Kidney Function and Disorders

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Questions and Answers

What is the approximate range for plasma sodium concentration?

  • 125-135 mEq/L
  • 135-145 mEq/L (correct)
  • 145-155 mEq/L
  • 115-125 mEq/L

What is the approximate normal Glomerular Filtration Rate (GFR) using creatinine clearance for males, expressed in milliliters per minute?

  • 105 +/- 15 mL/min
  • 80 +/- 15 mL/min
  • 120 +/- 25 mL/min (correct)
  • 150 +/- 20 mL/min

Which of the following structures is responsible for reabsorbing approximately 25% of the filtered load?

  • Proximal Convoluted Tubule
  • Thick Ascending Loop of Henle (correct)
  • Distal Convoluted Tubule
  • Collecting Tubules

What percentage of the filtered load is reabsorbed in the Proximal Convoluted Tubule, and the Collecting Tubule combined?

<p>72% (D)</p> Signup and view all the answers

Which vertebrae do the kidneys span?

<p>12th thoracic to 3rd lumbar (A)</p> Signup and view all the answers

What is the normal range of urine osmolality for concentrated urine?

<p>900-1200 mOsm/kg (C)</p> Signup and view all the answers

What is the normal range of serum creatinine concentration?

<p>0.8 to 1.3mg/dL (A)</p> Signup and view all the answers

What is the normal range for plasma potassium concentration?

<p>3.5-5 millimoles (D)</p> Signup and view all the answers

What is the normal range for intracellular potassium concentration?

<p>135-145 millimoles (D)</p> Signup and view all the answers

What is the normal urine osmolality in response to hypernatremia?

<p>1000-1200 mOsm/kg (D)</p> Signup and view all the answers

What is the range of hydrogen concentration compatible with survival?

<p>16 to 120 nanoequivalents per liter (A)</p> Signup and view all the answers

How many milliequivalents of hydrogen do the kidneys excrete per day?

<p>50-100 (C)</p> Signup and view all the answers

How many millimoles of CO2 are produced daily?

<p>15,000 (C)</p> Signup and view all the answers

What is the average daily dietary potassium intake?

<p>80-120 millimoles (A)</p> Signup and view all the answers

What is the normal GFR for young adults?

<p>120 mL/min/1.73m² (B)</p> Signup and view all the answers

What percentage increase in serum creatinine compared to baseline within 7 hours is criteria for AKI?

<p>50% (B)</p> Signup and view all the answers

What GFR range is classified as Stage 3 CKD?

<p>30-59 (A)</p> Signup and view all the answers

What percentage of total body water is extracellular fluid?

<p>One-third (C)</p> Signup and view all the answers

What is the urine osmolality in hyponatremia caused by primary polydipsia?

<p>Below 100 mOsm/kg (B)</p> Signup and view all the answers

What is the urine sodium concentration in SIADH?

<p>Usually above 40 mEq/L (D)</p> Signup and view all the answers

What is the formula for Ideal Body Weight (IBW) for females?

<p>45.5 kg + 2.3 kg for each inch over 5 feet (B)</p> Signup and view all the answers

What is the formula for Adjusted Body Weight (AdjBW)?

<p>IBW + 0.4 x (TBW - IBW) (C)</p> Signup and view all the answers

What are the normal ranges for serum creatinine concentration and serum osmolality, respectively?

<p>0.8 to 1.3 mg/dL and 280 to 290 mOsm/kg (C)</p> Signup and view all the answers

What percentage of the filtered load is reabsorbed in the Proximal Convoluted Tubule (PCT) and the Distal Convoluted Tubule (DCT) combined?

<p>72% (B)</p> Signup and view all the answers

Which of the following options correctly describes the percentage of cardiac output the kidneys receive and the approximate number of nephrons in each kidney?

<p>20% and 1 million nephrons (A)</p> Signup and view all the answers

What is the normal range of urine osmolality for concentrated urine, and how much of the filtered load is excreted as urine?

<p>900-1200 mOsm/kg and 0.4% (A)</p> Signup and view all the answers

What is the normal GFR for males and females, respectively?

<p>120 +/- 25 mL/min and 95 +/- 20 mL/min (D)</p> Signup and view all the answers

What percentage of the filtered load is reabsorbed in the thick ascending loop of Henle, and what is the normal range of sodium intake and excretion per day?

<p>25% and 80-250 mEq/day (A)</p> Signup and view all the answers

What is the normal range of urine osmolality for diluted urine, and what vertebrae do the kidneys span?

