Regulation of osmolarity Flashcards

(30 cards)

1
Q

Where is ADH synthesised?

A

Magnocellular neurons in the hypothalamus

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2
Q

Where is ADH secreted?

A

Posterior pituitary

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3
Q

When osmoreceptors detect an increase in the OP, what happens to ADH secretion?

A

Increased ADH production

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4
Q

What happens to ADH secretion when osmolarity decreases?

A

Decreased

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5
Q

What is the difference between osmolarity & tonicity

A

Molecules which can penetrate the membrane along with water do not produce tonicity but affect osmolarity.
Impermeable molecules affect tonicity

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6
Q

What is urea?

A

Ineffective osmole

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7
Q

Does urea change the osmolarity?

A

Yes

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8
Q

What increases the permeability of collecting ducts to water? How?

A

ADH

Aquaporins

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9
Q

If maximal ADH is produced, how concentrated will the urine become?

A

1200mOsm

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10
Q

With maximal ADH, what urine will be produced?

A

Small concentrated urine

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11
Q

In the absence of ADH, what is the concentration of urine?

A

100mOsm

30-50 due to more ion reabsorption

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12
Q

Is the CD permeable or impermeable to water in the absence of ADH?

A

Impermeable

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13
Q

Are CD permeable to urea?

A

Yes

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14
Q

What enhances the CD permeability to urea?

A

ADH

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15
Q

In antidiuresis, what will happen to urea levels? What does it do

A

Reabsorb urea

Acts to reinforce the medullary interstitial gradient

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16
Q

Why is it important that urea can be recycled during antiduiresis?

A

It has an osmotic effect therefore would draw water into CD

17
Q

When ECF increases, what happens to ADH secretion?

18
Q

When ECF decreases, what happens to ADH secretion?

19
Q

Where are low P receptors found?

A

R & L atria & great veins

20
Q

Where are the High P receptors found?

A

Carotid & aortic arch baroreceptors

21
Q

What normally tonically inhibits ADH secretion?

22
Q

What affect does orthostatic hypotension have on ADH secretion?

A

Increases ADH

23
Q

What stimulates increase in ADH production?

A
Exercise
Stress
Nicotine
Pain
Emotion
24
Q

What decreases ADH secretion?

25
What are the 3 main stimuli which promote ADH secretion?
Low P receptors High P receptors Osmoreceptors
26
What condition demonstrates ADH deficiency?
Diabetes Insipidus
27
What could be a primary cause of DI?
Tumour or trauma to hypothalamus
28
What could cause secondary DI?
Insensitivity of CD to ADH
29
What symptoms are experienced with DI?
Thirst Drink large amounts of water Large volume of dilute urine
30
How can central DI be treated?
Administer ADH