Exam 2 Net Filtration Pressures Flashcards
Gbhp
Glomerular blood hydrostatic pressure
Pressure leaving the glomerulus towards the Bowman’s capsule
Typically 55 mmhg
Chp
Colloid hydrostatic pressure
An opposing Force to the gbhp
Created by the water already in the Bowman’s capsule pushing back toward the glomerulus
Bcop
Blood colloid osmotic pressure
An opposing Force to the gbhp
30 mmhg
Proteins in blood of the glomerulus try to prevent the loss of fluid into the Bowman’s capsule
Gfr definition and amounts
Glomerular filtration rate
The amount of filtrate from the Bowman’s capsule of both kidneys in 1 minute
In males, roughly 125 ml per minute
In females 105 ml per minute
What affects the GFR?
Any change in filtration pressure
Three things to control the GFR
Auto regulation
Neural regulation
Hormonal regulation
Auto regulation if BP is too high
Fixes it in 2 ways
- smooth muscle contractile cells in the afferent arteriole contract reduce BP
- Cells of the macula densa inhibit the release of the hormone NO. Which allow the afferent arterioles to constrict?
This decreases the pressure and flow into the glomerulus
Neural regulation
Vessels of the kidneys have a sympathetic nerve supply that causes vasoconstriction
At rest stimulation is low and vessels are dilated
Kidneys are on autoregulation
During exercise or hemorrhage stimulation causes vasoconstriction of the afferent arterioles and the GFR decreases
Fight or flight with neural regulation of the kidneys
What happens to the GFR?
What happens to urine output
GFR decreases
Decreases urine output which conserves water and sends blood to essential areas such as skeletal muscle
Raa complex begins with a drop in blood pressure
Kidneys release renin
Converts blood protein angiotensinogen into A1
A1 travels in the blood to the lungs
Lungs release Ace
Ace converts A1 into A2
A2 vasoconstricts vessels and causes the release of aldosterone from the adrenal gland which causes the kidneys to retain sodium and thus water
Both the vasoconstriction of the vessels and the retention of sodium causes a raise in BP
Two ways the RAA complex raises BP
A2 vasoconstricts vessels increasing BP
Aldosterone raises BP by retaining sodium in this water
Hormone anp function
Atrial natiuretic peptide
Made in the heart
Controls levels of sodium
High BP
Heart releases ANP
Targets kidneys to excrete na in fluids
Lower blood volume equals lower BP