<p>50-100 mOsm/kg and 12th thoracic to 3rd lumbar (B)</p> Signup and view all the answers

What percentage of the total body weight do the combined weight of both kidneys represent, and what is the normal range for plasma sodium concentration?

<p>0.5% and 135-145 mEq/L (B)</p> Signup and view all the answers

What is the normal GFR range?

<p>80-120 mL/min (A)</p> Signup and view all the answers

What urine volume for 6 hours constitutes a criteria for Acute Kidney Injury (AKI)?

<p>Less than 0.5 ml/kg/hr (A)</p> Signup and view all the answers

What is the minimum urine pH?

<p>4.5 (A)</p> Signup and view all the answers

What pH range is compatible with survival?

<p>6.8 to 7.8 (B)</p> Signup and view all the answers

What plasma sodium concentration defines hyponatremia?

<p>Below 135 mEq/L (D)</p> Signup and view all the answers

What is the normal urine output per hour?

<p>0.5 mL/kg/hour (A)</p> Signup and view all the answers

What GFR range is classified as Stage 4 Chronic Kidney Disease (CKD)?

<p>15-29 (A)</p> Signup and view all the answers

What is the urine sodium concentration in hyponatremia caused by effective circulating volume depletion?

<p>Less than 25 mEq/L (D)</p> Signup and view all the answers

What GFR classification is considered Stage 1 Chronic Kidney Disease (CKD)?

<p>Over 90 (C)</p> Signup and view all the answers

What percentage of extracellular fluid is in the intravascular volume?

<p>One quarter (B)</p> Signup and view all the answers

Flashcards

Kidney Weight

The kidneys, located on either side of the spine, contribute only 0.5% of the total body weight.

Kidney Location

The kidneys are positioned between the 12th thoracic and 3rd lumbar vertebrae.

Kidney Blood Flow

The kidneys receive a significant 20% of the blood pumped by the heart.

Nephron Count

Each kidney contains approximately 1 million nephrons, the tiny functional units responsible for filtering blood and producing urine.

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GFR for Males

A healthy Glomerular filtration rate (GFR) is around 120 +/- 25 mL/min for males, reflecting how efficiently the kidneys filter blood.

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GFR for Females

A healthy Glomerular filtration rate (GFR) is around 95 +/- 20 mL/min for females, reflecting how efficiently the kidneys filter blood.

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Serum Creatinine

The normal range for serum creatinine concentration is 0.8 to 1.3 mg/dL, indicating healthy kidney function.

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Serum Osmolality

Normal serum osmolality measures between 280 to 290 mOsm/kg, reflecting the balance of solutes and water in the blood.

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Normal Range for Potassium

The normal range for plasma potassium concentration is between 3.5 and 5 millimoles per liter.

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Potassium Inside the Cell

The normal range for intracellular potassium concentration is between 135 and 145 millimoles per liter.

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Urine Osmolality in Hypernatremia

The normal urine osmolality in response to hypernatremia is between 1000 and 1200 mOsm/kg.

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Survival Range for Hydrogen

The range of hydrogen concentration compatible with survival is between 16 and 120 nanoequivalents per liter.

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Minimum Urine pH

The minimum urine pH is 4.5.

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Daily Hydrogen Excretion

The kidneys excrete 50 to 100 milliequivalents of hydrogen per day.

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Average Daily Potassium Intake

The average daily dietary potassium intake is between 80 and 120 millimoles.

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Normal GFR Range

The normal GFR range is between 80 and 120 mL/min.

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Normal Urine Output

The normal urine output is 0.5 mL/kg/hour.

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AKI Criteria: Creatinine Increase

An increase in serum creatinine of 0.3 mg/dL within 48 hours is a criteria for Acute Kidney Injury (AKI).

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AKI Criteria: Creatinine Percentage Increase

A 50% increase in serum creatinine compared to baseline within 7 hours is also a criteria for Acute Kidney Injury (AKI).

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AKI Criteria: Low Urine Output

A urine volume of less than 0.5 mL/kg/hr for 6 hours is a criteria for Acute Kidney Injury (AKI).

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Stage 1 CKD

A GFR above 90 is classified as Stage 1 Chronic Kidney Disease (CKD).

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Stage 2 CKD

A GFR range of 60-89 is classified as Stage 2 Chronic Kidney Disease (CKD).

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Stage 3 CKD

A GFR range of 30-59 is classified as Stage 3 Chronic Kidney Disease (CKD).

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Kidney Position

The kidneys are strategically placed between the 12th thoracic and 3rd lumbar vertebrae, near the spine.

