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70 Cards in this Set

  • Front
  • Back
what is bulk flow?
-when blood flows from high=low
-refers to the movement of blood in response to a pressure gradient
left ventricle blood pressure
0-120 mm Hg
arterial blood pressure
80-120 mm Hg
capillaries
-characteristics
-about the walls
-types
-narrowest but most numerous
-if you increase SA=increase rate of exchange
-walls:
-only a single layer of endothelial cells
-provide for the exchange of molecules between the blood and surrounding tissues
-types: fenestrated and continuous
fenestrated capillaries
the endothelial cells possess relatively large pores that allow for rapid diffusion of small WATER-SOLUBLE substances (kidneys, liver, intestines, and bone marrow)
continuous capillaries
-the endothelial cells are joined together such that the spaces between them are relatively narrow
-permeable to HIGH-LIPID molecules
pressure gradient (highest=lowest)
-7 components
-left ventricle
-large arteries
-arterioles
-precapillary sphincters
-capillaries
-venules
-large veins
pressure gradient (mm Hg)
-left ventricle-120
-large arteries-120
-arterioles-100
-precapillary sphincters-60
-capillaries-20
-venules-10
-large veins-2
where is the largest resistance to blood flow?
arterioles
MAP aka
upstream pressure
Frank-Starling Law
-states that the more the veins stretch, the greater their resultant contraction
-force of ventricular contraction increase when EDV increases
-stretch=contraction strength
Boyle's Law
-states that the pressure of a given quantity of gas is inversely proportional to its volume
Inspiration (ventilatory muscles)
1. diaphragm expands
2. chest wall expands
3. intrapleural pressure decreases
4. alveolar pressure decreases
Expiration (ventilatory muscles)
1. diaphragm relaxes
2. chest wall recoils (it is elastic)
3. intrapleural pressure increases
4. alveolar pressure increases
3 stages of pulmonary ventilation
1. into the lungs
2. into the heart
3. into systemic cicuit
components in plasma
-electrolytes
-respiratory gases
-organic nutrients
components in formed elements
-erythrocytes (RBC)
-leukocytes (WBC)
-thromocytes
-platelets
what do kidneys regulate?
plasma volume and solute concentrations
how are nutrients balanced?
input + production = utilization + output
how much of and what is filtered in the proximal convuluted tube?
70%-sodium, chloride, and water
what is the order of stuff that is being filtered in the PCT?
1-sodium is actively trasported
2-chloride follows electrical gradient into the interstitial fluid
3-water follows by osmosis
SCW
places in the neuphron affected by hormonal change?
distal convulted tubule and collecting ducts
osmotic pressure of ultrafiltrate
300 mOsm
what happens in the descending limb of the loop of henle?
water reabsorption via osmosis
what happens in the ascending limb of the loop of henle?
-active transport of sodium
-passive transport of chloride
-NO WATER DIFUSSION
what happens in the distal convuluted tubule?
-ACTIVE transport of sodium
-PASSIVE transport of chloride
-water reabsorption
--in the late distal tubule
what hormone regulates water absorption in the DCT and the CD?
ADH
what happens in the collecting duct?
water reabsorption
what percentage of water is reabsorbed in the PCT?
70%
what percentage of water is reabsorbed in the loop of henle?
5-10%
what percentage of water is reabsorped in the late distal convulted tubule and collecting duct?
20-25%
functions of the renal system
1-regulate plasma volume (blood pressure)
2-regulate electrolyte concentration-Na, K, HCO3
3-regulate pH (H ion concentration)
4-regulate concentration of waste products in the blood
5-secrete erythroprotein (which causes RBC production)
3 anatomical parts of the renal system
1-cortex
2-medulla
3-nephron
job of the cortex
-filtration
-a lot of capillaries
job of the medulla
-filtrate flows into minor then major calyces, renal pelvis, and ureter
what is a nephron?
