Chem: Section 4.1- Renal Function

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Last updated 2:58 AM on 9/12/26
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23 Terms

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decreased urine volume (

oliguria

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excessive production of urine *due to a kidney problem* (>3000 mL/day)

diuresis

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absence of urination

anuria

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painful/difficulty urinating

dysuria

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excessive urination at night

nocturia

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increased urination (>3000 mL/day)

polyuria

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increased nitrogen products in blood

azotemia

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urine in the blood

uremia

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the rate at which a substance is filtered from the blood of glomerular capillary into the urine filtrate of Bowman's space; a measurement of overall renal disease

glomerular filtration rate (GFR)

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What is the normal GFR?

125 mL/min

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a measurement of the excretion or removal of a chemical from the body

clearance

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the volume of plasma at which a measured amount of substance can be completely eliminated into the urine per unit of time

clearance

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What is the approximate amount of blood that flows into the renal arteries per minute?

the kidneys receive about ¼ of the cardiac output which is *1200 mL/minute*

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What is the approximate amount of urine produced by an adult per day?

800-2000 mL/day (more like 1200-1500 mL/day)

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____% of the blood that goes through the kidney is actually filtered

25%

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How is a clearance test used to assess renal function?

use substances with a known renal handling property to evaluate the effectiveness of the kidney to filter substances out of the blood

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What is the criteria for determining which analyte should be used for renal clearance testing?

The best substance to use as a reference for glomerular clearance is a chemical that is *filtered completely through the glomerulus* and *not reabsorbed* through the nephron tubule.

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Why is creatinine a good analyte for renal clearance testing?

Relatively low amounts are reabsorbed and production is constant over time; endogenous

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pressure exerted by the weight of the fluid; moves urine through the body

hydrostatic pressure

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Glomerulus pores exclude substances with a molecular radius of more than ___nm

4nm

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What is filtration based on?

mostly size, but charge to some extent

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Water makes up ___% of the substances in urine

95%

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What can be assumed from a decreasing GFR?

Progressively decreasing GFR is an indicator of *diminishing renal function* and *increasing severity of disease*.