Renal Control Of Body Fluid Volume And Osmolarity Flashcards

1
Q

What kind of hormone is ADH

A

Neurohomone

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2
Q

Where is ADH produced

A

In the hypothalamus

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3
Q

How does ADH work roughly

A

Form hypothalamus
Down axons
Posterior pituitary

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4
Q

How is the need for ADH production detected

A

Osmoreceptors

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5
Q

What effect does the ADH have on the permeability of the distal tubule

A

ADH from the blood
Bind to type 2 vasopressin receptor at basolateral mem
Cell signal = cyclic amp production
Aquaporin produced at apical mem

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6
Q

What is diabetes insipidus

A

Hereditary disorder which causes individual to produce large volumes of dilute urine, constantly thirsty,
Treat = ADH supplement

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7
Q

What are the two types of diabetes insipidus and what do they mean

A

Central - cannot make ADH

Nephrogenic- can make ADH as norm,a but cannot exert its affect on target cells

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8
Q

What is the secondary production site of ADH

A

Left atrial stretch receptors

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9
Q

What do the stretch receptors in the GI tract do

A

Forward feeding activation or inhibition of ADH
Too much fluid activate ADH
Too little inhibit ADH

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10
Q

What is aldosterone

A

Steroid hormone

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11
Q

Wher is aldosterone produced

A

Adrenal cortex of adrenal gland

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12
Q

How does the body cope with the changes in body fluid volume

A

Filtration –> changes in blood pressure and size of filtration slits
Secretion and re absorption –> changes in solution concentration
Excretion –> bladder function under renal control

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13
Q

What does aldosterone do

A

Stimulates sodium reabs and pottasium sec

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14
Q

When is aldosterone sec

A

Response to rising pottasium in las a conc of blood

If decrease in sodium

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15
Q

What are the granular cells of the juxtmedullary sensitive to

A

Afferent arteriole pressure

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16
Q

If there is an increased symp activity as a result of reduced arterial blood pressure what would this mean

A

Granular renin sec cells are directly innervated by symp nervous system causes renin release

17
Q

What can abnormal increases in RAA system increase

A

Hypertension

18
Q

What produced atrial natriuretic peptide ANP

A

Heart produces and stored in atrial smooth muscle

19
Q

When is ANP released

A

When the smooth muscle cells are stretched due to increased plasma volume

20
Q

What does ANP do

A

Promote excretion of sodium osmotic effect and dieresis decreasing plasma volume
Effect CVS to lower blood pressure

21
Q

What happens in water dieresis

A

Increased urine flow but not an increased solute excretion

22
Q

What happens in osmotic dieresis

A

Increased urine flow is as result of a primarily increase in salt excretion