Physiol Exam 4: Chps. 17-18, & 20 Flashcards
(115 cards)
Name the 2 organs that remove drugs from the blood
Kidney and liver
Identify the structures that form the nephron vs. renal corpuscle vs. renal tubule
Nephron:
- Renal corpuscle
- Renal tubule
Renal corpuscle:
- Glomerulus
- Glomerular capsule
Renal tubule:
- PCT
- (ascending & descending limb of the) nephron loop
- DCT
- CD
Describe the following terms: filtration, reabsorption, secretion
- Filtration: Process where components of blood (water and dissolved solutes) are removed and enter the nephron (glomerular capsule) → becomes filtrate
- Reabsorption: molecules from filtrate going back to the blood
- Secretion: fluids from the blood goes to the filtrate
Name the blood vessel that sends blood to the glomerulus vs. takes it away
Afferent arteriole - sends blood to the glomerulus
Efferent arteriole - takes blood away from the glomerulus
Name the 2 capillaries that efferent arterioles can send blood to (and percentage) & name the type of nephron each capillary is associated with
(85%) Cortical nephron = Peritubular capillaries
(15%) Juxtamedullary nephron = Vasa recta
Describe the location of the podocytes relative to the glomerulus
Makes contact with the glomerulus
Memorize the substances normally filtered vs. not filtered at the renal corpuscle
Normally filtered:
- Na+
- K+
- Cl-
- H+
- NH4+
- HCO3-
- H2O
- Glucose
- AA
- Urea
- BUT small amounts of albumin is filtered
Not filtered:
- Proteins mostly excluded (large size and net negative charges)
Name the 3 barriers/filters that permit filtration at the glomerulus
- Capillary fenestrae: contains charges; repels proteins from getting across
- Basement membrane: restricts rate of fluid flow the most
- blocks larger proteins - Filtration slits: spaces between foot processes of podocyte; covered by slit diaphragm
Describe how filtrate is formed
Formed by blood hydrostatic pressure
- 20% of blood gets filtered
- Remaining 80% of blood leaves
Memorize the value & unit for net filtration pressure
Net filtration pressure (pressure from both sides of the BV) ~10 mmHg
Define GFR
Glomerular filtration rate (GFR) = Volume of filtrate formed by both kidneys each minute
Name the 3 methods used to control GFR
- Sympathetic control
- Renal autoregulation
- Hormonal control (RAA system)
Describe the sympathetic control of GFR
Sympathetic control of GFR; Negative feedback
1. Stimuli - ↓BP (→ Baroreceptor reflex) OR Exercise
2. = ↑ Sympathetic nerve activity
3. Effects:
a. ↑ Cardiac output (↑HR, ↑contractility)
b. Vasoconstriction of afferent arterioles in kidneys → ↑TPR
OR
→↓GFR →↓ Urine production → ↑ Blood volume and blood pressure
c. Vasoconstriction in skin and GI tract →↑TPR
Name the substances reabsorbed at the PCT
- Na
- K
- Cl-
- H+
- NH4+
- HCO3-
- H2O
- glucose
- AA
- albumin
Memorize the percentage of filtered glucose & amino acids normally reabsorbed at the PCT & describe how it is reabsorbed
Glucose & AA’s filtered (at glomerulus) but 100% reabsorbed @ PCT
* Reabsorbed through secondary active transport (cotransport) with Na+ (Na+ diffuse in along w/ sneaking in glucose)
Memorize the percentage of the filtrate salt & water normally reabsorbed at the PCT
~65% filtrate Na+, Cl- & H2O reabsorbed (at PCT) & returns to blood
Describe the purpose of the countercurrent multiplier & name the part of the nephron where it occurs
Purpose: concentrate ECF (surrounding the nephron), to assist in reabsorbing water by CD (so less water ends up in urine)
- Occurs at nephron loop (renal medulla) of the renal tubule
Name the particles that ascending limb of the nephron loop is permeable vs. impermeable to
*Opposite to what occurs in the descending limb
Permeable to:
- NaCl (active transport/ATP; from lumen into interstitial fluid)
- MAYBE K+ (via secondary active transport - symport); Na+ -K+ -2 Cl cotransporter
NOT permeable to:
- H2O
Name the particles that descending limb of the nephron loop is permeable vs. Impermeable to
*Opposite to what occurs in the ascending limb
Permeable to:
- H2O
Impermeable to:
- Passive diffusion (high→low; no ATP) of salt
Name the 3 ions & 1 molecule that contribute the concentrated ECF surrounding the nephron
Ions:
- Na+
- K+
- Cl-
Molecules:
- Urea
Describe the purposes of the countercurrent exchange & name the blood vessel where it occurs
- Purposes:
1. Maintains hypertonicity of renal medulla by trapping solutes (NaCl & urea)
2. Remove H2O from interstitial fluid; prevent dilution of renal medulla - Occurs at vasa recta
Name the hormone that targets the collecting duct & describe the hormone’s effect at the collecting duct when there is an increase vs. decrease in that hormone’s levels
ADH/vasopressin
1. ↑ ADH
- → kidneys (specifically the CD)
- ↑ Water reabsoprtion (by osmosis; high to low [H2O])
- → Less water excreted in urine = more H2O return to blood to dilute that high plasma osmolality
- ↓ ADH
- → kidneys (specifically the CD)
- ↓ Water reabsoprtion
- → More water excreted in urine = water is being removed from blood
Name the structure that synthesizes vs. secretes ADH/vasopressin
Synthesized by - hypothalamus
Secreted by - posterior pituitary
Describe how ADH leads to aquaporins being inserted into the cell membrane
- ADH leaves the blood and binds to the ADH receptor on the cell membrane (polar)
- Once it binds to receptor → cAMP (2nd messenger system) goes into cytoplasm and bind to vesicles containing aquaporins (water channels) → will then insert it into the apical surface (faces lumen of CD/filtrate)
- More H2O can move via osmosis (high to low [H2O]) from CD lumen → CD cell → (medullary) interstitial fluid → blood = Blood reabsorbs H2O, so less ends up in urine