Chapter 18/19 (Pt. 6) Flashcards

1
Q

how does aldosterone increase Na+ reabsorption? (2)

A
  • increase number of Na+ ATPases on distal tubule and collecting duct basolateral membrane, to bring in Na+ from lumen and send out K+
  • opens more Na+ in and K+ out channels on apical membranes, ions flow according to conc. gradient
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2
Q

how does atrial natriuretic peptide decrease Na+ reabsorption?

A

increase BP = heart pumps harder = heart stretches = ANP secreted by atria = ANP blocks synthesis of Na/K ATPases and leak channels = reduces Na+ reabsorption by distal nephron tubules

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3
Q

what is ANP?

A

atrial natriuretic peptide

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4
Q

what triggers the release of atrial natriuretic peptide?

A

stretch of cardiac muscle, including within the atria.

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5
Q

ANP inhibits the release of three things. what are they?

A

aldosterone, renin, and ADH

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6
Q

how do ADH levels regulate water reabsorption?

A

dehydrated = fluid volume drops = ADH released = ADH binds to kidney, adenylate cyclase –> cAMP -> PKA -> release vesicles with aquaporins on apical side of principle cells to reabsorb water

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7
Q

how are baroreceptors used to monitor blood pressure and control ADH secretion?

A

if fluid volume drops, pressure drops

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8
Q

what do baroreceptors detect?

A

pressure

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9
Q

what do osmoreceptors detect?

A

solute concentration

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10
Q

how do osmoreceptors monitor blood pressure and control ADH secretion?

A

as fluid volume drop, solute concentration increases

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11
Q

name four important things in controlling the synthesis and secretion of aldosterone?

A
  1. angiotensin I
  2. angiotensin II
  3. renin
  4. concentration of plasma Na+
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12
Q

what is micturition reflex?

A

controls urine release

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13
Q

how is urine retention/release controlled by the detrusor muscle, internal urethral sphincter, and external urethral sphincter?

A
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14
Q

what are the three structures responsible for controlling urine retention/release?

A

detrusor muscle

internal urethral sphincter

external urethral sphincter

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15
Q

how is urine retention/release controlled by the detrusor muscle?

A

relaxes to allow for bladder expansion

bladder fills

stretch receptor activated, AP sent to brain stem

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16
Q

how is urine retention/release controlled by the internal urethral sphincter?

A

micturition reflex tells IUS to open

contraction of IUS means relaxation of EUS

17
Q

how is urine retention/release controlled by the external urethral sphincter?

A

contraction of IUS means relaxation of EUS

EUS is skeletal muscle, meaning voluntary control

18
Q

what are the two aspects of the micturition reflex?

A
  1. brain tells internal urethral sphincter to open
  2. brain tells detrusor muscle to close