hormonal control of bp Flashcards

1
Q

what do you see here and what does it do

A

whole thing is juxtaglomerular apparatus, macula densa in distal ct and juxtaglomerular cells in afferent arterioles control water content in blood plasma

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2
Q

what do macula densa cells monitor

A

sodium concentration in dct

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3
Q

why might sodium levels in dct be low

A

low bp

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4
Q

what do macula densa cells cause when na is low in dct

A

release of prostaglandin - dilation of afferent arteriole for increased blood flow

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5
Q

what does the JGCs also release

A

renin

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6
Q

what is angiotensinII

A

vasoconstrictor

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7
Q

how does angiotensin II work

A

GPCR - phospholipase C - Ca2+ released

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8
Q

which vessels are most involved in vasoconstriction

A

arterioles

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9
Q

what happens when vasoconstiction happens

A

SVR goes up so bp goes up

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10
Q

what effects does angiotension II have on the kidneys

A

upregulates Na+ reabsorption from the PCT (Na+/H+ antiporter so you pee more acid), Na+ then crosses the cell into the interstitial fluid then back into the blood. water follows so blood volume increases

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11
Q

what does angiotensin iI do at the adrenals

A

stimulate aldosterone release

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12
Q

what does aldosterone do to bp. How?

A

stimulates Na reuptake from DCT inexchange for K+ ions

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13
Q

why might someone with low bp be hypokalemic

A

aldosterone has exchanged too much K for Na to try and fix the bp

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14
Q

how does angiotensin 11 work on the brain

A

stimulates ADH release

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15
Q

juxtaglomerular cells also have…

A

barorecpetors

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16
Q

mild hyponatraemia symptoms

A

fatigue confusion muscle weakness cramps

17
Q

how would you lose sodium

A

vomiting

18
Q

severe hypona+ symptoms

A

intracranial pressure up, nausea, vomiiting, headaches, coma death

19
Q

what do thiazide diuretics do

A

block na-cl symporter in the dct

20
Q

what is losartana

A

angiontensin receptor antagonist

21
Q

where is aldorsterone made

A

adrenal glands

22
Q

which antibodies can crosss the placenta

A

IgG

23
Q

what sort of cells are in the placental surface barrier

A

syncytiotrophoblast