Shared Flashcard Set

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Renal Physiology
Renal Phys
17
Medical
Not Applicable
10/16/2005

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Cards

Term
Efferent Arteries flow which way?
Definition
Away from glomerulus
Term
Afferent Arteries flow which way?
Definition
Towards Glomerulus
Term
How kidney filtration works
Definition
In the glomerulus, small ions and water are filtered out of the AFFERENT arterioles into the glomerular space.
Term
How does secretion work in kidney?
Definition
From capillaries into the renal tubule
Term
How does reabsorption work in the kidney
Definition
From the tubules back into the peritubular capillaries
Term
From what perspective should secretion and absorption be thought of when considering the kidney?
Definition
From the perspective of the glomerular capillaries... As secretion occurs, fluid and ions are secreted from the capillary to the tubule and as reabsorption occurs, fluid is being reabsorbed into the capillary from the tubule.
Term
How much water is filtered / day?
Excreted?
% Reabsorbed?
Definition
180 liters/day
1.5 liters
99% Reabsorbed
Term
How much urea filtered / day?
Secreted?
Definition
56 grams
28 grams excreted (50%)
Term
Glucose, Sodium and Potassium, nearly completely reabsorbed.. See reverse for actual figures
Definition
Potassium actually 86% is reabsorbed, Glucose 100% and Na 99.4%
Term
Function of Calcitriol, EPO, Renin
Definition
Calcitriol-Regulates Calcium and Phosphate. EPO - stimulates RBC development in marrow. Renin helps control BP / constricts vessels.
Term
Renal Metabolic function?
Definition
Gluconeogenesis: Produce glucose from AA's during long fasts
Term
Glomerular Filtration Rate is figured how?
What's normal?
Definition
Volume / Time

Normal = 125ml/minute, 180L/Day

Total blood plasma volume is ony 3L, meaning plasma is filtered 60 X Day!
Term
Renal Blood Flow rate?

Renal Plasma Flow rate?
Definition
1.1 L/min, or 20% of Cardiac Output which is 5 Liters / Minute

RPF based on hematocrit
Term
Test Question: Layers of the Glomerulus?
Definition
Endothelial layer (pores), Basement Membrane, Podocytes (slits) between processes.
Term
Fraction of RPF (Renal Plasma Flow) filtered?
Definition
20% calculated based on GFR / RPF

RPF (renal plasma flow) is calculated based on hematocrit.
GFR is based on amount of filtrate formed over time.
Term
Glomerular filtration determined by 3 factors?
Definition
SIZE:Large molecules/proteins don't pass through membrane.
ELECTRICAL CHARGE: Basement Membrane is NEGATIVELY charged (Proteins).
SHAPE: Rigid Globular molecules, not to fluid/flexible molecules.
Term
Glomerular physical barriers to filtration found in capillary endothelial layer:
Definition
Pores (Fenestrations) large enough to allow some proteins to pass, coated with "polyanionic surface glycoproteins" creating a negative charge.
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