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50 Cards in this Set
- Front
- Back
If the GRF is too low, |
there is a buildup of waste products in the blood |
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if the grf is too high, the |
tubulues may not have adequate time to reabsorb essential nutrients allowing them to be lost in the urine |
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to maintain an appropriate GFR, the body uses three mechanisms |
renal autoregulation, neural regulation, hormonal regulation |
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if positive net filtration is infuenced most by renal blood pressure, |
the GFR would fluctuate dramatically throughout the day with sleep exercise, anxiety |
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to keep GFR constant in these situations (sleep, exercise, anxiety), the kidneys can adjust what this is called |
bp in and out of the glomerulus by constricting or dilating the afferent and efferent arteriols. meogenic mechanism |
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if the blood pressure is high, the afferent arteriole can |
constrict to reduce blood flow to the glomerulus and reduce GFR
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tubuloglomerular feedback |
macula densa detects increased Na and Cl and water, decreased release of nitric oxiide resulting in vasoconstriction |
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tubulaoglomerular feedback controled by |
juxtaglomerular aparatus |
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if electrolytes and water show up in distal tubules of nephron in large amounts, it is likely due to |
an increased GFR |
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to minimize water and electrolyte loss, |
jga or juxtaglomerular apparatus inhibits the release of gaseous neurotransmitter nitric oxide. |
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nitric oxide does what |
relaxes smooth muscle and is a potent vasodilator |
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with less NO or nitric oxid present |
the arteriols will constrict and decrease the GFR therby increasing the time to reabsorb electorlytes and water |
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renal blood vessels are mainly cotnrolled by the |
sympathetic nervous system |
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what release from sympathetic post ganglionic neurons causes both the afferent and efferent arteriols to constrict? |
norepinephrine |
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with greater release of norepniephrine, there is greater
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constriction of the afferent arteriole, therfore less bloodflow tothe glomerulus and the lower GFR |
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two main hormones contribute to GFR |
angiotensin II, and atrial natriuretic peptide |
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antiotensin II is a |
potent vasocnstrictor of the renin-angiotensin-aldosterone system |
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w/ increased amounts of angiotensin II, |
gfr will degrease |
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atrial natriuretic peptide or ANP is produced by |
cells of the atria of the heart in response to increased blood vol |
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ANP causes cells w/in the glomerulus to |
relax and dilates the afferent arterioles |
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the end result of ANP is |
increase of GFR which promontes water and electorlyte dumping in the urine |
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what is blood minus the formed elements and the majority of the plasma protiens |
glomerular filtrate |
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normally what percent of plasma in the afferent arterilols is filtrate |
16-20 |
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through the process of filtration, an average of how much of golerular filtrate is produced per day |
180 L |
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process of returing important substances from the glomerular filtrate back to the body
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tubular peabsorption |
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how much filtrate is reabsorbed |
99% |
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the solutes in blood pass through the glomerular membrane based on what |
size rather than what it actually is |
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what transport mechanisms are utilized to facilitate this massive reabsorption |
osmosis, active transport, diffusion, facilitated difusion |
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a substance can be reabsorbed from teh filrate through one of two routs |
between the renal tubule cells, or through the renal tubule cells |
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paracellular reabsorption is rout between |
the renal tubule cells |
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transcellular reabsorpiton |
routes through the renal tubule cells |
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for trancellular reabsorption to take place, |
the substance must cross the apical membrane of the tubule cell, pass throught he cytoplasm, and enter into the intersitial fluid by crossing the basolateral membrane |
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each transport protein has a |
transport speed limit, refferend to as the transport maximum |
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the presence of solute above transport max limit will result in |
excretion of the excess solute in the urine |
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to maintain osmotic balance, |
water will follow solute, resulting ind diuresis |
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the majority of solute and water reabsorption occurs in the |
proximal convoluted tubule 65% of water, na, k, 100% of glucose, aas 50% of urea |
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to max reabsorption capacity, |
cells of the proximal convoluted tubule are cuboidal epitelium with prominent microvilli |
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trapnsort proteins are present on the surfaces of |
cells to actively reabsorb many of the solutes |
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each type of transporter has a |
limit to how fast it can reabsorb a particlular solute (transport max or Tm) |
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all water reabsorbed in kidneys is controled by |
osmosis |
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obligatory reabsorption of water occurs as |
water follows solutes
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all the water reabsorption from teh filtrate occurs because of |
osmosis, so as soluteds are reabsorbed, water follows |
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most water reabsorption takes place in |
proximal convoluted tubule |
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obligatory reabsorption occurs for what % of water reabsorption |
90% |
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facultative reabsorption of water occurs because the |
body is trying to respond to a specific need. occurs due to osmosis but uses antidiuretic hormone ADH also |
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adh acts on cells in the |
distal convoluted tubule and especially the collecting ducts |
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facultative reabosrption accoulds for what percent of water reabsorption |
10% |
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tubular secretion is the process of |
removing a substance from the blood and secreting it into the tubular lumen to be excreted with the urine |
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tubular secretion occurs throughout the
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nephron |
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function of tubular secretion |
secretion of hydrogen ions contorls pH, hyrogen and ammonium ions are secreted and bicarbonate conserved to maintaion physiological pH |