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Flashcards in Renal blood flow Deck (25)
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1

What is the term used to describe the proportion of fluid that passes into the renal tubules as compared with the total amount of fluid that is sent to the kidney.

Filtration fraction

2

What is the formula for FF?

GFR/RPF = FF

3

What is a typical filtration fraction for a healthy person?

20%

4

What do diuretics do to the filtration fraction?

They decrease the filtration fraction

5

What happens if the kidneys are not being perfused adequately?

Kidneys will compensate by increasing the filtration fraction

6

How do the kidneys alter the filtration fraction?

By constricting/dilating the afferent and efferent arterioles depending on the situation

7

If changes only occur in the _____________ arteriole, then FF is NOT altered.

afferent

8

True or False: Any change in the efferent arteriolar resistance WILL alter the FF.

true

9

There is an increased resistance in the efferent arteriole. What happens to the RBF? GFR?

RBF: decreased. GFR: increased

10

There is an increased resistance in the afferent arteriole. What happens to the RBF? GFR?

RBF: decreased. GFR: decreased

11

There is a decreased resistance in the efferent arteriole. What happens to the RBF? GFR?

RBF: increased GFR: decreased

12

There is a decreased resistance in the afferent arteriole. What happens to the RBF? GFR?

RBF: increased GFR: increased

13

What factors control the afferent and efferent arterioles?

1) Sympathetic NS (NE causes universal constriction)
2) AT2 (universal constriction

14

Where is renin produced?

Granular cells of the afferent arteriole

15

What 5 factors mediate release of renin?

1) sympathetic NS (direct infusion of Ne/E, stimulates)
2) baroreceptors (decreased stretch stimulates)
3) Prostaglandins (production stimulates)
4) Macula Densa (decreased NaCl stimulates)
5) AT2 (receptors on granular cells inhibit renin as negative feedback loop)

16

Nitric Oxide is a powerful vasodilator in the kidney. It is very sensitive to inhibition by even low doses of ______________

ARGININE vasopressin.

17

Your kidneys want to have the same amount of perfusion all the time, no matter what the body is doing systemically. So if there was a systemic decrease in the MAP, what would the kidneys have to do to maintain steady blood flow?

Decrease resistance

(This is the whole idea of autoregulation)

18

What is Laplace's Law?

Wall tension = transmural pressure x lumen radius

19

The kidneys want to maintain a constant wall tension. So if there was an increase in the MAP (transmural pressure), what would the kidneys do to compensate?

Decrease the lumen radius

20

Put simply, to maintain renal blood flow during elevation in systemic pressure, what happens to the renal vessels?

They constrict to increase resistance.

21

Autoregulation is also achieved via the macula densa cells. Explain.

Macula densa cells (in JGA) detect changes in NaCl concentration. These cells send a signal that increases or decreases afferent arteriolar resistance accordingly.

(In addition to the role they play with Renin)

22

What is the purpose of renal autoregulation?

To preserve solute and water balance during rapid changes in perfusion pressure that occur frequently throughout the day.

23

I think he's pretty excited about the concept of renal clearance. What's the magic formula?

(Urine concentration x flow rate)/Plasma concentration = clearance.

(based on the principle of conservation of mass: renal input(x) = renal output(x))

24

_____________ is a diagnostic agent useful in medical tests involving the kidney used in the measurement of renal plasma flow

Para-aminohippurate (PAH)

25

Why is PAH useful diagnostic tool?

It is freely filtered and secreted, but not reabsorbed. So if we see any residual PAH in the veins we know the levels have exceeded the maximum filtration rate.