the __________ ________ _____ is the volume of filtrate formed a minute by 2 million glomeruli is it directly proportional to the ___ ___________ ___________ or the forces acting at the glomerular bed
glomerular filtration rate
net filtration pressure
abnormal urine output
anuria
Anuria is caused by _______________ blood pressure being to low to cause ________
glomerular
filtration
Tubular reabsorption begins in the _________ ___________ _____________ as ________ is reabsorbed by ________ transport into the _____________ ______________ by _____ _______
proximal convoluted tubules
sodium
active
peritubular capillaries
bulk flow
as sodium moves into the peritubular capillaries, it establishes an _____________ gradient favoring the ____________ of anions like ________ and ___________ to restore electric neutrality to the filtrate and plasma
electrical
reabsorption
chloride
bicarbonate
chemoreceptors such as the __________ __________ in the loop of henle respond to _________ content in the _________
macula densa
sodium
filtrate
the kidneys filter the entire __________ volume ___ times per day, they process 47 gallons of fluid a day and <1.5 L leaves the body as _____
plasma
60
urine
the kidneys consume ____ - ____ % oxygen used by the body at rest
20
25
glomerular filtration is a ________ _________ by which ___________ ________ forces fluid and solute through the membrane
passive process
hydrostatic pressure
molecules <3 nm pass freely through the filtration membrane such as ______, ________, _____ _____, and __________ ______
h2o
glucose
amino acids
nitrogenous waste
molecules >5nm cannot pass through the filtration membrane like _________ ________ or _______ ______
plasma proteins
blood cells
after sodium and chloride is _____________, an ________ gradient is established as __________ of _______ reabsorbs water into the peritubular capillaries
reabsorbed
osmotic
osmosis
h2o
as H2O is reabsorbed from the tubules, the filtrate solute concentration ____________ and solutes like ________ _____ and ______ move down their _____________ gradient into the peritubular capillaries
increases
fatty acids
urea
concentration
why lipid soluble drugs are hard to excrete
lipid soluble drugs can passively diffuse through the ____________ _______ of renal tubule ______ _________ due to the _____________ _________ of drugs relative to the bloodstream, this has the drug constantly be ____________ making it difficult to excrete without the assistance of the ________ to convert them into being ________ ________
diffuse
phospholipid bilayer
cell membranes
concentration gradient
reabsorbed
liver
water soluble
tubular reabsorption
1. the __________ _________ _____ creates the ___________ _______ for _________ into the ________ ______
2. sodium acts as a _____________ for other solutes like _______, amino acids, lactate, and vitamins bringing them into the interstitial space
3. _______ ________ bring the solutes into the _________ __________ through _________ __________
sodium potassium pump
concentration gradient
sodium
interstitial space
cotransport
glucose
carrier proteins
peritubular capillaries
facilitated diffusion
maximum amount of substance that can be reabsorbed
reflects the number of _______ _________
transport maximum
carrier proteins
reasons why substances are not reabsorbed
1. lack _________ ___________
2. not _________ __________
3. too large for ___________ _______
carrier proteins
lipid soluble
tight junctions
examples of substances not reabsorbed are the ____________ end products of _________ ___________ such as _____ _____ and ______________
nitrogenous
protein metabolism
uric acid
creatinine
the main site of tubular secretion is the _________ ________ __________
proximal convoluted tubule
important of tubular secretion
disposal of certain ________ and _____________
drugs
metabolites
important of tubular secretion
elimination of undesirable substances that are ____________ ____________ like _______ and ________ _________
passively reabsorbed
urea
uric acid
important of tubular secretion
controlling blood ____, when blood becomes too _________ more _____________ is secreted into the ________ and ____________ is retained
pH
acidic
hydrogen
filtrate
bicarbonate
the number of solute particles dissolved in 1kg of water
osmolality
solution's ability to cause osmosis through a semipermeable membrane
determined by the number of ________ particles unable to _________ through a __________ and measured in _____________ (mOsm)
osmotic activity
solute
diffuse
membrane
milliosmoles
_______ recycling contributes to the medullary osmotic gradient
urea
chemicals that enhance urine output
diuretics
glucose is an example of an __________ _________ as in hyperglycemic individuals with diabetes mellitus, it is not __________ and carries water out with it
osmotic diuretic
reabsorbed
volume of plasma cleared of a particular substance in a given time, usually 1 minute
renal clearance
renal clearance is used to test for __________ _________ ____ to see the detection of __________ damage and tracking of ______ _______
glomerular filtration rate
glomerular
renal disease
histology of the ureters
1. mucosa - __________ _________
2. muscularis - _______ ________
3. adventitia - ________ ________
transitional epithelium
smooth muscle
fibrous connective tissue
kidney stones, crystallized calcium, sodium, and or uric acid
renal calculi
histology of the bladder
1. ______________ __________
2. muscular layer __________
3. ___________ - fibrous connective tissue
transitional epithelium
detrusor
adventitia
near the bladder the urethra is ____________ _________, the middle of the urethra is __________ ______________ and near the meatus it is ____________ __________
transitional epithelium
pseudostratified columnar epithelium
stratified squamous epithelium
the involuntary portion of the urethra that keeps urine inside
internal urethral sphincter
the voluntary portion of the urethra that allows for voiding
external urethra sphincter
micturition
the bladder stores the urine, but during bladder distension ________ _________ signal the _______ _______ to inhibit the _________ and contract the ________ _______ _________
stretch receptors
sacral spine
detrusor
external urethral sphincter
micturition
if over 200 mL of urine the _________ ________ signal _________________ to stimulate the detrusor and open the _______ ________ and relax the ________ ________
micturition center
parasympathetics
internal sphincter
external sphincter
uncontrolled voiding
incontinence
glomerular filtration rate is proportional to the three following factors
1. __ ________ _________
2. _________ _______ ____
3. _____________ ___________ ___________
net filtration pressure
filtration surface area
filtration membrane permeability
In the glomerulus, ___________ occurs over the entire length of the _____________, unlike in other capillary beds where filtration occurs at the arteriole end and reabsorption occurs at the venous end
this is because the glomerular capillaries are drained by a _____ __________ _______ ___________ whose diameter is smaller than the ___________ that feeds them
filtration
capillary
high resistance efferent arteriole
afferent arteriole