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organs of the urinary system
kidney, ureter, bladder, and urethra
kidney role in the urinary system
main organ, filters waste out of blood, reabsorption of nutrients from urine, and secretion of wastes into urine, maintains blood pH, ion balance (including sodium and potassium), and water balance
ureter role in urinary system
transports urine to bladder and conducts waste from kidney to bladder
bladder role in urinary system
store urine prior to elimination
urethra role in urinary system
transport urine out of body and conducts waste from bladder to the outside of the body
overall functions of the urinary system
filtration, reabsorption, secretion, maintains water balance, maintains blood pressure, maintains ion balance and osmolarity, maintains pH, and eliminates metabolic wastes
characteristics of elimination of metabolic wastes in the urinary system
excess nitrogen from deamination of amino acids during protein metabolism are eliminated as urea, uric acid from nucleic acid metabolism, and creatine from creatine phosphate
characteristics of maintaining pH in the urinary system
kidney is the main regulator of pH in the body and it eliminates or retains H+ ions
characteristics of maintaining ion balance and osmolarity in the urinary system
retains needed ions and eliminates excess ions
characteristics of maintaining blood pressure in the urinary system
water balance and secretes renin which triggers the RAAS system
characteristics of maintaining water balance in the urinary system
restricts water loss in urine and contributes to regulation of blood pressure
characteristics of secretion in the urinary system
tubules secrete additional wastes into urine including hydrogen ions, NH3 (ammonia), and uric acid
characteristics of reabsorption in the urinary system
tubules of the nephron recover or reabsorb useful molecules from the filtrate including glucose, ions, and water
characteristics of filtration in the urinary system
kidney filters blood plasma at the glomerulus of the nephron
where is urea (water soluble) filtered from?
the blood in your kidneys
what occurs when amino acids are used for energy or taken apart to store the energy in them?
the amine group (NH2) is stripped off and the group will pick up another H+ to make ammonia,
define waste
any substance that is useless to the body or present in excess of the body’s needs
define metabolic waste
waste substance produced by the body
urea formation
proteins → amino acids → NH2 removed → forms ammonia, liver converts to urea
what is uric acid a product of?
nucleic acid catabolism
what is creatine waste (creatine phosphate) from?
muscle metabolism
pathways of excretion in the bodu
sweat, fecal matter, respiration, and urinary system
sweat excretion in the body
removes uric acid, ammonia, urea, lactic acid, and water
fecal matter excretion in the body
undigested components of food and excess ions
respiration excretion in the body
CO2, water, and alcohol
in the ______ section, the kidney is shown to have an outer cortex and an inner medulla
coronal
what does the medulla in the kidney consist of?
a series of pyramidal shaped tissue separated by extensions of the cortex tissue (renal columns)
where does each pyramid of the kidney empty into?
a minor calyx
several calyces gather in a ______ ______
major calyx
all the major calyces empty into the ______ _______ via renal papillae, which exits the hilum as the ureter
renal pelvis
ch 23 slide 19
ch 24 part 1 1-22
what causes retention of electrolytes in the interstitial tissue?
increased aldosterone levels causes more sodium reabsorption and retention (to conserve water loss)
true or false: albumins, blood proteins, are the first to go when hungry and are negtatively charged
true
what do decreases in blood albumin levels cause?
increases in cations and decreases in anions in the interstitial fluid from malnutrition, kidney disease, or liver disease
what does albumin in the interstitial tissue cause?
an increase in cations and a decrease in anions to the interstitial fluid from damaged capillaries due to injury or infection
what chemical reactions are ions involved in in the body?
calcium in blood clotting and protein and enzyme formation
what does the ability of an ion to react chemically depend on?
the presence of competing or inhibiting ions
the ability of an ion to react chemically with ions they are supposed to react with depends on their _____
charge
charge of a monovalent ion
one
charge of a divalent ion
2
charge of a trivalent ion
3
a __________ ion is more reactive than a monovalent
divalent
divalent ions are counted as two __________ ions
monovalent
three ways we take in water and by how much
drinking (1500 mL/day), foods (700 mL/day), and catabolism (200 mL/day)
what does oxidative metabolism result in?
water being created when oxygen accepts the electrons and combines with hydrogen
oxidative metabolism equation
C6H12O6 + 6 O2 → 6 CO2 + 6 H2O
ways we lose water and by how much
lungs (350 mL/day), skin permeability (350 mL/day), sweat (100 mL/day) urine (1400 mL/day), and feces (200 mL/day)
typical water intake and output is ___________ mL/day
2,500
water intake and water loss must _________ out and the __________ maintain that balance.
balance, kidneys
kidneys compensate very well for ________ fluid intake, but not for __________ fluid intake.
excessive, inadequate
what does a blood pressure decrease or a decrease in plasma Na+ stimulate?
juxtaglomerular cells in the kidney to secrete renin which is converted to angiotensinogen in the blood to angiotensin l which is converted in the lungs to angiotensin ll
angiotensin ll roles
increases aldosterone production in the adrenal cortex, ADH production in the hypothalamus, and vasoconstriction. also acts on the brain to cause thirst
what is sodium needed for?
