Week 10- Renal System Flashcards

1
Q

What is the glomerular filtration rate determined on

A

Filtration rate

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2
Q

What does filtration rate need to be

A

Constant

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3
Q

What happens if the filtration rate is too fast

A

Filtration wont be reabsorbed

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4
Q

What happens if the filtration rate is too slow

A

Everything is reabsorbed

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5
Q

What drives fluid out

A

Hydrostatic pressure

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6
Q

Effect of proteins in arterioles

A

Has osmotic pressure in blood to oppose movement of fluid out as does hydrostatic pressure of filtrate

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7
Q

What regulates filtration

A

Arterioles size

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8
Q

Describe the juxtaglobular complex

A

The wall of distil convoluted tubule connects with afferent arterioles. When flood flows too quickly through the DCT the MACULA DENSA releases ATP which causes the afferent arteriole to constrict

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9
Q

Describe the process of reabsoprtion

A

Sodium potassium pump used to remove sodium from basal region

Sodium used to co transport other useful substances such as glucose

Peritubular hydrostsatic pressure s low and osmotic pressure is high so water (osmosis) and other ions move out the proximal convoluted tubule

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10
Q

What increases glomerular filtration rate
What wil this cause

A

Increases resistance of efferent arterole (constriction)

Increased pH in GFR

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11
Q

What decreases glomerular filtration rate
What will this cause

A

INCREASES RESISTANCE IN AFFERENT ARTEROLE (constriction)

Decrease capillary BP, decrease in pH

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12
Q

What does the wall of sitar convoluted tubule connect to

A

Afferent arterole

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13
Q

Describe juxtaglomerular process

A

The wall of distal convoluted tubule connects with afferent arterioles. When fluid flows too quickly through DCT, the MACULA DENSA releases ATP which amuses afferent arterole to constrict

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14
Q

What causes afferent arterole to constrict

A

JUXTAGLOMERULAR PROCESS

The wall of distal convoluted tubule connects with afferent arterioles. When fluid flows too quickly through DCT, the MACULA DENSA releases ATP which amuses afferent arterole to constrict

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15
Q

How many times is plasma filtered a day

A

60

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16
Q

What cell help with re absorption

A

Microvilli
Increase SA:V

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17
Q

Define blood pressure

A

The force applied to a unit area of surface of blood vessel wall by the blood contained within it

18
Q

Which arterole is first

19
Q

Where does selective reabsorptoion occur

A

Proximal convoluted tubule

20
Q

Substances are more likely to pass from the glomerulus into the proximal a convoluted tubule if they are ?s

A

Small and under high pressure

21
Q

What is the glomerulus filtration rate

A

Flow of plasma from glomerulus into bowman’s capsule

22
Q

What makes up the juxtaglomerular complex

A

Macula DENSA cells In loop of Henley and granular cells of afferent arterole of glomerulus

23
Q

What do macula densa cells do

A

When the flow of filtrate is high it releases ATP into afferent arterole ofglomerulus causing it to contract

24
Q

Where does reabsorption mainkhy occur

A

Proximal convoluted tubule

25
How are glucose molecules reabsorbed
Combination of active and passive transport across tubule cells
26
Why can hyperglycaemia in diabetes melitus cause glucose to enter urine
Excessive glucose in filtrate saturates the glucose co-transported
27
What makes the tubule cells impermeable
Lots of tight junctions and water
28
When does the hypothalamus shrink
When osmoreceptors detect when blood is concentrated Or a drop in bpdetetced
29
What do osmoreceptors release when conc blood is detected What does this do
ANTIDIURETIC HORMONE(ADH) / VASOPRESSIN This circulates kidney and can cause behavioural change- thirst
30
Once ADH is released, what does it do? What does this cause?
Binds to its receptor in the DST and collecting ducts Causes a release in AQUAPORINS AQUAPORINS become membrane bound and allow the passage of water acros the cells and into capillaries by osmosis
31
By the time filtrate reaches DCT, how much water and sodium remains
Water- 25% Na- 10%
32
Function of adrenal cortex of adrenal glands
Monitor sodium and potassium (electrolytes) HIGH K+ or LOW Na+ stimulate release of the hormone ALDOSTERONE
33
Function of ALDOSTERONE
Stimulate DCT and collecting ducts Increase rate of sodium potassium pump, increased rate of sodium uptake and potassium excretion Cause production of more channels and pumps in longer term
34
What affects bp
Vessel diameter Vessel length Blood viscosity
35
Function of granular cells
Sensitive to BP in arterioles, release an enzyme called RENIN STIMULATED BY THE CV CENTRE is sympathetic nerves and macula densa if flow is too slow
36
How is water reabsorbed in DCT
ADH stimulates release o9f AQUAPORINS
37
How would an increase in ADH change urine production and blood pressure
Decrease urine production Increase blood pressure
38
Where is aldosterone produced
Adrenal cortex
39
What effect has aldosterone on kidney
Reabsorption if sodium ions Excretion of potassium ions
40
What is rennin and where is it released from
Enzyme Released from granular cells of JGC
41
What does renin do
Concert angiotensinogen to angiotensin 1
42
What affect does angiotensin 11 have
Increases cardiac output Stimulates the release of ADH stimulates release of aldosterone Stimulates vasoconstriction