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Physiology- Renal
Calcium, Phosphate, and Magnesium Balance (T Pierce)
13
Medical
Post-Graduate
04/22/2009

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Cards

Term
Percentage of calcium bound to plasma protein and that is free
Definition

45% bound to plasma protein

55% of free calcium (1.2-1.5 mM)

Term
Total plasma calcium
Definition
4.5-5 mEq/L
Term
Importance of calcium
Definition
  • affect activity of excitable tissues
  • enzyme cofactor
  • component of bone
  • cellular signal blood clotting
Term
Effect of hydrogen concentration on free calcium concentration
Definition
  • acidemia (increase H) leads to increases in plasma free calcium (H takes up spots on plasma proteins)
  • alkalemia (decrease H) leads to decreases in plasma free calcium
Term
Main site of calcium reabsoption
Definition
PCT
Term
Mechanism of calcium reabsorption in TAL
Definition
calcium via paracellular channels in tight junctions (driven by positive lumen potential)
Term
Mechanism of reabsorption at PCT and DCT
Definition
  • on lumenal side, calcium channel and paracellular transportation
  • on blood side, Ca/Na transport puts calcium into blood
Term
Main site of physiological control of calcium levels
Definition
DCT (via PTH)
Term
Distribution of phosphate
Definition
  • 85% bone
  • 15% ICF
  • less than 0.5% ECF
    • 10% of this plasma protein bound
    • can buffer H
Term
Main site of reabsoprtion of phosphate
Definition
PCT
Term
Channels that reabsorb phosphate
Definition
  • Na/P cotransport at tubular lumen side
  • phosphate/organic anion antiport put phosphate into blood
    • PTH inhibits this channel via G coupled protein
Term
% of Mg protein bound
Definition
20%
Term
site of reabsorption of Magnesium
Definition

TAL (reab. inh. via loop diuretics)

PCT 30%

DCT 5%

 

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