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kidney function
regulation total body water volume
kidney function
acid base balance
kidney function
excreting metabolic wastes, toxins, drugs
ureters function
transport urine form kidneys to urinary bladder
urinary bladder function
temporary storage reservoir for urine
urethra function
transport urine out of body
perirenal fat capsule
a layer of supportive tissue around the kidney; protects
renal cortex location
superficial region of kidney
renal medulla location
deep to cortex
renal columns location
inward extensions of cortical tissue that separate pyramids
minor calyces location
subdivides from major calyx
major calyces
branching extensions from renal pelvis
nephrons
structural and functional units that filter blood and form urine
glomerulus
provides efficient formation of filtrate
glomerulus capsule
surrounds the nucleus
proximal convoluted tubule
reabsorbing H2O, NaCl, and nutrients back into the bloodstream
nephron loop
pick up water and solutes reabsorbed from filtrate, formation of concentrated urine
distal convoluted tubule and collecting duct
reabsorption is hormonally regulated
cortical nephron function
filter urine
cortical nephron location
almost entirely in the cortex
cortical nephron anatomy
has a short nephron loop, a glomerulus further from the cortex medulla junction, and efferent arteriole supplying peritubular capillaries
juxtamedullary nephron function
filter and concentrate urine
juxtamedullary nephron location
inner medulla
juxtamedullary nephron anatomy
has a long nephron loop, glomerulus closer to the cortex medulla junction, and efferent arteriole supplying the vasa recta
peritubular capillaries
pick up water and solutes reabsorbed from filtrate (returning them to blood); arise from efferent arterioles and empty into nearby venules
vasa recta
pick up water and solutes reabsorbed from filtrates, involved in the formation of concentrated urine
juxtaglomerular complex location
most distal part of the ascending limb
juxtaglomerular complex purpose
important in regulating rate of filtrate formation and BP
macula densa
act as chemoreceptors that monitor NaCl content of filtrate entering DCT
granular cells
act as mechanoreceptors that monitor blood pressure
glomerular filtration
filtrate formed as blood is filtered through the glomerulus and through the filtration membrane into the glomerular capsule and into the tubules
tubular reabsorption
solutes and water are reabsorbed, the majorit of what is filtered through is reabsorbed
tubular secretion
through the influence of hormones like ADH and aldosterone but also others, solutes are secreted back into the tubules
filtration membrane location
between blood and lumen of glomerular capsule that excludes blood proteins and cells
filtration membrane purpose
allows water and solutes smaller than plasma proteins to pass into the capsule
hydrostatic pressure in glomerular capillaries
the force pushing water and small solutes out of capillaries
hydrostatic pressure in the capsular space
pushes out fluid pressure of filtrate
colloid osmotic pressure in glomerular space
pulling in plasma proteins
glomerular filtration rate
volume of filtrate formed per minutes by both kidneys
anuria
abnormally low urinary output; may indicate glomerular BP too low to allow filtration
diffusion
movement of solutes from an area of higher concentration of solutes to an area of lower concentration of solutes
osmosis
the movement of water; water moves from area of low concentration of solutes to higher concentration of solutes in order to "dilute" the solutes and equal the concentration
concentration gradient
where there are different concentrations of solutes
tubular reabsorption
reclaims most of the filtrate including water and solutes, returning them to the blood
tubular reabsorption
Na+ are key, water and other solutes follow sodium
tubular reabsorption
fat soluble substances can follow back into the blood making it difficult to excrete lipid-soluble drugs and environmental pollutants
proximal convoluted tube
region most active in reabsorption; normally reabsorbing all glucose and amino acids and most uric acid from filtrate before it leaves
ADH functions
inhibits diuresis which increases BP and blood volume
aldosterone
causes reabsorption of Na+ which raises BP by increasing blood volume
atrial natriuretic peptide
inhibits reabsorption of Na+ which lowers BP by lowering blood volume
parathyroid hormone
increase calcium reabsorption which decreases phosphate reabsorption
tubular reabsorption is important for
disposing of substances, such as certain drugs and metabolites, that are bound to plasma proteins
tubular reabsorption is important for
eliminating undesirable substances or end products that have been reabsorbed by passive processes
tubular reabsorption is important for
ridding body of excess K+
tubular reabsorption is important for
controlling blood pH by altering amounts of H+ or HCO3- excreted in urine
osmotic gradients
in the renal medulla is essential for concentrating urine
osmotic gradients
occur in the juxtamedullary nephrons that have long nephron loop
internal urethral sphincter
controlled by ANS (involuntary)
external urethral sphincter
voluntarily controls urination
intracellular fluids
found inside of the cells
extracellular fluids
found outside the cells (plasma and interstitial fluid)
electrolyte
compounds that dissociate into ions and water (conduct an electrical current)
examples of electrolytes
inorganic salts, acids, bases, some proteins
nonelectrolyte
molecules (mostly) organic that do not dissociate into charged particles
examples of nonelectrolytes
glucose, lipids, creatine, urea
main extracellular ion
Na+
main intracellular ion
K+
obligatory water loss
explain why we cannot live without water very long
insensible water loss
across skin and airways
sensible water loss
from urine, sweat, and feces
dehydration
cell shrink; weight loss, mental confusion, hypovolemic shock
hypotonic hydration
cells swell; metabolic disturbances, nausea, vomiting, muscular cramping
edema
accumulation of interstitial fluids; tissues swell, not cells
chemical buffers
system of one or more compounds (combing weak acid and weak base) that resist pH changes when a strong acid or base is added
respiratory system
eliminates CO2 from blood
CO2 unloading
reaction shifts left (H+ incorporated in H2O)
CO2 loading
reaction shifts right (H+ buffered by proteins)
renal mechanisms
most potent, but requires hours to days to correct acid-base imbalance
respiratory acidosis
CO2 in the blood is too high causing pH to drop because CO2 is acidic
causes of respiratory acidosis
failure of respiratory system to perform pH, hypoventilation, asthma
respiratory alkalosis
CO2 in the blood is too low causing pH to increase
respiratory alkalosis causes
hyperventilation, pneumonia, sepsis
metabolic acidosis
low pH and HCO3 - (bicarbonate) is too low; bicarbonate is a base
metabolic acidosis causes
too much alcohol, excessive loss of CO3-, lactic acid, ketosis is diabetic crisis or starvation, kidney failure
metabolic alkalosis
high pH and bicarbonate is too high
metabolic alkalosis causes
vomiting, intake of excess bases