kidneys Flashcards

(35 cards)

1
Q

what was the three main roles of the kidneys?

A

removal of urea and other waste products and adjustment of salt levels and water content in the blood

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2
Q

How did the kidneys carry out the three main roles?

A

by filtering stuff out of the blood under high-pressure and then re-absorbing the useful things

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3
Q

what was the end product and what did it contain?

A

Urea and excess salts

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4
Q

how is the blood cleaned from the heart, kidneys then out the body (5)

A

Blood from the aorta moves into the renal artery and into the kidney.
The kidney filters the blood and removes some water, urea and excess salts.
• Cleaned blood returns to the heart in the vena cava via renal vein
• The unfiltrated urine leaves the kidneys in the ureters and is stored in the bladder.
Urine is passed out of the body through the urethra.

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5
Q

why was regulating water content important?

A

to keep the body cells functioning normally

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6
Q

what would happen if the concentration of the water in the blood was too high?

A

The water will move into the body cells by osmosis which may swell and burst

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7
Q

what happens if the concentration of the water in the blood is too less than

A

The water will move out of the cells into the blood by osmosis which causes the cells to shrink

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8
Q

How do the kidneys help to regulate water content

A

By controlling how much water is reabsorbed and how much is lost in the urine?

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9
Q

Why is removing excess salt important?

A

as it could mean too much or two little water is drawn into the cells by osmosis

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10
Q

what is excretion / excretory system

A

removal of waste products of metabolisms and regulated water content of blood

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11
Q

how is urea removed from the blood and body

A

By the kidneys and it is excreted from the body in urine

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12
Q

What do the nephrons do and about how many are in each kidney

A

Filter the blood and about a million

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13
Q

How is blood filtered in the capillary knot in the nephron?

A

blood is carried in an arteriole to the capillary not. The arteriole that enters the capillary nuts has a large diameter than the one leaving it which generates high pressure in the capillary knot which causes the liquid part of the blood to be forced out of the capillary knot into the bowman’s capsule. bigger molecules and blood cells can’t pass through the membrane and are not forced out.

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14
Q

examples of liquid parts of the blood

A

Water urea, salt and glucose

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15
Q

example of bigger molecules

A

Protein

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16
Q

where does the filter liquid move from the Bowermans capsule?

A

tubules where all the glucose and some of the water and salts are reabsorbed into the blood capillaries that wrap around it

17
Q

what are useful substances are reabsorbed?

A

All the glucose is selectively reabsorbed and moved back
into the blood against the concentration gradient
Sufficient salts
Sufficient water, according to the level of hormone ADH

18
Q

what happens to whatever that isn’t reabsorbed?

A

They form urine and continues out the nephron via collecting duct which passes in the ureter and down to the bladder for storage then urine is excreted through the urethra

19
Q

how did doctors make sure that patient’s blood continues to get filtered even though the kidneys stopped working properly?

A

Dialysis machines or kidney transplants

20
Q

what is dialysis machine

A

they contain dialysis fluid which has the same concentration of salt and glucose as blood plasma. The barrier is permeable to things like salt and waste substances but not big molecules like proteins so the waste substances like urea, excess salt and water from the blood move across the membrane into the dialysis fluid

21
Q

what does it mean when a patient’s kidneys stopped working properly

A

they can’t filter their blood properly

22
Q

flow of dialysis fluid and blood to maintain what

A

Dialysis fluid and blood will flow counter current to each other to maintain a concentration gradient for diffusion of urea across the whole membrane.

23
Q

Advantages and disadvantages of dialysis

A

it can provide a patient with valuable time until a donor is found
A dialysis session has to be done regularly the three times a week with each session taking hours
restricted diet
an unpleasant experience

24
Q

what is the only cure for kidney failure

A

Kidney transplant

25
why might patients have to wait a long time for a kidney transplant
people can live with only one kidney, so it is sometimes transplanted from volunteers which is usually a family member however the number of kidneys that are donated is much lower than the number of patients that need a kidney transplant
26
how can a donor kidney be rejected?
By a patient’s immune system as it’s treated like a foreign body and attacked by antibodies
27
1 advantage and 2 disadvantages of a kidney transplant
Can last 12-15 years with minimal medical intervention. Immunosuppressant drugs must be taken to avoid rejection. A donor must be found and must have a similar tissue type to the recipient, so a close family living donor is preferable.
28
What is the amount of water reabsorbed in the kidney nephrons is controlled by?
anti diuretic hormone (ADH)
29
The presence of what in the urine can indicate kidney damage or disease
Blood cells and proteins as they are usually not able to pass through the kidney membrane
30
What can a high concentration of glucose in the urine indicate and how does this occur
that they have diabetes as in a healthy person almost all the glucose is reabsorbed in the nephron so it doesn’t enter the urine. However if a person has diabetes the concentration of glucose in the blood can become so high that the kidney can absorb it all.
31
how can you test an artificial urine sample for glucose?
Add a few cm3 of the artificial urine sample to a boiling tube Add a few cm3 of Benedict’s Regent Place the boiling tube in water bath of 75° If glucose is present, a coloured precipitate will form eg brick red = high concentration
32
how can you test an artificial urine sample for proteins?
Add a few cm3 of the artificial urine sample to a boiling tube Add a few cm3 of biuret solution shake the boiling tube gently if proteins are present, then the solution will turn violet if not it’ll stay blue
33
how do you ensure the urea diffuses out of the blood into the dialysis fluid?
Dialysis fluid contains equal - concentration of glucose and salts that should not be removed from the blood. It contains no urea and so urea will diffuse from a high concentration in the blood out into the dialysis fluid which is then disposed of.
34
what happens if the water content of the blood is too low
The brain detects the water content of the blood is too low. More ADH is released into the blood from the pituitary gland. Blood takes more ADH to the collecting duct of the kidney. The collecting duct becomes more permeable to water. osmosis. Water in the collecting duct is reabsorbed into the blood by A small volume of concentrated urine is released.
35
What happens if the water content of the blood is too high?
The brain detects the water content of the blod is too high. Less ADH is released into the blood from the pituitary gland Blood takes less ADH to the collecting duct of the kidney The collecting duct becomes less permeable to water. Water is retained in the collecting duct A large volume of dilute urne is released.