RENAL FUNCTION Flashcards

1
Q

What is the structure of the urinary system?

A

Kidneys, ureters, urinary bladder, urethra

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2
Q

What is the role of the ureters?

A

Transport urine from kidneys to bladder

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3
Q

What is the role of the urinary bladder?

A

Temporary storage for urine

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4
Q

What is the role of the urethra?

A

Transports urine our if the body

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5
Q

What is a nephron?

A

Urine forming units of the kidneys

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6
Q

What is the function of the loop of henle?

A

Reabsorbs water and soudium chloride

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7
Q

What is the ascending limb of the loop of henle?

A

allows movement of irons

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8
Q

what is the function of the descending limb?

A

allows movement of water

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9
Q

What is the role of the bowman’s capsule?

A

A part of the nephron that Filtrates blood and collects glomerular filtrate

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10
Q

What is the first filtration step of making urine?

A

Glomerular

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11
Q

What does the glomerular filtration rate show?

A

Shows how well kidneys are filtering

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12
Q

What is GFR influenced by?

A

Hydrostatic pressure and colloid osmotic pressure

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13
Q

What are the mechanisms of GFR?

A

Renal autoregulation, hormonal regulation, neural regulation

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14
Q

What are the two types of mechanisms in renal autoregulation?

A

Myogenic regulation and tubuloglomerular feedback

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15
Q

What happens when GFR is too high?

A

Required substances can’t be absorbed quick enough and get lost in urine

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16
Q

What happens when GFR is too low?

A

Everything including waste is reabsorbed

17
Q

Why is GFR tested?

A

To determine substance clearance

18
Q

What stage is CKD?

19
Q

How is GFR tested?

A
  • creatinine
  • insulin
  • single shot (doesn’t require urine)
20
Q

What is the role of the renin- angiotensin system?

A

Regulates blood volume, aterial pressure, cardiac and vascular function

21
Q

What is renin and where is it released from?

A

An enzyme released from juxtaglomerluar

22
Q

Where is renin activated?

A

Kidneys (pro renin to renin)

23
Q

What does renin convert?

A

Angiotensinigen to angiotensin I

24
Q

What is the ACE enzyme responsible for converting?

A

Angiotensin I to II

25
Which angiotensin is an active peptide?
Angiotensin II
26
What is aldosterone responsible for?
Reabsorbing water
27
What occurs when RAS is overstimulated?
- hypertension - CKD - heart failure
28
What are the inhibitors if the RAS system?
- ACE inhibitors - angiotensin II inhibitors
29
How does ACE inhibitor work?
Stops conversion of angio I to II
30
How to angiotensin II inhibitors work?
Normal Action ( narrows blood vessels) is stopped so veins are relaxed to help lower BP
31
What is the main role of renin?
Regulates bp
32
What is the role of angiotensin II?
Narrows blood vessels via AT1R receptor and triggers sodium intake