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Urinary System
play a vital role in maintaining homeostasis
balance pH levels in blood
regulate blood pressure
vitamin d production
85% of EPO produced to stimulate RBC production is produced in the _____
kidney
Causes of urinary system failure
weakness
lethargy
dyspnea
anemia
edema
metabolic acidosis
rising potassium levels
heart arrhythmias
Excretion
process of removal of waste and excess material
Digestive System
excretes food residues and waste produced by liver
Respiratory System
excretes CO2
Integumentary System
excretes water and salt
Urinary System (Kidneys)
excretes nitrogenous wastes, excess solutes and water
The _____ regulate nitrogenous wastes and other solutes
kidneys
Protein metabolism produces _______
nitrogenous waste
Intially, NH3 (ammonia) is produced during breakdown of _____
amino acids
_____ detoxifies NH3 (ammonia), producing urea
liver
____ is transported from liver to kidneys for disposal
urea
Solutes regulated by kidneys
sodium, chloride, potassium, calcium, hydrogen ions and creatinine
____ does the maintenance of water levels
kidneys
Equation to maintain homeostasis
water input=water output
_____ adjust water output as necessary
kidneys
Water input
food, drinks and metabolism
Water output
lungs, skin, feces and kidneys
____ modify output based on intake and loss
kidneys
____ varies from ½ liter a day to 1 liter an hour
output
Majority of water intake is from variety of _______
foods and beverages
20-25% of recommended total fluid intake are from
food
On average, individuals consume ___ ounces of water daily
41
water intake from other beverages percentage
43.6%
water intake from pure water percentage
31.4%
____ is a diuretic
alcohol
Metabolic water
breakdown of macronutrient molecules in energy metabolism from carbon dioxide and water.
provides about 14% of daily water requirements for a sedentary person
Kidney/Urinary System
Principal organ of the urinary system
operate in kidney
Kidney
lima bean-like structure
located on either side of the vertebral column
extend from the level of the last thoracic vertebra to above the third lumber vertebra
Primary function of Urinary system
process blood and form urine as a waste product
Three primary structures of kidneys
Cortex : outer portion of the kidney
Medulla : inner region of the kidney
Renal Pelvis : hollow space in center of kidney where urine collects
Additional organs of the Urinary System
Ureters : Muscular tubes that transport urine from kidneys to bladder
Urinary bladder : Three layers of smooth muscle, lined with epithelial cells. Stores urine (600-1,000 mL)
Urethra : Carries urine from bladder to outside of body. Two sphincters control urination (one is controlled, one is not)
_____ have longer urethra
males
____ are a primary organ
kidneys
Urinary bladder contain
detrusor muscle
Detrusor muscle
made mostly of smooth muscle
network of crisscrossing bundles of muscle fibers
circular
oblique
lengthwise
Nephrons function
filter blood
Nephrons
functional unit of kidney
Two parts of Nephrons
Renal Corpuscle :
glomerulus (capillaries) and bowman capsule (glomerular capsule)
Renal Tubule :
proximal convoluted tubule
henle loop (nephron loop)
distal convoluted tubule
Special ________ supply the tubule
blood vessels
Renal artery supplies the
kidney
Blood vessels (arterioles and capillaries) are associated with
tubule
Renal vein collects filtered ____ from kidney
blood
Kidneys have three main processes
Filtration
Tubular Absorption
Tubular Secretion
Filtration
movement of water and protein-free solutes from plasma in the glomerulus across the capsular space (takes everything out, filtering and then putting the good things back in)
Tubular Absorption
Tubes to Blood
Tubular Secretion
Blood to Tubes
We don’t want ___ in our urine
glucose
Filtration process
as blood flow through glomerulus, water and small solutes filter out of blood into Bowman’s capsules
180 liters of glomerular filtrate being formed each day
filtration occurs due to pressure gradients (high blood pressure in glomerular capillaries)
