

A

Concentrates urine

23
Q

Urine concentration after the loop of Henle

A

More dilute than when it entered loop of Henle

This can be modified in the collecting duct

24
Q

Factors contributing to medullary concentration gradient

A

Na

Urea (from collecting duct)

25
Q

Medullary concentration gradient

A

300mOsm at cortex

1200mOsm at base of loop of Henle in medulla

26
Q

Why can’t urine exceed a concentration of 1200mOsm?

A

1200mOsm is the highest concentration in the medullary concentration gradient

27
Q

State of fluid in distal convoluted tubule

A

Isoosmotic

28
Q

What is reabsorbed in the descending limb?

A

Only water

29
Q

What is reabsorbed in the ascending limb?

A

Only ions (no water)

30
Q

State of fluid in thick ascending limb

A

Hypoosmotic

31
Q

Cotransporter in the luminal membrane of thick ascending limb

A

Na/K/2Cl cotransporter

32
Q

Transporters on the basal surface of thick ascending limb

A

Cl- transporter
K+ transporter
K+/Cl- costransporter
Na+/K+ antiport (active) (Na+ into interstitial fluid, K+ into cell)

33
Q

Role of Na/K antiport in thick ascending limb

A

Helps drive K/Cl cotransporter

Moves Na out of the cell into the interstitial fluid

34
Q

How does vasopressin work?

A

1) Vasopressin binds membrane receptor on basal surface of collecting duct
2) cAMP secondary messenger system activated
3) Aquaporin 2-containing vesicles fuse with luminal wall, deposit aquaporin 2
4) Water absorbed osmotically into blood (vasa recta)