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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

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

to maintain an appropriate GFR, the body uses three mechanisms

renal autoregulation, neural regulation, hormonal regulation

if positive net filtration is infuenced most by renal blood pressure,

the GFR would fluctuate dramatically throughout the day with sleep exercise, anxiety

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

if the blood pressure is high, the afferent arteriole can

constrict to reduce blood flow to the glomerulus and reduce GFR


tubuloglomerular feedback

macula densa detects increased Na and Cl and water, decreased release of nitric oxiide resulting in vasoconstriction

tubulaoglomerular feedback controled by

juxtaglomerular aparatus

if electrolytes and water show up in distal tubules of nephron in large amounts, it is likely due to

an increased GFR

to minimize water and electrolyte loss,

jga or juxtaglomerular apparatus inhibits the release of gaseous neurotransmitter nitric oxide.

nitric oxide does what

relaxes smooth muscle and is a potent vasodilator

with less NO or nitric oxid present

the arteriols will constrict and decrease the GFR therby increasing the time to reabsorb electorlytes and water

renal blood vessels are mainly cotnrolled by the

sympathetic nervous system

what release from sympathetic post ganglionic neurons causes both the afferent and efferent arteriols to constrict?

norepinephrine

with greater release of norepniephrine, there is greater

constriction of the afferent arteriole, therfore less bloodflow tothe glomerulus and the lower GFR

two main hormones contribute to GFR

angiotensin II, and atrial natriuretic peptide

antiotensin II is a

potent vasocnstrictor of the renin-angiotensin-aldosterone system

w/ increased amounts of angiotensin II,

gfr will degrease

atrial natriuretic peptide or ANP is produced by

cells of the atria of the heart in response to increased blood vol

ANP causes cells w/in the glomerulus to

relax and dilates the afferent arterioles

the end result of ANP is

increase of GFR which promontes water and electorlyte dumping in the urine

what is blood minus the formed elements and the majority of the plasma protiens

glomerular filtrate

normally what percent of plasma in the afferent arterilols is filtrate

16-20

through the process of filtration, an average of how much of golerular filtrate is produced per day

180 L

process of returing important substances from the glomerular filtrate back to the body

tubular peabsorption

how much filtrate is reabsorbed

99%

the solutes in blood pass through the glomerular membrane based on what

size rather than what it actually is

what transport mechanisms are utilized to facilitate this massive reabsorption

osmosis, active transport, diffusion, facilitated difusion

a substance can be reabsorbed from teh filrate through one of two routs

between the renal tubule cells, or through the renal tubule cells

paracellular reabsorption is rout between

the renal tubule cells

transcellular reabsorpiton

routes through the renal tubule cells

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

each transport protein has a

transport speed limit, refferend to as the transport maximum

the presence of solute above transport max limit will result in

excretion of the excess solute in the urine

to maintain osmotic balance,

water will follow solute, resulting ind diuresis

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

to max reabsorption capacity,

cells of the proximal convoluted tubule are cuboidal epitelium with prominent microvilli

trapnsort proteins are present on the surfaces of

cells to actively reabsorb many of the solutes

each type of transporter has a

limit to how fast it can reabsorb a particlular solute (transport max or Tm)

all water reabsorbed in kidneys is controled by

osmosis

obligatory reabsorption of water occurs as

water follows solutes


all the water reabsorption from teh filtrate occurs because of

osmosis, so as soluteds are reabsorbed, water follows

most water reabsorption takes place in

proximal convoluted tubule

obligatory reabsorption occurs for what % of water reabsorption

90%

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

adh acts on cells in the

distal convoluted tubule and especially the collecting ducts

facultative reabosrption accoulds for what percent of water reabsorption

10%

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

tubular secretion occurs throughout the

nephron

function of tubular secretion

secretion of hydrogen ions contorls pH,


hyrogen and ammonium ions are secreted and bicarbonate conserved to maintaion physiological pH