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11 Cards in this Set

  • Front
  • Back
Does urea contribute to the osmolality?
Yes, but not the effective osmolality
What osmolality does the body like to maintain?
290-300
What is a general, fast way to calculate osmolality?
Double sodium
What is the minimum obligatory urine loss in a day?
500mL/day
What do osmoreceptors in the hypothalamus lead to when they detect increased osmolality?
Thirst
ADH secretion
Where is ADH produced?
Supraoptic and Paraventricular nuclei of the hypothalamus
Below what level of osmolaltiy would we not expect to see any ADH floating around?
280
Describe the neural pathway of baroreceptors in the carotid body and aorta.
These baroreceptors send an inhibitory signal to the vasomotor centre in the medulla. Normally, this centre would be stimulating the release of ADH. Normally these are firing and we supress it. If we lose blood pressure though, we lose the inhibitory signal and we release a butt load of ADH.
Where can uria actually play a role?
Collecting duct
What can be triggered in response to a drop in effective circulating volume?
SNS, which will trigger RAS

ATII:
Vasoconstricts
Stimulates ADH release
Sodium reabsorption in distal tubule through aldosterone
Increases sodium reabsorption in the proximal tubule by itself influencing Na/H pump
How does atrial natiuretic peptide work?
1) It is a powerful vasodilator, targeting the afferent arteriole, leading to an increased GFR and sodium and water excretion.

2) It targets sodium transport, inhibiting sodium reabsorption in the distal tubule and collecting duct.

3) It blocks ADH and renin release and interferes with aldosterone release, hormones that normally increase sodium and water retention.