ions and water part 2 Flashcards

1
Q

what are the 6 roles of the kidney

A
ion balance
osmotic balance
blood pressure
pH balance
excretion of metabolic waste
hormone production
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2
Q

what is the functional unit of the kidney

A

the nephron

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3
Q

what is the nephron composed of

A

vasculature - glomerulus (capillary beds)

renal tubule - lined with transport epithelium

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4
Q

what are the four renal processes

A

filtration
reabsorption - specific molecules in filtrate removed
secretion - specific molecules removed from blood and added to filtrate
excretion- urine excreted from the body

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5
Q

what makes up the filtration structure of the glomerular capillaries

A

podocytes with foot processes

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6
Q

what controls the blood pressure at the glomerulus

A

mesangial cells

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7
Q

what is the renal threshold limited by

A

number of transporters

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8
Q

what is primary urine

A

the initial filtrate in bowman capsule

isosmotic to blood

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9
Q

function of proximal tubule

A

solute and water reabsorption

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10
Q

loop of hence function

A

descending limb- water reabsorption

ascending limb- ion reabsorption

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11
Q

distal tubule function

A

reabsorption completed for solutes and water

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12
Q

collecting duct

A

regulation of final urine composition
drains multiple nephrons
carries urine to renal pelvis

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13
Q

what is the difference in epithelium thickness along descending and ascending limbs

A

descending limb - very thin flat cells

ascending limb- very thick, microvilli, transporters

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14
Q

where does most reabsorption of solutes and water take place

A

proximal tubule

also carries out secretion

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15
Q

permeability of loop of henle

A

descending limb- permeable to water

ascending limb- impermeable to water

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16
Q

transport in distal tubule

A

reabsorbs salts and water

secretes potassium

17
Q

function of parathormone on distal tubule

A

increases Ca reabsorption

18
Q

function of aldosterone on distal tubule

A

increases K secretion and Na reabsorption

19
Q

function of vasopressin on distal tubule

A

increases water reabsorption

20
Q

what are the three main forces that determine glomerular filtration rate

A

glomerular capillary hydrostatic pressure
bowman capsule hydrostatic pressure
oncotic pressure - osmotic pressure due to protein concentration in blood

21
Q

what are the three regulators of glomerular filtration rate

A

myogenic regulation
tubuloglomerular feedback
mesangial control

22
Q

what affect does myogenic regulation have on GFR

A

constriction/dilation of afferent arteriole

23
Q

what affect does tubuloglomerular feedback have on GFR

A
  • juxtaglomerular apparatus
    macula dense cells in distal tubule control diameter of afferent arteriole
    juxtaglomerular cells in afferent arteriole
24
Q

what affect does mesangial control have on GFR

A

altered permeability of glomerulus