Renal: Regulation of Extracellular Fluid Volume and Osmolarity Flashcards Preview

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Flashcards in Renal: Regulation of Extracellular Fluid Volume and Osmolarity Deck (28):
1

Average Intake = Average Output

Mass Balance

2

What percentages of our fluids contribute to average intake?

60% - Beverages
30% - Food
10% - Metabolism

3

What is the human body's average intake and output?

Intake - 2.5L/day
(Metabolism = .3 L, Food = .9L, Drink = 1.3L)

Output - 2.5L/day
(Feces = .1L, Respiration/Sweat = .9L, Urine = 1.5L)

4

What percentages of our fluids contribute to average output?

4% - Feces
8% - Sweat
28% - Insensible losses via skin and lungs
60% - Urine

5

Excess water ingested leads to Increase water excreted because?

Blood Flow increases greatly (increases Blood Volume and Pressure)...Vasa Recta washes away gradient

6

True/False:

With injection of Saline, osmolarity stays the same over time

True

7

True/False:

With injection of Water, osmolarity can change over time

True

8

What's the Excretion Equation?


"Filtration" is same as "Filtered Load"

Excretion = Filtration - Reabsorption + Secretion

*Example for Sodium: Excretion = (GFR x Plasma concentration) - Reabsorption

9

True/False:

Sodium is filtered, reabsorbed, excreted but not SECRETED

True

10

Water follows Sodium. How does Sodium impact volume and GFR?

Decrease Sodium level, Decrease Volume, Decrease GFR
Increase Sodium level, Increase Volume, Increase GFR

11

How does altering GFR impact sodium excretion?

Decrease GFR, Decrease Sodium Excretion
Increase GFR, Increase Sodium Excretion

12

How does altering GFR impact filtered load of sodium?

Decrease GFR, Decrease Filtered Load of Sodium
Increase GFR, Increase Filtered Load of Sodium

13

a. If Filter Load of Sodium is 100mg/min, what is Excretion of Sodium?

b. If Filter Load of Sodium is 1000mg/min, what is Excretion of Sodium?

a. E = 100mg/min - 99mg/min
E= 1 mg/min

b. E = 1000mg/min - 990mg/min
E = 10 mg/min

14

Baroreceptors release what?

Renin

15

Renin causes Angiotensinogen to form into Angiotensin I Angiotensin II is formed. What are the impacts?

Aldosterone secretion, Reabsorption at Proximal Tubule, Sympathetic Activity, Arteriolar vasoconstriction, ADH secretion

16

Aldosterone secretion, Reabsorption at Proximal Tubule, Sympathetic Activity, Arteriolar vasoconstriction, ADH secretion. All are effects from what?

Renin-Angiotensin-Aldosterone System (RAAS)

17

When is Angiotensin II released?

when there's LOW BP and BV levels

18

Why is slow flow of the Vasa Recta essential?

To maintain the medullary gradient

19

What are the Neurohumoral controls of renal sodium reabsorption?

Sympathetic nerves
RAAS
Aldosterone
ANP

20

How do Sympathetic Nerves impact the Renal System?

Increase Renin secretion
Increase afferent and efferent arteriole constriction (Decreases GFR)
Increase sodium reabsorption in proximal tubule (Transporter in Proximal Tubule is UNKNOWN)

21

What hormone increases Na channels on apical membrane and Na/K ATPase pumps on basolateral membrane?

Aldosterone

22

What hormone increases Aldosterone?

Angiotensin II

23

Increases Na/H exchangers in Proximal Tubule (Bicarbonate Reclamation)...increasing Na+ reabsorption

Angiotensin II

24

What hormone has stretch receptors and is released when Blood Pressure is too High?

ANF/ANP

25

Increased Blood Volume (blood pressure) impacts what?

Atrial stretch receptors...Increases ANF/ANP...Decrease Renin and Increase GFR..Decreases Aldosterone...Decreases Collecting Duct Reabsorption
--> Increase Na and Water Excretion

26

ADH impacts water reabsorption. What hormone opens Na+ channels on Apical membrane?

ADH

27

The goal for restoration from Volume Contraction is what?

Increase BV, BP, Decrease osmolarity

28

The goal for restoration from Volume Expansion is what?

Decrease BV, BP, Increase Osmolarity