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Key functions of the kidney
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1) filter blood plasma2) Regulate blood volume:3) Regulate osmolarity of body fluids:4) Secrete homeostatic enzymes and hormones5) Maintains acid-base balance in blood
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Key function: Filter blood plasma
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-separate waste from useful products-eliminate waste (urine) and reabsorb the rest to the plasma
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Key function: Regulate blood volume
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-eliminating excess water, conserving when necessary
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Key function: Regulate osmolarity of body fluids
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-controlling relative amounts of electrolyte and other solutes that are eliminated-#solutes/liter= osmolarity (osmols/L or miliosmols/L)
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Key function: secrete homeostatic enzymes and hormones
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-Renin to stimulate Renin-Angiotensin mechanism for Na+ and H20 homeostasis-Erythropoietin (EPO) which controls red blood cell count to aid O2 transport in blood"blood doping"
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Key Function: Maintains acid-base balance in blood
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-maintains bicarbonate concentration in plasma
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Tubular Secretion
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Excretion-The process of separating wastes from body fluids and eliminating them as urine~waste is any substance that is useless to the body or present in excess of the body's needs
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Wastes excreted by kidney
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-toxins, drugs, hormones (assists liver)-salts(electrolytes), H+, excess H2O-metabolic wastes
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Tubular Reabsorption
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Returning water and solutes from the tubular fluid to the blood
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Metabolic Waste
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Waste substance produced by the body-CO2, H+, nitrogenous wastes
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Nitrogenous wastes
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-Toxic waste products of metabolism that contain nitrogen-excess nitrogen in the blood (usually ammonia or urea) can lead to diarrhea, vomiting and shortness of breath~long duration (>few days) of excess levels of nitrogen in blood leads to convulsions, coma, death
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List Nitrogenous wastes
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-Ammonia-Urea-Uric Acid-Creatinine
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Ammonia
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NH3 -major source comes from amino acid deamination-very toxic to the body
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Urea
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-liver converts the toxic NH3 to urea because urea is less toxic than ammonia but it is still toxic-elevated blood urea nitrogen (BUN) levels may indicate renal insufficiency
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Uric Acid
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-formed by the metabolism of nucleic acids(DNA and RNA)-crystalizes and becomes gout in joints
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