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urinary
urinary
49
Nursing
Undergraduate 2
04/09/2013

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Term
FUNCTION
Filter # liters of blood daily, allowing toxins, metabolic wastes, and excess ions to leave the body in urine
Definition
200
Term
kidney function:
FUNCTION
Regulate _____ and chemical makeup of the blood
Definition
volume
Term
FUNCTION
Maintain the _______ _______ between water and salts, and acids and bases
Definition
proper balance
Term
FUNTION
produced during long fasting
Definition
Gluconeogenesis
Term
FUNCTION
Activation of vitamin D – metabolize vitamin D to its active form
(D?)
Tech name?
Definition
(vitamin D3 form = calcitriol)
Term
FUNCTION
Production of ______ to help regulate
blood pressure and ____________ to stimulate RBC production
Definition
renin, erythropoietin
Term
Metabolic wastes: Produced by body
Most toxic: Nitrogenous wastes
~ 50% _____ from protein catabolism

2. ______ acid – nucleotide metabolism

3. ______________ – metabolism of
creatine phosphate
4. Additional waste
Definition
UREA, URIC ACID, CREATINE, AMMONIA
Term
– transport urine from the kidneys to the bladder
Definition
Paired ureters
Term
– provides a temporary storage reservoir for urine
Definition
Urinary bladder
Term
– transports urine from the bladder out of the body
Definition
Urethra
Term
– the light colored, granular superficial region
Definition
Cortex
Term
Medulla – exhibits cone-shaped medullary (renal) pyramids separated by columns
Definition
MEDULLA
Term
Renal pelvis – flat funnel shaped tube lateral to the hilus within the renal sinus
Definition
RENAL PELVIS
Term
– large branches of the renal pelvis
Collect urine draining from papillae
Empty urine into the pelvis
Definition
Major calyces
Term
THE ______ IS THE FUNCTIONAL UNIT OF THE KIDNEY
Definition
NEPHRON
Term
# nephrons per kidney
Definition
>1.2 million nephrons per kidney
Term
Two Parts of Nephron
1. _______ ______ (blood filtration)
2. ______ ______ (processes filtrate into urine)
Definition
Two Parts of Nephron
1. Renal corpuscle
2. RENAL TUBULE
Term
blind, cup-shaped end of a renal tubule that completely surrounds the glomerulus
Definition
Glomerular (Bowman’s) capsule –
Term
– a tuft of capillaries associated with a renal tubule
Definition
Glomerulus
Term
fenestrated epithelium that allows solute-rich, virtually protein-free filtrate to pass from the blood into the glomerular capsule
Definition
Glomerular endothelium
Term
Approximately % and ml; of systemic cardiac output flows through the kidneys each minute
Definition
one-fourth (1200 ml)
Term
composed of cuboidal cells with numerous microvilli and mitochondria
Definition
Proximal convoluted tubule (PCT) –
Term
composed of cuboidal cells with numerous microvilli and mitochondria
Definition
Proximal convoluted tubule (PCT) –
Term
a hairpin-shaped loop of the renal tubule
Definition
Loop of Henle
Term
cuboidal cells without microvilli that function more in secretion than reabsorption
Definition
Distal convoluted tubule (DCT)
Term
The distal portion of the distal convoluted tubule nearer to the collecting ducts
Definition
Connecting Tubules
Term
Cuboidal cells with microvilli
Function in maintaining the acid-base balance of the body
Definition
Intercalated cells
Term
Cuboidal cells without microvilli
Help maintain the body’s water and salt balance
Definition
Principal cells
Term
85% of nephrons; located in the cortex; shorter loops of Henle in medulla region; not “proper” function; general ultrafiltration
Definition
Cortical nephrons
Term
Are located at the cortex-medulla junction
Have loops of Henle that deeply invade the medulla
Have extensive thin segments
Are involved in the production of concentrated urine
Definition
Juxtamedullary nephrons:
Term
EVERY NEPHRON HAS
TWO CAPILLARY BEDS!
name them
Definition
GLOMERULUS AND VASA RECTA
Term
branch off the efferent arterioles of juxtamedullary nephrons (those nephrons closest to the medulla), enter the medulla, and surround the loop of Henle
Definition
VASA RECTA
Term
Each glomerulus is:
Fed by an __________
Drained by a ________
Definition
affarent arteriole
efferent arteriole
Term
The kidneys filter the body’s entire plasma volume ___ times each day
Definition
60
Term
The pressure responsible for filtrate formation
Definition
Net Filtration Pressure (NFP)
Term
Three mechanisms control the GFR
1. Renal autoregulation
A)_____________
2. Neural controls
3. Hormonal mechanism (the renin-angiotensin system; antidiuretic hormone)
B)______________
Definition
INTRINSIC CONTROL; EXTRINSIC
Term
responds to changes in pressure in the renal blood vessels; Vascular smooth muscle has a tendency to contract when stretched;
Definition
Myogenic
Term
senses changes in the juxtaglomerular apparatus
Definition
Flow-dependent tubuloglomerular feedback
Term
causes contraction of the afferent arteriole; restricts flow to the glomerulus and prevents rising pressure/damage in glomerulus
Definition
increased BP
Term
Tall, closely packed distal tubule cells
Lie adjacent to JG cells
Function as chemoreceptors or osmoreceptors
Definition
Macula densa
Term
Have phagocytic and contractile properties
Influence capillary filtration
Definition
Mesanglial cells:
Term
smooth muscle
Cells in afferent arteriole
Definition
JG cells
Term
If GFR: insufficient time to reabsorb NaCl
2. High NaCl in filtrate causes
______ ________ cells
to secrete a vasoconstrictor (ATP?)
Definition
Macula Densa
Term
JGA monitors fluid entering DCT
and adjust GFR to maintain
Homeostasis
Definition
Tubuloglomerular Feedback
Term
Enlarged, smooth muscle cells
Have secretory granules containing RENIN
Act as mechanoreceptors
Definition
juxtaglomerular (JG) cells
Term
Renal blood vessels are maximally dilated
Autoregulation mechanisms prevail
SYMPATHEITC OR PARA?
Definition
SYMPATHETIC
Term
constricts afferent arteriole
Helps maintain BP & shunts blood to heart & muscles
Definition
SYMAPTHETIC
Term
_____________ is released by the sympathetic nervous system
_____________ is released by the adrenal medulla
________ _______ constrict and filtration is inhibited
The sympathetic nervous system also stimulates the _________-________
Definition
NE,EPINEPHRINE, AFFARENT ARTERIOLES, renin-angiotensin
Term
Is triggered when the JG cells release RENIN
Definition
Renin-Angiotensin Mechanism
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