lecture 32 Flashcards

1
Q

what is the product of filtration?

A

creates a plasma-like filtrate of the blood

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2
Q

what is the rate of filtration at glomerular?

A

125mL/min = 180L/day

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3
Q

what supplies the blood for filtration?

A

afferent arterioles

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4
Q

why does the DCT come back onto the efferent arteriole?

A

to control blood pressure by sensing how much NaCl has reached DCT

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5
Q

what is the blood flow to the renal system?

A

1-1.2L/min = 20-25% of cardiac output

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6
Q

Why does the renal system have high blood flow?

A

high flow for filtration rather than metabolism

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7
Q

where does filtration take place?

A

in the glomerulus

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8
Q

what is the filtration membrane composed of?

A

fenestrated epithelium
basement membrane
podocytes with foot processes and filtration slits

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9
Q

what are the driving forces of glomerular filtration?

A

forces/ pressure gradients between glomerular capillary / capillary space
permeability of glomerular
surface area of glomerular

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10
Q

4 forces determining net filtration?

A

GHP
BCOP
CsHP
CsCOP

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11
Q

what is the value of net filtration pressure?

A

+10mmHG

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12
Q

what is the main pressure of the glomerular?

A

Blood pressure (+50mmHg)

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13
Q

what are the two opposing forces?

A

blood colloid osmotic pressure and capsular hydrostatic pressure

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14
Q

what are the values of the two opposing forces?

A
  • 25mmHg

- 15mmHg

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15
Q

why is the capsular colloid osmotic pressure 0?

A

no protein in capsular space

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16
Q

what is the equation for clearance?

A

U x V / P (mL/min)

17
Q

what are the defining factors of renal clearance?

A

concentration of Substance in urine
volume of urine produced per unit time
concentration of substance in plasma

18
Q

what does the renal clearance describe?

A

the rate at which substance S is cleared by the kidneys per unit time

19
Q

what is GFR?

A

glomerular filtration rate

amount of fluid filtered per unit time

20
Q

Why does GFR decline?

A

it declines slowly from age 30

21
Q

To be used as a measure of GFR a substance must?

A

mot be reabsorbed by tubule
not be secreted into the tubule
not be metabolised

22
Q

two main substances that can measure GFR?

A

inulin

creatinine

23
Q

what is inulin?

A

polysaccharide not metabolised by body

must be injected

24
Q

what is creatinine?

A

waste product produced by muscles

already in body

25
what does it mean if plasma creatinine is low?
both kidneys are working
26
what is the creatinine value for only one working kidney?
60mL/min
27
how much of plasma is filtered?
renal blood flow is 25%/min = 1.25L 50% of blood is plasma only 125mL/min is filtered => 20% (125/625)
28
what is the filtration fraction?
(GFR/RPF) = 20%
29
what is filtered load?
amount of a particular substance filtered per minute?
30
filtered load =?
GFR x solute plasma conc.