regulation of GFR and blood pressure Flashcards

1
Q

what is the glomerular filtration rate

A

volume of fluid filtered from the glomerular capillaries into bowman’s space per minute

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2
Q

what is the glomerular capillary pressure

A

driving force for filtration

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3
Q

what is the glomerular capillary pressure regulated by

A

afferent and efferent arterioles

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4
Q

what happens if GFR is too high

A

too much filtrate
increased urine production
insufficient time for reabsorption due to increased flow rate and substances lost in urine

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5
Q

what happens in GFR is too low

A

too little filtrate
reduced flow of filtrate
certain waste substances may not be excreted and will accumulate in the body

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6
Q

what happens to GFR when afferent arteriole constricts

A

decreases

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7
Q

what does renal autoregulation do

A

maintains stable GFR when small/moderate changes in blood pressure

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8
Q

what are the 2 mechanisms of renal autoregulation

A

mycogenic response - belt
tubuloglomerular feedback - braces

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9
Q

what change does mycogenic respond to

A

change in blood pressure in afferent blood pressure

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10
Q

what change does tubuloglomerular feedback respond to

A

change in sodium in ascending LOH

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11
Q

what are macula densa cells and where are they found

A

lie within the nephron and detect actual changes in sodium therefore fluid volume
send paracrine signal to adjacent myocytes afferent arteriole
signal results in vasoconstriction or vasodilation

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12
Q

what is the mycogenic response to an increase in BP in afferent arteriole

A

detects increase blood pressure and causes vasoconstriction

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13
Q

what is the mycogenic response to a decrease in BP in afferent arteriole

A

detects decrease in blood pressure and causes vasodilation

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14
Q

neural regulation of blood pressure

A

baroreceptor reflex

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15
Q

hormonal regulation of blood pressure

A

angiotensin II

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16
Q

where is angiotensinogen synthesised and where is it released

A

liver and released into plasma

17
Q

why is renin released

A

in response to a decrease in blood pressure

18
Q

function of aldosterone

A

increases reabsorption of sodium and chlorine
increases blood pressure and decreases potassium

19
Q

osmotic consequence of increased reabsorption of sodium and chlorine

A

more water reabsorbed
increases blood volume
increases venous return and stroke volume

20
Q

effect of constriction of afferent arteriole

A

reduces blood flow to glomerular capillaries
reduces hydrostatic pressure
decreases GFR

21
Q

effect of constriction of efferent arteriole

A

reduces blood flow to the glomerular capillaries
increases hydrostatic pressure helps preserve GFR
relatively small decreases in GFR