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51 Cards in this Set

  • Front
  • Back
TUBULAR ACIDIFICATION
excreting metabolic/fixed acids
PLASMA BICARBONATE BUFFER SYSTEM
- important buffer system in the acid-base homeostasis
- In this system, CO2 combines with water to form carbonic acid (H2CO3), which in turn rapidly dissociates to form hydrogen ion and bicarbonate (HCO3- )
GLOMERULAR FILTRATION RATE
rate of final urine flow in the kidneys
VASA RECTA
- Arteries that form a series of hair pin-like capillaries in medulla
- Carries blood @ very slow rate
HYDROSTATIC FORCE
In capillary filtration, force equal to glomerular BP minus opposing hydrostatic pressure of fluid in bowman’s capsule (40mm Hg)
PROTEIN ONCOTIC FORCE
In capillary filtration, the force d/t left-behind proteins oppose filtration (30mm Hg)
FILTERED FRACTION
Because of leaky capillaries, 1/5th entered plasma filtered into bowman’s capsule
FENESTRATIONS
Enlarged pores in endothelial cells to allow rapid exchange between blood vessels and tissue
BARORECEPTOR REFLEX
- Specialized cells in the body that quickly respond to changes in BP
- Activated by autonomic nervous sys
- increase catecholamines (epinephrine, norephinephrine) to quickly restore BP
ATRIAL NATRIURETIC FACTOR (ANF)
- peptide hormone released by heart
- Hormone that ↑ leakiness of glomerular capillaries
OBLIGATORY WATER REABSORPTION
% of filtered H2O attached to reabsorption
COUNTERCURRENT MULTIPLIER
Loop of Henle, DCT, collecting duct, vasa recta
TRANSMEMBRANE NA GRADIENT
- gradient-mediated secondary active transport
- active transport of Na out of interstitial fluid
COUNTERCURRENT EXCHANGER
- vasa recta prev blood flow 4m washing away solute in medulla
- prevent washout of the concentration gradients established in the renal medulla
FACULTATIVE WATER REABSORPTION
water drawn into medullary papillae making final concentrated urine move into interstitial fluid
CENTRAL OSMORECEPTORS
receptors in hypothalamus of the brain and these then switch off the release of ADH
FILTERED LOAD
Amount being filtered by the kidney
RENAL HANDLING
substance-specific sequence of tubular processes
RENAL CLEARANCE
Measurement of the renal excretion ability.
CREATININE
amino acid that is filtered out of the blood by the kidneys (glomerular filtration and proximal tubular secretion).
INSULIN
hormone, produced by the pancreas
RENAL PLASMA FLOW (RPF)
volume of blood delivered to the kidneys per unit time.
RENAL BLOOD FLOW (RBF)
volume of plasma that reaches the kidneys per unit time
PARATHRYOID HORMONE (PTH)
- It enhances active reabsorption of calcium and magnesium from distal tubules and the thick ascending limb.
- It also decreases the reabsorption of phosphate, with a net loss in plasma phosphate concentration
PROTEIN CATABOLISM
breakdown of proteins into amino acids and simple derivative compounds, for transport into the cell through the plasma membrane
PH TRAPPING
process of H gradient across tubular wall helps excretion of ammonium
TRANSAMINATED
Converting to glutamate (one amino group) and then to glutamine (two amino groups)
GLUTAMATE
one amino group
GLUTAMINE
two amino groups
OSMOTIC DIURETICS
- work by expanding extracellular fluid and plasma volume, therefore increasing blood flow to the kidney.
- This washes out the cortical medullary gradient in the kidney.
TRANSPORT DIURETICS
Loop diuretics that prev NaCl reabsorp in ascen limb
CARBONIC ANHYDRASE INHIBITORS
inhibitor of carbonic anhydrase that interfere w/tubular acidification & HCO3 recovery in proximal nephron
NA CHANNEL BLOCKERS
that interfere w/Na entry into distal tubule cells, blocking Na recovery
ALDOSTERONE ANTAGONISTS
Inhibit aldosterone action on tubular receptor
MICTURATION
ejection of urine from the urinary bladder through the urethra to the outside of the body under voluntary control
DETRUSOR
- contracts when urinating to squeeze out urine.
- remains relaxed to allow the bladder to fill.
INTERNAL URINAL SPHINCTER
- constricts the internal urethral orifice.
- under involuntary control.
EXTERNAL URINAL SPHINCTER
- secondary sphincter to control the flow of urine through the urethra.
- under voluntary control of the somatic nervous system.
PUDENDAL NERVES
sensory and somatic nerve that innervates the sphincters for the bladder
INTRACELLULAR COMPARTMENT FLUID (ICF)
Intracellular fluid is found inside the bilayered plasma membrane
EXTRACELLULAR COMPARTMENT FLUID (ECF)
the space filled with interstitial fluid, plasma, & transcellular fluid
INTERSTITIAL FLUID (ISF)
solution that bathes and surrounds the cells
TOTAL OSMOLARITY
measure of solute concentration of the whole body
INSENSIBLE WATER LOSS
evaporative loss of H2O thru lungs
DEHYDRATION
Excess fluid loss
NATRIURESIS
↓ sodium in plasma
HYPERNATREMIA
↑ sodium in plasma
HYPERVOLEMIA
↑ fluid (salt & H2O) build up
METABOLIC ACIDOSIS
condition that occurs when the body produces too much acid or when the kidneys are not removing enough acid from the body.
RESPIRATORY ACIDOSIS
condition in which hypoventilation causes increased blood carbon dioxide concentration and decreased pH (acidosis).
RESPIRATORY ALKALOSIS
condition in which hyperventilation elevates the blood pH (alkalosis).