Electrolyte Balance and Aging in Urinary System

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Questions and Answers

What is the primary effect of aldosterone on electrolyte balance?

  • It stimulates the reabsorption of sodium and the secretion of potassium. (correct)
  • It promotes the excretion of both sodium and potassium.
  • It enhances the reabsorption of water while sodium remains unchanged.
  • It inhibits both sodium and potassium reabsorption.

Which of the following is NOT a direct trigger for the release of aldosterone?

  • Angiotensin II
  • Increased levels of potassium in the plasma
  • Decreased levels of sodium in the filtrate
  • Increased levels of sodium in the plasma (correct)

How does ANH (atrial natriuretic hormone) affect the electrolyte balance?

  • It promotes the secretion of sodium and the reabsorption of water.
  • It promotes the reabsorption of sodium and secretion of water.
  • It promotes the reabsorption of both sodium and water.
  • It promotes the secretion of both sodium and water. (correct)

Which of the following urinary system changes is associated with aging?

<p>Decreased bladder capacity and reduced bladder tone. (A)</p> Signup and view all the answers

Which condition, common in older males, is often linked to prostate gland hypertrophy affecting the urinary system?

<p>Urinary retention (D)</p> Signup and view all the answers

What is the result of aldosterone's action on sodium and potassium levels in the blood?

<p>It increases sodium reabsorption and decreases potassium secretion. (C)</p> Signup and view all the answers

What initiates the release of aldosterone?

<p>Increased levels of K+ in the plasma. (C)</p> Signup and view all the answers

What may frequently occur due to the shrinkage of the bladder with aging?

<p>Urgency to void and increased urinary frequency. (B)</p> Signup and view all the answers

Which of the following is a potential consequence of aging on urinary function?

<p>Incontinence, a loss of bladder control. (D)</p> Signup and view all the answers

How does ANH contribute to urinary balance when excess blood volume is detected?

<p>It promotes the secretion of Na+ and water. (A)</p> Signup and view all the answers

Flashcards

What is the function of Aldosterone in electrolyte balance?

Aldosterone, a hormone produced by the adrenal cortex, plays a key role in sodium and potassium balance. It promotes sodium reabsorption from the filtrate back into the blood and potassium secretion from the blood into the filtrate.

How does ANH regulate blood volume?

The hormone ANH (Atrial Natriuretic Hormone) is released when the blood volume is too high. It promotes the secretion of sodium and water into the filtrate, helping to reduce blood volume.

How does aging affect the urinary system?

Aging can affect the urinary system, leading to a decline in function. The bladder shrinks, loses tone, and the filtering process becomes less efficient.

What are some common urinary problems associated with aging?

Common urinary problems associated with aging include a frequent urge to urinate, frequent urination of small amounts, needing to urinate during the night, and loss of bladder control.

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What is urinary retention?

Urinary retention, particularly common in older males, can be caused by an enlarged prostate gland. This can lead to difficulty urinating.

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What triggers the release of aldosterone?

Angiotensin II, elevated potassium (K+) levels in the plasma, or reduced sodium (Na+) levels in the filtrate, are known to trigger the release of Aldosterone.

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How does ANH contribute to regulating blood volume?

Atrial Natriuretic Hormone (ANH) functions to counteract excess blood volume. It promotes the secretion of sodium (Na+) and water into the filtrate, thus reducing blood volume.

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What are the implications of aging on the urinary system?

Aging leads to a decline in urinary function. The bladder shrinks, loses tone, and the filtering process becomes less efficient.

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What are common urinary problems associated with aging?

Common urinary problems associated with aging include a frequent urge to urinate (urgency), frequent urination of small amounts (frequency), needing to urinate during the night (nocturia), and loss of bladder control (incontinence).

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Study Notes

Electrolyte Balance Regulation

  • Primary electrolytes (sodium, potassium, calcium, chloride, sulfate, phosphate, and bicarbonate) are obtained through diet.
  • Electrolyte balance is hormonally controlled.
  • Cations are actively reabsorbed, leading to passive reabsorption of anions.
  • Aldosterone, a "salt-retaining hormone" released by the adrenal cortex, regulates electrolyte balance.
  • Aldosterone release is triggered by angiotensin II, elevated potassium levels in the plasma, or decreased sodium levels in the filtrate.
  • Aldosterone stimulates sodium reabsorption from the filtrate to the blood and potassium secretion from the blood to the filtrate.
  • This process continues until electrolyte balance is restored.
  • Water follows salt.
  • Atrial natriuretic hormone (ANH) promotes sodium and water secretion when excess blood volume is detected.

Aging and the Urinary System

  • Urinary function declines progressively with age.
  • The bladder shrinks, losing tone.
  • Filtration rate decreases, and tubule cells become less efficient in concentrating urine.
  • Common associated problems include:
    • Urgency (feeling the need to urinate).
    • Frequency (frequent urination of small amounts).
    • Nocturia (need to urinate at night).
    • Incontinence (loss of bladder control).
    • Urinary retention (common in males, often due to prostate gland enlargement, also known as hypertrophy).

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