Lecture 4 - Tubular function (LoH) Flashcards

1
Q

what percentage does the PCT reabsorb?

A

65%

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2
Q

whats the flow like in ascending and descending pct

A

counter-current flow

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3
Q

why is the collecting duct important for urine

A

fine tune of diluting and concentrating the urine;
large or small volume of urine

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4
Q

what blood supply supplies the LoH

A

vasa recta

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5
Q

what aspect of the nephron determines the urine is diluted/concentrated

A

collecting tubule

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6
Q

what does high osmolality mean

A

concentrated filtrate

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7
Q

what does concentrated filtrate mean

A

the high amount of ions and low water concentrations

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8
Q

why are hyperosmotic medullary interstitium’s important

A

allows the kidney to concentrate the urine more

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9
Q

what is the osmolality like surrounding the collecting ducts? why is this ?

A

very high;
creates a corticomedullary gradient

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10
Q

what type of fluid moves from the PCT

A

isotonic fluid

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11
Q

what type of fluid moves to the DCT

A

hypotonic

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12
Q

what channels are and arent present in the ascending LoH. what does this mean?

A

Sodium and Chlorine channels;
no aquaporins;

that H20 wont follow the salts

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13
Q

why are there sodium and chlorine channels in the ascending LoH

A

to create the corticomedullaru gradient

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14
Q

what happens to the osmalilty in the DCT and why ?

A

is much lower;
due to the sodium channels and chloride channels kicking out ions into the interstitium

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15
Q

Which drugs act upon this channel and how?

A

loop diuretics - stops the channel from working, decreasing the corticomedullary gradient, therefore water doesnt leave out the collecting tubule, more diluted and increased volume of urine

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16
Q

Which drug acts upon this channel and what does this do?

A

loop diuretics;

channel is blocked, no movement of ions out the DCT, smaller corticomedullary gradient, water doesnt get reabsorbed in the collecting tubule, making you urinate more, diluted urine

17
Q

what dp loop diuertics block ? and where?

A

sodium chloride ion channels in the ascending limb

18
Q

examples of loop diuretics

A

Furosemide

19
Q
A
20
Q

what are the main features of the descending limb/LoH

A
  • freely permeable to water, impermeable to ions
  • water passes out of the filtrate via aquaporins into the interstitium, then into specialised blood vessels - vasa recta
  • 1200mOsm/kg water osmolality at the base of LoH -HYPEROSMOTIC
21
Q

what are the main features of the ascending limb/LoH

A
  • Impermeable to water but not to ions
  • drug action of loop diuretics
  • solute passes into the interstitium and stays there
    • some taken back into the vasa recta
  • 90-100mOsm/kg water prior to the DCT -HYPOSMOTIC
22
Q

how can the medullary osmotic gradient be increased further

A

urea

23
Q

the extrusion of urea is…

A

very osmotically active

24
Q

how is urea reabsorbed? and where to?

A

passively

25
Q

what initates urea being reabsorbed ? how?

A

water being reabsorbed

26
Q

what indication is loop diuretics used for? and how?

A

hypertensive patients to lower blood pressure by reducting the blood volume