Urinary Phys #2- GFR Flashcards

(35 cards)

1
Q

GFR =

A

Glomerular filtration rate

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2
Q

what two factors allow renal corpuscle to filter blood at high/rate

A

due to glomerular capillary pressure and attenuated filtration membrane

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3
Q

what is the glomerular capillary blood pressure? in glomerulus? in normal capillaries?

A

50-90 mmHg in glomerulus ; 35 mmHg normal BP of capillaries

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4
Q

what percentage of plasma that enter the glomerulus is filtered?

A

20%

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5
Q

citrate same as plasma - except lacks large proteins

A

the attenuated filtration membrane

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6
Q

how much water a day does a person filter? how much per minute?

A

180L water/ day ; 125 ml/ min

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7
Q

how many grams of salt a day does a normal person filter

A

1200 gm of salt

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8
Q

how many gm of glucose does a person filter per day

A

300 gm of glucose

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9
Q

how much small protein is filtered each day

A

3.6 gm of small protein

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10
Q

how much water a day is excreted in urine

A

1.5 L / day

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11
Q

how much salt is excreted per day in urine

A

10-15 gms of salt

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12
Q

how much glucose is excreted per day?

A

none

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13
Q

how much trace of protein is excreted in urine each day?

A

100 mg / day

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14
Q

what is the equation of calculating glomerular filtration rate?

A

GFR = Kf X Net Filtration Pressure *rate of filtration

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15
Q

filtration coefficient is what? what are the two factors associated?

A

Kf

a. how much glomerular surface area is available for penetration
b. how permeable the glomerular membrane is

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16
Q

What is the equation for calculating net filtration pressure?

A

Glomerular capillary pressure - (plasma colloid osmotic pressure + Bowmans capsule hydrostatic pressure)
standard: 55 mmHg - (30 mmHg + 15mmHg) = 10mmHg

17
Q

what is the most important factor in the GFR?

A

net filtration pressure

18
Q

Normal control of GFR is a function of what?

A

Glomerular capillary blood pressure

19
Q

Normally about _____ of the plasma that enters the glomerulus is filtered at the net filtration pressure of ______ , producing collective through all glomeruli ______ liters of glomerular filtrate each day for an average of GFR = _____ in males and ____ in females

A
20%
Net filtration rate = 10 mm Hg
Glomeruli = 180 LIters of Glomerular filtrate each day
Average GFR = 125 ml / day men
Average GFR = 160 ml / day women
20
Q

What are the two factors that influence Glomerular filtration rate that are normally constant?

A
  1. plasma colloid osmotic pressure

2. hydrostatic pressure of filtrate

21
Q

T/F The filtration coefficient Kf can change.

22
Q

How can the filtration coefficient change?

A

Mesangial cells and Podocytes can contract in response to sympathetic input causin ga decrease in Kf and a decrease in GFR

23
Q

What is the mechanism for auto regulation of GFR?

A

myogenic mechanism

24
Q

T?F An increase in MAP, causes GFR to increase.

A

false. regardless if MAP is increased, GFR remains relatively constant because the afferent arterioles increase resistance

25
When MAP increases, what does increased resistance in the afferent arterioles accomplish?
normal glomerular capillary pressure
26
Why do hypertensive patients have normal GFR?
because of myogenic mechanism
27
What hormone can override myogenic mechanism?
Angiotensin II
28
What feedback system helps maintain GFR at a constant rate as fluid and electrolyte intake varies?
Tuloglomerular Feedback ; involves juxtaglomerular apparatus
29
Controls Na+ reabsorption and blood pressure is the function of _________
function of juxtaglomerular apparatus
30
specialized smooth muscle cells in wall of afferent and efferent arterioles, contain secretory granules (renin).
juxtaglomerular cells
31
What does juxtaglomular cells produce:
erythropoietin
32
what stimulates bone marrow to produce red blood cells
erythropoietin
33
what stimulates erythropoietin release in the kidneys
hypoxia
34
____ % of erythropoietin produced in the kidney; ____ % in the liver
90% and 10%
35
special cells in wall of distal tubule wall next to juxtaglomerular cells
macula densa