Week 11 Flashcards
What are the main sources of water loss?
REGULATED PROCESSES
- Urination, sweating feces
UNREGULATED PROCESSES
- respiration
Extracellular fluid composition
- Sodium
- Chloride
- Bicarbonate
Intracellular Fluid Composition
- Potassium
- Magnesium
- Organic Ions
- Proteins
How does the composition of of interstitial fluid differ from plasma
Greater protein concentration in plasma due to capillary filtration
- Plasma also contains several non-ionic substances
What are the two core concepts underlying the regulation of body fluid volumes and composition?
FLOW DOWN GRADIENTS: Osmosis, diffusion of ions and other solutes due to chemical and/or electrical gradients
MASS BALANCE: The contents of water/solute in any body compartment is determined by inputs and outputs
- Accumulation = input + generation - output - consumption
Mass balance of Sodium with intake
Excretion delayed compared to intake
- Sodium retention occurs (+ accumulation)
Isotonic
Same Ion concentration inside and out - no change in cell size
Hypotonic
More ion in cell compared to environment
- Cell swells
Hypertonic
More ions outside the cell compared to inside
- cell shrinks
What is the effect of adding an isotonic NaCl solution to normal state conditions on osmolarity and volume
Increases overall volume
What is the effect of adding a hypotonic NaCl to normal state conditions on osmolarity and volume
- Decrease overall osmolarity
- increase volume of intracellular
- smaller increase in extracellular volume
What is the effect of adding a hypertonic NaCl to normal state conditions on osmolarity and volume?
- Increase overall osmolarity
- Increased extracellular volume
- decrease in intracellular volume
What are the main purposes of the kidneys
- Regulation of body fluid volume
- Regulation of electrolyte composition
- Excretion of metabolic wastes
- foreign substances
Kidney Nephron
- The functional unit of the kidney
- Approximately 6 nephrons per cortical collecting duct, 8-10 cortical ducts per medullary collecting but, which merge into progressively larger ducts then discharge into renal pelvis
Renal Capillary beds
Two capillary beds in series
- Glomerular capillaries
- Peritubular capillaries
What is the blood flow rate to the kidneys at rest
20% of CO
Cortical Nephrons
- Glomeruli in the outer cortex
- Loops of Henle only penetrate outer medulla
Juxtamedullary Nephrons
- Glomeruli lie deeper in the cortex
- Loops of Henle descend into inner medulla, alongside vasa recta (specilized peritubular capillaries)
- Specilized for producing concentrated urine
What are the 3 urine formation processes?
- Glomerular Filtration
- Reabsorption from tubules
- Secretion into tubules
What is the rate of glomerular filtration and how does it compare to urine volume
Glomerular filtration of fluid: 180L/day
Only 1.5 L/day of urine
What substances are just filtered
Many waste products
What substances are filtered and partially reabsorbed
Water and many electrolytes
What substances are filtered and completed reabsporped
Many nutritional substances (macro components)
What substances are filtered and secreted
Some organic acids and bases