functional unit of kidney
part of the nephron tubule (5)
1-bowman's capsule
2-proximal convuluted tubule (PCT)
3-loop of henle (LH)
4-distal convuluted tubule (DCT)
5-collecting duct (CD)
order of renal blood vessels
1-afferent arteriole
2-glomerulus
3-efferent arteriole
4-peritubular capillaries and vasa recta
afferent arteriole
deilvers blood into the glomerulus and the nephron
glomerulus
capillary network produces filtrate that eneter the urinary tubules (part of the blood stream)
efferent arteriole
delivers blood from glomeruli to peritubular capillaries and vasa recta
peritubular capillaries and vasa recta
capillaries surrounding tubules
purposes of renal exchange
1-filtration
2-reabsorption
3-secretion
filtration
moves stuff from glomerulus=bowman's capsule
reabsorption
most filtered substances
-happens from PCT into peritubuluar capillaries and vasa recta
secretion
allows kidneys to rapidly eliminate vertain potential toxins
-bloodstream=nephron
what are the two components of the glomerular filtration membrane?
1-fenestrae
2-ultrafiltrate
fenestrae
-large capillary pores
-allow for exchange
-small enough to prevent RBC's and proteins from passing through
ultrafiltrate
fluid and everything that cannot fit through the fenestra that is pushed into the bowman's capsule by blood pressure (pressure of the glomerular capaillary walls)
glomerular filtration rate (GFR)
volume of filtrate produced by both kidneys/min
-averages=125 ml/min OR 180 L/day (for 2 healthy kidneys)
inulin
-a polysaccharide that is not produced by the body
-it is injected into the bloodstream
-since it is not secreted or reabsorbed all of it will be excreted
-measurement of inulin concentration will tell what GFR is and how effective it is
what affects the GFR?
-vasoconstriction and vasodilation or afferent arterioles--
they affect the blood flow to the glomerulus and therefore the GFR
regulation of GFR (3)
1-intrinsic control (autoregulation)
2-sympathetic nervous system
3-hormonal (Renin-angiotension)
intrinsic control (autoregulation)
ability of kidney to maintain a constant GFR under systemic changes in mean arterial pressure (done through production of chemicals and stretch receptors)
according to intrinsic control what happens when blood pressure changes
-if BP increases, vasocontriction within afferent arterioles
-is BP decreases, vasodilation within afferent arterioles
sympathetic nervous system
-fight or flight (preserves blood volume to muscles and heart during fight or flight)
-overrides intrinsic control
-STIMULATES VASOCONSTRICTION OF AFFERENT ARTERIOLES
chain of events of response of sympathetic nervous system
1-decrease in BP
2-baroreceptor reflec activated
3-increase in sympathetic nerve activity
4-vasoconstriction of afferent arterioles in kidneys
5-decrease in GFR
6-decrease in urine production
7-increase in blood volume
reabsorption
return of most of the filtered solutes and water from the urine filtrate back into the capillaries
-solutes move first, then water (via osmosis)
-180 L/day...1-2 L of urine excreted
pathway of reabsportion
tubule=epithelial cells=interstitium (Peritubulum)=capillary
reabsorption of sodium
-it is the most abundant solute in the plasma and ultrafiltrate
-reabsorption of other solutes and water depends on its absorption
-sodium is + charged so it depends on proteins for transportation
ways to transport sodium
-Co-transport
-Na/K pump
how glucose is transported
-saturation
-exhibit Tm
max absorption is regulated by protein carries because...
glucose is polar colvalent
renal transport threshold
-when carrier proteins are saturated, a minimal amount of the solute appears in the urine
normal blood glucose concentration
100 mg/dL
highest glucose level can be without it being excreted
170 mg/dL
diabetics and glucose
-glucose in urine
-increase in blood glucose levels, increase glucose in nephrons
micturition reflex
-the process of urinating
-drained from the KIDNEYS by the COLLECTING DUCTS
-COLLECTING DUCTS = URETERS
-URETERS = URINARY BLADDER
-when bladder is full, STRETCH RECEPTORS are activated
-urine drains from the BLADDER via the URETHRA by URETHRAL SPHINCTERS (smooth muscle)
what controls internal urine excretion?
parasympatheic control (autonomic)
what controls external urine control?
voluntary control