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filtration + secretion - reabsorption
formula to find excretion rate of any substance
glomerular filtration
good and bad out of blood
tubular reabsorption
reabsorbs good
tubular secretion
rid of extra bad
blood pressure
drives glomerular filtration
20
percentage of plasma that becomes filtrate
48
number of gallons of filtrate produced each day
1-2
quarts of urine produced
fenestration of glomerular endothelial cell
prevents filtration of blood cells but allows all components of blood plasma to pass through
basement membrane of glomerulus
prevents filtration of larger proteins
slit membrane between pedicels
prevents filtration of medium-sized proteins
glomerular blood hydrostatic pressure
GBHP
capsular hydrostatic pressure
CHP
blood colloid osmotic pressure
BCOP
NFP = GHBP - (CHP + BCOP) = 10 mmHg
net filtration pressure (glomerular) formula
GBHP
higher in glomerulus (afferent larger than efferent)
55
GBHP about this number
15
CHP about this number
glomerular filtration rate (GFR)
homeostasis requires a constant…
glomerular filtration rate (GFR)
directly related to net filtration pressure (NFP)
glomerular filtration rate (GFR)
amount of filtrate formed in all renal corpuscles of both kidneys per minute
GFR too low
not cleaning blood; blood becomes toxic
hypertension
due to this, GFR becomes too high
GFR too high
too much filtrate for tubules to handle
GFR too high
tubules not able to reabsorb all good stuff
long-term hypertension
too much pressure on glomerulus and will rupture
80 mmHg
if MAP is less than this, glomeruli will be absorbed
glomerular filtration rate (GFR)
regulated through blood flow and surface area
increase in GFR
increase of blood flow into glomerulus results in…
decrease in GFR
decrease in blood flow into glomerulus results in…
increase in surface area
results in increased filtration and increased GFR
decrease in surface area
results in decreased filtration and decreased GFR
myogenic mechanism
responds directly to changes in blood pressure
renal auto regulation
maintains GFR despite changes in mean arterial pressure
myogenic mechanism
responds directly to changes in BP
tubuloglomerular feedback
regulate GFR is reabsorption is off
myogenic mechanism
acts more quickly than other form of renal auto regulation
autonomic nervous system
neural regulation of GFR done by the…
sympathetic signals
glomerulus only receives this kind of regulation of GFR
auto regulation
if SNS signals are low, this will dominate
angiotensin II
vasoconstrictor that decreases blood presure and GFR
atrial natriuretic peptide
relax mesangial cells within glomerulus
atrial natriuretic peptide
increases surface area; increases GFR
myogenic mechanism
stretched smooth muscle fibers contract, thereby narrowing lumen of afferent glomerular arterioles
myogenic mechanism
increased stretching of smooth fibers in afferent glomerular arteriole walls due to increased blood pressure
tubuloglomerular feedback
rapid delivery of Na+ and Cl- to the macula densa due to high systemic blood pressure
tubuloglomerular feedback
decreased release of nitric oxide by juxtaglomerular apparatus causes constriction of afferent glomerular arterioles
neural regulation
increase in activity level of renal sympathetic nerves releases norepinephrine
neural regulation
constriction of afferent glomerular arterioles through activation of a1 receptors and increased release of renin
angiotensin II
constriction of afferent and efferent glomerular arterioles
angiotensin II
decreased blood volume or blood pressure stimulates production of this
atrial natriuretic peptide
dilating afferent arterioles; constricting efferent arterioles
atrial natriuretic peptide
prevents sodium reabsorption; increases water excretion
angiotensin II
regulates blood pressure by constricting both afferent and efferent arterioles; increases renal blood flow and increases GFR
angiotensin II
stimulates cortex to release aldosterone; vasopressin release
norepinephrine
decrease GFR; decrease urine output
tubuloglomerular feedback
less than 80 BP; cannot compensate for extreme hypotension (shock)
tubuloglomerular feedack
adjust diameter of afferent arteriole based on NaCl concentration in filtrate
GFR too high
macula densa cells vasoconstrict afferent arteriole
GFR too low
macula densa cells vasodilate afferent arteriole by releasing nitric oxide and stimulate juxtaglomerular cells to release renin
myogenic mechanism
vasodilation of afferent arteriole helps maintain sufficient pressure inside glomerulus
myogenic mechanism
vasoconstrict in response to stretch of afferent arteriole to reduce blood flow to glomerulus to prevent rise in GHP
increase in GFR, increase in NFP
high BP; dilation of afferent arteriole
decrease in GFR; decrease in NFP
low BP, constriction of afferent arteriole, dehydration
GFR and NP = 0
severe hypotension, glomerular damage, kidney failure
blood colloid osmotic pressure
about 30 mmHg
blood colloid osmotic pressure
pulling water back into capillaries due to plasma proteins in blood
capsular hydrostatic pressure
pushing fluid back into glomerular capillaries due to filtrate in bowman’s capsule
glomerular blood hydrostatic pressure
pushes fluid out of glomerulus into bowman’s capsule; generated by blood pressure in glomerular capillaries
tubular secretion
renal tubules actively transport substances from blood into filtrate