ion and water balance part 3 Flashcards

1
Q

what is urea

A

metabolic waste byproduct
produced in the liver and transported in the blood
impermeable to the nephron–> secreted

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2
Q

why does the body control movement of potassium

A

too much potassium in the body will depolarize cell membranes
- catastrophic in heart and brain

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3
Q

how does vasopressin increase water reabsorption

A
  • vasopressin binds G protein linked receptor
  • receptor activates adenylate cyclase–> cAMP–> pKA
  • pKA phosphorylates cytoskeletal and vesicle proteins
  • translocation of aqaporin to the membrane
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4
Q

vasopressinn characteristics

A
  • also called antidiuretic hormone (ADH)
  • produced in hypothalamus–> released by posterior pituitary
  • increase water reabsorption from collecting ducts and distal tubules
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5
Q

how is vasopressin stimulated/inhibited

A

stimulated- increasing plasma osmolarity detected by osmoreceptors in the hypothalamus
inhibited- increasing blood pressure detected by stretch receptors in atria and baroreceptors

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6
Q

how does aldosterone stimulate Na reabsorption

A
  • aldosterone diffuses into cell
  • binds to transcription factor
  • activated transcription factor stimulates transcription of genes for transporters
  • new transporters made in ER and exported
  • vesicles containing proteins sent to plasma membrane
    (Na/K ATP ase)
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7
Q

aldosterone characteristics

A

mineralocorticoid controls ion excretion
produced by adrenal cortex
steroid hormone
stimulates Na reabsorption and K secretion
produces Na/K ATP ase and K and Na channels

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8
Q

what inhibits/stimulates aldosterone

A

stimulated- angiotensin 2, high K, ACTH, decreased blood pressure

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9
Q

what is the Renin-Angiotensin-Aldosterone pathway (RAA)

A
juxtaglomerular cells secrete renin (enzyme) 
controlled by:
baroreceptors 
sympathetic neurons of medulla oblongota
macula densa cells in distal tubule
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10
Q

when is renin secreted

A

in response to low blood pressure

in response to low glomerular filtration rate

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11
Q

what does renin do

A

converts angiotensinogen to angiotensin 1

ACE converts angiotensin 1 to angiotensin 2

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12
Q

what does angiotensin 2 do

A

causes synthesis and release of aldosterone from adrenal cortex
release of vasopressin
potent vasoconstrictor

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