Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
KIDNEY FUNCTIONS URINE FORMATION Learning Outcomes: • Describe the function of each section of the nephron • Describe the process of urine formation • Describe how the kidneys maintain blood pH Urine Composition • • • • • Water Nitrogenous wastes (urea etc.) Salts May contain H+ and other ions May contain drugs, vitamins and other substances Urine Formation 3 major steps: 1. Glomerular filtration - in the glomerular capsule 2. Tubular reabsorption - in the proximal tubule and loop of Henle 3. Tubular secretion - distal tubule • Different parts of the nephron have different permeability characteristics • Substances are filtered out of the blood by the nephron and excreted in urine • Some substances are reabsorbed back into the blood from the nephron Pressure Filtration • Blood enters the glomerulus from the afferent arteriole • Blood pressure forces small molecules out of the capillaries into the capsule • Substances that leave the blood: Water, salts, nutrients (glucose, amino acids), nitrogenous wastes (urea) • Filtrate resembles plasma Selective Reabsorption • At the proximal tubule and loop of Henle • Some substances must be reabsorbed back into the blood • Examples: • Water, nutrients (glucose, amino acids), salts • Na+ ions, glucose, amino acids - move back into the peritubular capillaries by active transport (why active transport?) • Cl- ions follow passively • Water is reabsorbed by osmosis Absorption of Water at the Loop of Henle • Function of the loop of Henle is to remove as much water as possible from the filtrate and return it to the blood • Descending limb is permeable to water but not salt • Ascending limb is permeable to salt but not water • Sodium is actively pumped out of the ascending limb • Medulla is hypertonic to the filtrate (contains high [Na+]) • Water leaves the tubule by osmosis and enters the medulla, then the capillaries Fig. 16.7 Fig. 16.6 Tubular Secretion • At the distal tubule • Excess H+ ions, drugs, and other substances move from the blood into the nephron by active transport • Ions secreted or kept in the blood as needed, to maintain correct pH Reabsorption of Water • More water is reabsorbed into the blood from the collecting duct • Collecting duct is in the hypertonic medulla so water is drawn out by osmosis Fig. 16.6 • Urine is now ready to be excreted from the body • Collects in the renal pelvis before going to the bladder Path of Blood 1. 2. 3. 4. 5. 6. Renal artery & arterioles Afferent arteriole Glomerulus Efferent arteriole Peritubular capillary network Venules to renal vein Questions • How is the composition of blood in the renal artery different from that in the renal vein? • What is the importance of the hypertonic condition of the renal medulla? • Why is glucose transported actively instead of passively at the proximal tubule? Fig. 16.6 Fig. 16.6