week 10 (renal) Flashcards

(22 cards)

1
Q

question: what would happen if bp in body dropped by 25%?

A
  • filtration will stop

GHP decrease -> NHP decrease -> FP stops

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

name: levels of control of glomerular filtration rate (3)

A
  1. autoregulation = local control
  2. hormonal regulation = kidneys
  3. autonomic regulation = sympathetic NS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

explain: autoregulation of GFR

A
  • myogenic mechanisms
    ⤷ changes in lumen diameter
  • keep GFR despite bp changes
  • ex.
    ⤷ dilation of afferent arteriole -> increase blood in
    ⤷ dilation of glomerular capillaries -> more blood in (more filtration)
    ⤷ constriction of efferent arterioles -> decreases diameter -> increases psi -> more filtration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

name: ways NS regulates after decrease in GFR

A
  • increased stim. of thirst centers
    ⤷ increases fluid consumption
  • increased ADH prod.
    ⤷ increases fluid retention
  • increased sympathetic activation
    ⤷ vasoconstriction and increased cardiac output

**overall -> increase blood V and psi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

explain: atrial natriuretic peptide

A
  • released in resp. to excessive stretching in diastole
  • inhibits release of ADH
    ⤷ prevents fluid retention
    ⤷ lowers blood V and psi
  • increases excretion of Na+ urine
  • increases GFR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

explain: transport across proximal convoluted tubule

A
  • 60 - 70% of filtrate is reabsorbed
    ⤷ into blood
  • Na enters tubular cells
  • Na pumped via Na/K exchanger into peritubular fluid
    ⤷ back into blood by diffusing into peritubular capillaries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

explain: reabsorption in loop of henle

A

DESCENDING
- permeable to water
- water = reabsorbed
⤷ moving out bc osmosis

- V of primary urine = decreases
- primary urine -> more conc.
⤷ solute conc. increases going down the limb

ASCENDING
- impermeable to water
- ions reabsorbed (moving out)
- primary urine -> dilute
- reabsorbed ions accumulate in surrounding fluid
⤷ creates conc. gradient

**water reabsorp. later in collecting duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

explain: conc. gradient of loop of henle

A
  • descending
    ⤷ more solute outside
    ⤷ H2O leaves -> outer conc. has less solute
  • ascending
    ⤷ less solute outside -> ions leave limb
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

name: functions of countercurrent mechanism of loop of henle (2)

A
  • efficiently reabsorbs water (descending) and solutes (ascending)
  • establishes conc. gradient to allow passive reabsorp. to water from tubular fluid in collecting duct area
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

explain: transport across distal convoluted tubule

A
  • site of Ca reabsorption
  • reabsorbs varying amount water
    ⤷ under stim. of antidiuretic hormone
  • reabsorbs Na
    ⤷ under stim. of aldosterone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

question: diuretic vs antidiuretic?

A
  • diuretic = stim. water excretion
    ⤷ more secretion
  • anti = reduce water excretion
    ⤷ more reabsorp.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

question: how does ADH increase water reabsorption?

A
  • ADH activity activates protein kinase A -> phosphorylates AQP-2 channel
    ⤷ increases AQP-2 channel vesicle fusion -> reduces rate of endocytosis
  • leads to more AQP-2 channels staying on surface
    ⤷ increases water permeability at collecting duct
    ⤷ increases water reabsorp.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

question: how should be nephron be modified to allow humans to drink ocean water?

A
  • make nephron loop longer + shorten thick ascending limb
    ⤷ allows more water reabsorption
  • shortening ascending limb = keeps more salt inside loop
    ⤷ don’t want the salt to be reabsorbed

**overall want less urine + more conc. urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

question: ionoconformer vs ionoregulator?

A
  • conformer = specific ions are similar to conc. in water
  • regulator = regulates own ions but make the overall osmolarity conform
    ⤷ ion lvls diff. but overall same osmolarity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

question: hypertonic vs isotonic vs hypotonic?

A
  • hyper = more solute outside -> water moves out
  • iso = equal
  • hypo = more solute inside -> water moves in
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

explain: elasmobranchs osmolarity

A
  • ex. sharks, rays
  • osmoconformers but ionoregulators
    ⤷ matches osmolarity but diff. ion conc.
  • salt lvls maintained low
    ⤷ kidney removes ions
    ⤷ rectal gland excretes NaCl fluids
  • body fluids are hyperosmotic
    ⤷ draws water into body
17
Q

explain: bony fish osmolarity

A
  • osmoregulators
    ⤷ not same as salt water
  • gills efflux Na and Cl
  • rectal glands excrete Na in feces
18
Q

name: ionic and osmotic challenges for animals in marine, freshwater, and terrestrial envrt.

A

MARINE
- tend to gain salt and lose water

FRESHWATER
- tend to lose salt and gain water

TERRESTRIAL
- tends to lose water

19
Q

explain: ion and water balance in a freshwater org. (challenges + solutions)

A
  • hyperosmotic to freshwater
    ⤷ animal has higher conc/ salts -> water coming in

CHALLENGES
- risks gaining too much water
- risks losing salt and ions

SOLUTIONS
- osmoregulate
⤷ excrete very dilute urine + transport salts back through gills
- drink less/no water

20
Q

explain: ion and water balance in a saltwater org. (challenges and solutions)

A
  • hyposmotic to sea water
    ⤷ osmolarity of water is higher than body

CHALLENGES
- risk of gaining too much salt
- risk of losing too much water

SOLUTIONS
- drink seawater
⤷ helps w/ V of water but still taking in salt
- osmoregulate
⤷ excrete concentrated urine + remove salt through gills

21
Q

explain: ion and water balance in a terrestrial org. (challenges and solutions)

A

CHALLENGES
- losing too much water
⤷ desiccation
- gaining too much salt

SOLUTIONS
- drink more water and salts in diet
- osmoregulate
⤷ excrete concentrated urine + remove salts through renal sys.

22
Q

name: example of terrestrial animal osmoregulating to remove salts

A
  • lizard dude
  • sprayed out stuff
    ⤷ was salt
  • salt nasal glands eliminate excess salt
    ⤷ NaK ATPase and NaKCl cotransporter on membrane of renal tubule