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9 Cards in this Set

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  • Back

Ace inhibitors action on GFR

Angiotensin inhibited so there is vasodilation of efferent arteriole, decreasing GFR and also systemic lowering of BP.

Prostaglandin E and I's effect on GFR

Vasodilates afferent arteriole to increase GFR

NSAIDs effect on GFR

Blocks COX enzyme, blocks PG synthesis, so thete is vasoconstriction of afferent arteriole lowering GFR

Adenosine is a chemical released from JGA when there is increased NaCl conc in tubule lumen. What does adenosine do in the kidneys?

Increased GFR is detected via increased NaCl. So adenosine vasoconstricts arterioles, so it lowers GFR and promotes sodium reabsorption. (adenosine antagonists are diuretics)

What does adenosine antagonists do? Eg. Caffeine

Inhibits the adenosine-mediated vasoconstriction of arterioles thereby increasing GFR promoting diuresis.

Sympathetic neurones release NA, adrenaline and promote renin release (and angiotensin 2 release)

Promotes vasoconstriction, increasing peripheral vascular resistance, increasing BP.

Give an example of an osmotic diuretic

Mannitol

How does an osmotic diuretic work?

The substance mannitol enters tubule at glomerulus increasing osmolality. It reduces water and solute reabsorption, thereby promoting urine excretion.

How does a carbonic anhydrase inhibitor promote diuresis?

Inhibits production of bicarbonate and H+ from water and CO2. Results in ???