sodium co-transport, nerve signal transmission, muscle and heart contraction, blood clotting, and maintenance of cell volume
hypernatremia
plasma sodium concentration greater than 145 mEq/L, from administration of lV saline, water pretension, hypertension, and edema
hyponatermia
plasma sodium concentration less than 130 mEq/L, person loses large volumes of sweat or urine, replacing it with drinking water, result of excess body water, quickly corrected by excretion of excess water
functions of potassium
produces (with sodium) the resting membrane potential and action potential of nerve and muscle cells, most abundant cation of ICF, greatest determinant of intracellular osmolarity and cell volume, and essential cofactor for protein synthesis and other metabolic processes
Na+-K+ pump use
pumps 3 sodium ions out and 2 potassium ions in, for cotransport, thermogenesis (basal metabolism), and in potassium balance
___________ homeostasis is closely linked to that of sodium
potassium
_____% of K+ in glomerular filtrate is reabsorbed by the PCT and the rest is excreted in urine
90
what does the DCT and cortical portion of the collecting duct secrete in repsonse to blood levels?
K+
what stimulates renal secretion of K+?
aldosterone
what does a lack of extracellular fluid cause?
slowing of the production of the saliva glands, mouth becomes dry, and stimulates thirst response
what do osmoreceptors in the supraoptic nucleus of the hypothalamus sense?
increased osmotic pressure
steps to the regulation of fluid balance (ADH)
Osmoreceptors in the supraoptic nucleus of the hypothalamus sense increased osmotic pressure, ADH secreting cells in the hypothalamus secrete and send ADH to the neurohypophysis or posterior pituitary which releases it into the blood. ADH makes the distal convoluted tubules and collecting duct more permeable to water. Aquaporins are created that let the water flow out by diffusion. Increased fluid retention and intake raise blood volume and pressure. ADH affects the cerebrum reinforcing thirst response and awareness of dry mouth
characteristics of ADH regulation of fluid balance by water retention
ADH reduces water excretion independently of sodium excretion, it creates more aquaproins in the collecting ducts of the nephron, high sodium levels in the blood trigger ADH production by posterior pituitary
steps of fluid regulation of fluid balance (ANH)
ANH (atrial natriuretic hormone) is released by cells in the atria in response to stretching due to high blood pressure or volume. Causes the loss of sodium in urine, which causes water loss and lowers blood volume and pressure. Sodium loss also inhibits ADH. ANH also promotes vasodilation.
what is urine volume regulated by?
ADH from posterior pituitary, renin from the kidney and aldosterone from the adrenal cortex (RAAS), and the ANH from the atria.
what is the primary response of the body systems?
water conservation
what is a secondary response in the regulation of fluid balance?
increased intake
what is the movement of fluid between the interstitial and plasma compartments dependent on?
the hydrostatic pressure of the blood and blood colloid osmotic pressure (blood proteins) and the balance of all these determine rate and direction of fluid flow
how do cells regulate intracellular and extracellular fluid exchange?
by the movement of ions across the cell membrane
loss of ____________ (Na+) from the interstitial fluid makes it hypotonic to the cells
electrolytes
dehydration from excessive vomiting and diarrhea from a bacterial infection
continually flushes out ions that are not replaced by diet and there is little potassium in water. this potassium loss can cause nerve signal failure and a heart attack.
dehydration from direct water loss not replaced by drinking
causes interstitial fluid to become hypertonic to the cells, the cells will shrivel and die as water leaves them, the cell will open sodium channels to draw water in, but eventually there is no water outside of the cell to be drawn in.
what does the process of ADH causing water to be reabsorbed in the kidney tubules and collecting ducts lead to?
lowers the electrolyte concentration in the ECF
what does the process of aldosterone causing sodium to be reabsorbed in the kidney tubules lead to?
increasing the electrolyte concentration in the ECF
the kidneys are capable of recovering all _________ from the urine.
sodium
______ the Na+ in the body is used every day to create bile, pancreatic fluid, salica, and other gastric and intestinal secretions
half
what is the primary intracellular cation?
potassium
what does a deficit in potassium result in?
injury, starvation, burns, or dehydration from diarrhea
what does the cell put out to balance electrolyte loss after mucous membranes are flushed?
potassium
what does the loss of fluid from diarrhea, sweating, and vomiting cause?
a loss of sodium
what does the loss of extracellular ions (Na+) cause?
cells to be hyperosmotic to interstitial fluid
what happens if no fluid intake occurs?
the body goes into shock as circulation stops
what happens if fluid intake is maintained?
the cells release potassium to prevent excessive swelling
potassium loss leads to ________ _______ failure.
nerve signal
characteristics of a cell in normokalemia
K+ concentrations in equilibrium, equal diffusion into and out of the cell, and normal resting membrane potential (RMP)
characteristics of a cell in hyperkalemia
elevated extracellular K+ concentration, less diffusion of K+ out of cell, elevated RMP (cells partially depolarized), and cells more excitable
characteristics of a cell in hypokalemia
reduced extracellular K+ concentration, greater diffusion of K+ out of cell, reduced RMP (cells hyperpolarized), and cells are less excitable