renal 3 - reabsorbtion & secretion Flashcards

1
Q

how much fluid is filtered per day? how much of that is excreted?

A

180L/day but only 1% (1.5L) is excreted

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2
Q

why do we filter so much per day? (2)

A

to rapidly filter foreign substances
to rapidly regulate ions and water

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3
Q

What drives reabsorbtion at the proximal tubul?

A

Na+

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4
Q

what is the apical side?

A

faces the tubule lumen

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5
Q

what side does basolateral face

A

extracellular fluid

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6
Q

transepitheilial transport

A

substances cross the apical and basolateral membranes of the tubule cells to enter into the ECF

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7
Q

paracellular transport

A

susbstances pass through the cell to cell junctions between two adjacent tubule cells

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8
Q

where is active transport found most

A

Basilateral side and is always active via Na-K-ATPase

keeps Na concentration low in tubule cell, high outdside

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9
Q

how is secondary active transport used in proximal tubule cells?

A

secondary active transport: smport with Na+

glucose moves in symport with Na+

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10
Q

Passive reabsorbtion

A

e.g urea nitrogenous waste product

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11
Q

what is urea?

A

nitrogenous waste product from protein break down

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12
Q

Receptor mediated endocytosis

A

megalin can bind to proteins & peptides that allow transport via endocytosis. then is digested by lysosmes. (very small amounts of protiens in pee cuz it gets reabsorbed)

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13
Q

Saturation:

A

the max rate of transport that occurs when all available carriers are occupied (never reach this) TRANSPORT MAXIMUM

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14
Q

If too much glucose filtration exceeds how much you can reabsorb, what will happen?

A

it will not be reabsorbed since you dont have enough to move it. It will exit in your pee (like diabetes sweeter pee) *called glucosuria

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15
Q

what is the cacluation for excretion

A

excretion = filtration - reabsorbtion + amount secreted

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16
Q

how do peritubular capillary pressures favor reabsorbtion?

A

excess plasma protiens draw fulids back into the peritubular capillary. its called osmotic pressure

17
Q

what is secretion

A

the transfer of molecules from the extracuelluar fluid into the lumen of the nephron

18
Q

give an example of secretion of organic solutes, which use (tertiary) active transport

A

-organic anion transporters: broad range of prodcts transported

19
Q

aKG-:

A

a-ketoglutarate is a by-product of the citric acid cycle

20
Q

what are the steps in secretion?

A

1 direct active transport
2 secondary indirect active transport
3 tertiary indirect active transfort
4 organic anions enter lumen in exchange for dicarboxylate

21
Q

what is an OAT trasporter?

A

uses energy from transporting dicarboxylates down its concentration gradient to move OA- against its concentraion gradient

22
Q

What is a competitor? what does it have to do with penicillin excretion?

A

penicilin would be excreted within 3-4 hrs

probenecid is a competitor which is preferentially secreed by the OAT transported, allowing penicillin to stay in the body