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WEEK 5:
Tubular function 5:
| Question | Answer |
|---|---|
| effective ECF volume regulated by | changes in Na+ excretion |
| osmolality (plasma Na+) is regulated by | changes in H2O intake (thirst) and excretion (ADH) |
| what can lead to/ contribute to ECF osmolality | thirst and collecting duct water reabsorption and ADH |
| what can lead to/ contribute to effective ECF volume | RAA system Sympathetic nervous system ANP Natriuretic factors ADH (which leads to renal tubule Na+ reabsorption, increasing water retention and increase effective ECF volume) |
| changes in effective ECF volume are related to | absolute amounts of Na+ (and thus water present) |
| slide 5 | |
| blood pressure in controlled by | cardiovascular reflexes |
| explain slide 6 | |
| slide 7 | |
| almost all filtered K+ is reabsorbed before where | distal sites (at which secretion occurs: principal cells of cortical and outer medullary collecting duct) |
| determinants of K+ secretion (2) | aldosterone and plasma K+ |
| aldosterone role/function | increases Na+ reabsorption (no. & activity of Na+ channels which increases electronegativity of tubule lumen) increases Na+/K+ ATPase activity which increases cell K+ increases luminal K+ permeability (opens K+ channels) |
| plasma K+ increases | luminal K+ permeability which increases Na+/K+ ATPase activity and stimulates secretion of aldosterone |
| acidosis | hyperkalaemia |
| alkalosis | hypokalaemia |
| explain acidosis | |
| slide 13 |