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Physiology Equations Intracellular = TBW – ECF Interstitial = ECF – Plasma Blood Volume = Plasma / (1-Hematocrit) TBW = (140 * (BW*0.6)) / [Na+]* *[Na+] is the abnormal concentration of Na+ in the blood RBF (renal blood flow) = 1200 ml/min RPF (renal plasma flow) = 650 ml/min (55% of RBF) Flow (Q) = Change in Pressure (P) / Resistance (R) Fick Equation RBF = Renal O2 Consumption / Renal (a-v)O2 Starling Hypothesis GFR = Kf [(Pc – Pi) - (p)] Large Kf is the MAIN reason for high filtration rate in kidney Tension T = (Po – Pi) r Clearance C = U*V/P Clearance Urine concentration Velocity of excretion Plasma concentration GFR = C(inulin) GFR ~= C(creatinine) Excretion rate (amount excreted per unit time) = U*V Filtered Load (amount filtered per unit time) = P*GFR Tx(reaborption) = (Px*GFR) – (Ux*V) Tx(secretion) = (Ux*V) – (Px*GFR) *note for GFR, Cin or Ccr can be substituted Tx = tubular transport rate RPF = Renal Plasma Flow Q = RPF(A-V) Q – rate Renal Plasma Flow Arterial plasma concentration (can also be P) Venous concentration PAH is used as an indicator RPF*(Ppah) = U(pah)*V RPF = Upah*V/Ppah = C (clearance) = ERPF (effective renal plasma flow) Extraction ratio E = A-V/A Arterial plasma concentration Venous concentration True renal plasma flow C/E Filtration fraction GFR/RPF = C(in)/C(pah) Osmol Clearance C(osmol) = U(osmol)*V/P(osmol) Free water clearance C(h2o) = V – C(osmol)