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what is the function of renal system
remove waste
homeostasis of blood
urine formation
hormonal regulation (endocrine funct)
what are the three basic renal processes
glomerular filtration
tubular reabsorption
tubular secretion
function of distal convoluted tubule
adjusts for electrolyte (Na+) and acid base homeostasis through hormonal control of ADH and aldosterone and H2O reabsorption
proximal convoluted tubule
reabsorbs 60% of ions
what are the endocrine hormones released by the kidneys.
what are their function
renin
: catalyzes synthesis of aldosterone
1,25 DHVD
: activates Vit D
erthropoeitin
: increases RBC production
prostaglandins
: increases blood flow
what are the clinical associations with glomerulonephritis
inflammation, prevention of glomerulus from filtration
proteinuria, albumin <3.5 g/day
hematuria
BUN incrs
GFR decrs
what is the clinical association of nephrotic syndrome
increased permeability of glomerular basement membrane
massive proteinuria >3.5 mg/dL
hypoalbuminemia
hyperlipidemia
BUN incrs
GFR decrs
edema
how is chloride reabsorbed by kidney
passively reabsorbed as a counter ion when Na is reabsorbed in PCT
how is potassium reabsorbed by the kidney
reabsorbed and excreted by DCT and collecting ducts; excretion controlled by aldosterone
how is Na+ controlled by the kidney
controlled by renin-angiotensin-aldosterone system. Excreted from kidneys
clinical indications of UTI
bacteriuria
hematuria
pyuria
what is urine electrophoresis used for
distinguishes between acute glomerular nephropahy and tubular proteinuria
screens for abnormal monoclonal or polyclonal globulins
presence of myoglobin
early indicator of myoglobin induced acute renal failure
severe muscle damage.
similar in size to Hgb
rhabdomyolysis
: severe ARF
presence of microalbumin
decrs GFR
diabetes
nephropathy
presence of macroglobulin
decrs GFR
big in size
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Author
tanyalequang
ID
343802
Card Set
renal
Description
renal function, glomerulus and nephron
Updated
2018-11-27T19:23:07Z
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