rate of filtration is regulated in two ways
stress affect blood flow to kidney
Kidney Physiology
100% of filtered glucose, amino acids, bicarbonate and 50% of urea are reabsorbed
most tubular reabsorption occurs in proximal tubule
water reabsorption
65-70% occur in proximal tubule
25% occur in loop of henle
less than 10% occurs in distal tubule and collecting duct - this is where excretion is regulated
brush border of microvilli on proximal tubule cells facilitate reabsorption
reabsorption process starts in proximal tubule
Urine composition
water intake
exercise
environmental temperature
nutrient intake
health and disease
Urinalysis
the analysis of urine
this often provides a number of dues to an individuals health and/or disease state
Normal urine characteristics
odorless
750-2000mL/24hr in volume
pH of 4.5-8.0
normal range is 1-2L/day
kidneys must produce minimum urine volume of 500mL/day to rid the body of waste products
Normal
1-2L/day
Polyuria
more than 2.5L/day
Oliguria
300-500mL/day
Anuria
less than 50mL/day
Ways kidneys maintain homeostasis
contribute to maintenance of water balance
contribute to maintenance of salt balance
secrete an enzyme involved in the control of blood pressure
maintain acid base balance and blood pH
regulate RBC production via erythropoietin
activate inactive form of vitamin d
ADH
regulates water balance
ADH stands for
antidiuretic hormone
ADH involves
Hypothalamus : synthesizes ADH
Posterior pituitary gland : releases ADH
Kidneys : respond to ADH
Negative feedback regulates solutes concentration of blood
involves increasing or reducing ADH secretion
involves increasing or decreasing thirst
__ regulates water balance
ADH
Blood solute concentration high
(Low water concentration) ADH released
Blood solute concentration low
(High water concentration) ADH inhibited
Diuresis
high urine flow rate
Diuretic
any substance that increases formation and excretion of urine
___ inhibits sodium reabsorpition
caffeine
__ inhibits ADH release
alcohol
_____ regulates salt balance
aldosterone
_________ is dependent on salt balance
blood volume control
Aldosterone
adrenal hormone that regulates sodium excretion
_____ is controlled by the renin - angiotensin system
aldosterone secretion
____ stimulates RBC production
erythropoietin
O2 sensitive cells in kidney secrete hormone (erythropoietin) in response to decrease in ____
oxygen
Erythropoietin triggers increase in ____ production in the bone marrow
RBC
Kidneys activate ____
vitamin d
Exposure of skin to sunlight cause production of ___ from a precursor found in skin
inactive form of vitamin d
Inactive form of vitamin d transported to ___, where it is modified
liver
Inactive form of vitamin d is influenced by actvity of ___
pth
PTH
parathyroid hormone
___ help maintain acid-base balance and blood pH
kidneys
Blood pH must stay between
7.35 and 7.45
__ regulated by kidneys, buffers and lungs
pH
Role of kidneys in pH maintenance
reabsorption of filtered bicarbonate
excretion of acid as ammonium (NH4+)
Acids and bases enter body through ____
foodstuffs and metabolism
Acids and bases are important in homeostasis, control of ___ is a large factor
hydrogen ions
Sources of hydrogen ions
carbonic acid
lactic acid
sulfuric acid
phosphoric acid
acidic ketone bodies
Metabolism
carbonic acid
lactic acid
ketone bodies
sulfuric acid
phosphoric acid
Foodstuffs
acid-forming minerals
basic-forming minerals
Carbonic acid
aerobic glucose catabolism
Lactic acid
anaeboric glucose catabolism
Ketone bodies
incomplete breakdown of fats
Sulfuric acid
oxidation of sulfur containing amino acids
Phosphoric acid
hydrolysis of nucleic acids and phosphoprotein
Acid-forming minerals
chlorine, sulfur and phosphorus
meat, fish poultry and eggs
high protein diets
some grains (wheat, corn and oats)
Basic-forming minerals
potassium, calcium, sodium and magnesium
fruits and vegetables
Two main types of pH control mechanisms
Chemical buffer - 1st line of defense
Physiological buffer - 2nd line of defense
Chemical buffer (1st line of defense)
rapid acting
immediately combines with any added acid or alkali that enter body fluids