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NURB 3050 Pathophysiology Exam 2 Study Guide

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NURB 3050 Pathophysiology
Exam 2 Study Guide

Be able to explain the Renal-Angiotensin-Aldosterone System - Answer 1) Blood
pressure drops

2)Sympathetic Nervous system is activated

3)Juxtaglomerular (JG) cells are activated and release renin

4) Angiotensinogen released by the liver

5) Then converted to Angiotensin 1

6) ACE system converts AG1 to Angiotensin 2

7) Vasoconstriction

Kidneys keep Na+ and H20

Adrenal cortex releases Aldosterone to keep Na+ and H20

Post Pituitary gland releases ADH

Name the functions of the renal system. (A WET BED) - Answer Acid-base balance

Water balance

Electrolyte balance

Toxin removal

Blood Pressure control

Erythropoietin making

D vitamin metabolism

What is the functional unit of the renal system? - Answer The Nephron

Glomerular Filtration

Reabsorption

Secretion

What is the glomerulus and what is its function? - Answer It is at the beginning of the

, nephron, it's a network of capillaries that performs the first step of filtering the blood.

Explain Glomerular Filtration Rate and why is it significant to renal function? - Answer
Measures how well the kidneys are filtering blood. Determines if the kidneys are
working correctly or if they are failing

Which diagnostic tests are used to determine renal function? - Answer Urinalysis

Glomerular filtration rate

Blood tests

oSerum creatinine

oBlood urea nitrogen

Cystoscopy

Ultrasonography

Radiologic

Explain the role of the tubules within the nephron. - Answer As the filtrate flows through
the tubule, the concentration of water and electrolytes in the filtrate changes due to:

oReabsorption of water and solutes by tubular cells into the peritubular capillary blood

oSecretion from the blood into the tubular lumen

Define micturition reflex - Answer a reflex pathway that causes bladder contraction
during urination

Function of Body Fluids - Answer - Transport gases, nutrients, and wastes

- Help generate the electrical activity needed to power body functions

- Take part in the transforming of food into energy

- Maintain the overall function of the body

What percentage of cardiac output influences the amount of blood flow through the
renal system each day? - Answer 25%

Which hormones are released by the kidneys? What cellular response does each have? -
Answer Antidiuretic hormone (ADH)- Alters collecting tubules permeability to H2O

Aldosterone- Regulates water and Na reabsorption and excretion

Calcitrol- Assists in converting Vitamin D to its active form

Erythropoietin- Released when decreased oxygen to the kidney

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