Exam 2 Flashcards
(85 cards)
Cortical Nephron
80-85% of nephrons, short loops of Henle, dilute urine, peritubular capillaries
Juxtamedullary Nephron
15-20% of nephrons, longer loop of Henle, concentrated urine, peritubular capillaries and vasa recta
Three Layers of Glomerular Filtration Membrane
- Fenestration of Glomerular Endothelium - keep in RBCs
- Basement membrane of Glomerulus - keep in plasma proteins
- Slit Membrane between pedicels of Podocyte - keep in medium-sized proteins needed for energy and muscle building
Aldosterone Function
Regulates potassium excretion and sodium/water reabsorption. More aldosterone, more sodium reabsorption
Juxtaglomerular Apparatus
Where the ascending loop contacts the afferent arteriole. Macula densa on nephron, granular (smooth muscle) cells on arteriole
Macula Densa
Senses amount of blood filtered out of glomerulus, high BV causes afferent arteriole to constrict, decrease renin production
Mesangial Cells
Cells with contractile properties that regulate GFR by modifying size of arteriole
Regulation of Hypotension by the Juxtaglomerular Apparatus
- Decreased sodium plasma, decreased BV
- Granular cells sense decrease and secrete renin
- Renin converts angiotensinogen to angiotensin 1 - slightly constricts blood vessel
- ACE converts angiotensin 1 to angiotensin 2 - slightly constrict vessel, stimulate adrenal cortex
- Adrenal cortex produces aldosterone - promotes sodium reabsorption and potassium secretion
4 Pressures Involved in Glomerular Filtration
Net Filtration Pressure = Glomerular Blood Hydrostatic Pressure - Capsular Hydrostatic Pressure - Blood Colloid Osmotic Pressure
Myogenic Renal Regulation
Macula Densa and Mesangial cells in afferent arterioles contract in response to high blood pressure
Tubuloglomerular Renal Regulation
Macula densa inhibits nitric oxide release (vasodilator) to constrict afferent arteriole
Neural Renal Regulation
Sympathetic tone causes AA constriction, reducing urine output and increasing blood availability for other organs
Hormonal Renal Regulation
Angiotensin II constriction to decrease GFR, ANP increases sodium excretion to reduce BP
Inulin
Fructose polymer that is neither reabsorbed nor secreted, used to measure GFR
Transport Maximum
Maximum level of glucose or protein needed to saturate transporters
Glycosuria
Presence of glucose in urine due to reaching transport maximum
Paracellular Reabsorption vs Transcellular Reabsorption
PR - Passive fluid leakage between cells
TR - active transport of solutes through cells
Diabetes Insipidus
Improper secretion of ADH, or responsiveness to ADH, resulting into too dilute urine
Angiotensin II
Contract AA, signal production of aldosterone in response to low BP
ADH
Increase facultative reabsorption of water to decrease osmolarity of body fluids - response to either low BV or high BO
Atrial Natriuretic Peptide (ANP)
Stimulated by stretching of atria, increases sodium excretion to reduce BV
Parathyroid Hormone
Increase calcium reabsorption
Acute Renal Failure
ability of kidneys to excrete wastes, regulate BV, pH, and electrolytes is impaired - detected by high blood creatine, result of tubule inflammation or kidney ischemia (lack of blood)
Glomerulonephritis
Inflammation of glomeruli due to autoimmune attack against glomerular capillary basement membrane - causes leakage of protein into urine, decrease colloid osmotic pressure, edema (fluid outside of blood)