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Creatinine Level

The normal range for serum creatinine concentration is 0.8 to 1.3 mg/dL, indicating healthy kidney function.

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What is the normal range for plasma potassium concentration?

The normal range for plasma potassium concentration is between 3.5 and 5 millimoles per liter.

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What is the normal range for intracellular potassium concentration?

The normal range for intracellular potassium concentration is between 135 and 145 millimoles per liter.

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What is the normal urine osmolality in response to hypernatremia?

The normal urine osmolality in response to hypernatremia is between 1000 and 1200 mOsm/kg.

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What is the range of hydrogen concentration compatible with survival?

The range of hydrogen concentration compatible with survival is between 16 and 120 nanoequivalents per liter.

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What is the minimum urine pH?

The minimum urine pH is 4.5.

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How many milliequivalents of hydrogen do the kidneys excrete per day?

The kidneys excrete 50 to 100 milliequivalents of hydrogen per day.

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What is the average daily dietary potassium intake?

The average daily dietary potassium intake is between 80 and 120 millimoles.

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What is the normal GFR range?

The normal GFR range is between 80 and 120 mL/min.

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What is the normal urine output?

The normal urine output is 0.5 mL/kg/hour.

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What increase in serum creatinine within 48 hours is a criteria for Acute Kidney Injury (AKI)?

An increase in serum creatinine of 0.3 mg/dL within 48 hours is a criteria for Acute Kidney Injury (AKI).

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What percentage increase in serum creatinine compared to baseline within 7 hours is a criteria for Acute Kidney Injury (AKI)?

A 50% increase in serum creatinine compared to baseline within 7 hours is also a criteria for Acute Kidney Injury (AKI).

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What urine volume for 6 hours is a criteria for Acute Kidney Injury (AKI)?

A urine volume of less than 0.5 mL/kg/hr for 6 hours is a criteria for Acute Kidney Injury (AKI).

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What GFR is classified as Stage 1 Chronic Kidney Disease (CKD)?

A GFR above 90 is classified as Stage 1 Chronic Kidney Disease (CKD).

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What GFR range is classified as Stage 2 Chronic Kidney Disease (CKD)?

A GFR range of 60-89 is classified as Stage 2 Chronic Kidney Disease (CKD).

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What percentage of total body water is intracellular fluid?

Two-thirds of total body water is intracellular fluid.

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Study Notes

Kidney Function and Disorders

  • Kidney Weight: 0.5% of total body weight.
  • Kidney Location: 12th thoracic to 3rd lumbar vertebrae.
  • Kidney Blood Flow: 20% of cardiac output.
  • Nephrons per Kidney: Approximately 1 million.
  • Normal Male GFR: 120 ± 25 mL/min.
  • Normal Female GFR: 95 ± 20 mL/min.
  • Serum Creatinine Range: 0.8 to 1.3 mg/dL.
  • Serum Osmolality Range: 280 to 290 mOsm/kg.
  • Diluted Urine Osmolality: 50-100 mOsm/kg.
  • Concentrated Urine Osmolality: 900-1200 mOsm/kg.
  • Proximal Convoluted Tubule (PCT) Reabsorption: 67% of filtered load.
  • Thick Ascending Loop of Henle Reabsorption: 25% of filtered load.
  • Distal Convoluted Tubule (DCT) Reabsorption: 5% of filtered load.
  • Collecting Tubule Reabsorption: 3% of filtered load.
  • Urine Excretion: 0.4% of filtered load.
  • Normal Sodium Intake/Excretion: 80-250 mEq/day.
  • Normal Plasma Sodium Concentration: 135-145 mEq/L.
  • Normal Plasma Potassium Concentration: 3.5-5 millimoles.
  • Intracellular Potassium Concentration: 135-145 millimoles.
  • Urine Osmolality in Hypernatremia: 1000-1200 mOsm/kg.
  • pH Range for Survival: 6.8 to 7.8.
  • Hydrogen Concentration Range for Survival: 16 to 120 nanoequivalents per liter.
  • Minimum Urine pH: 4.5.
  • Hydrogen Excretion per Day: 50-100 milliequivalents.
  • Daily CO2 Production: 15,000 millimoles.
  • Daily Non-Carbonic Acid Production: 50-100 milliequivalents.
  • Average Dietary Potassium Intake: 80-120 millimoles.

Kidney Function and Disorders (cont.)

  • Normal GFR Range: 80-120 mL/min.
  • Normal GFR for Young Adults: 120 mL/min/1.73m².
  • Normal Urine Output: 0.5 mL/kg/hour.
  • Normal BUN Range: 6 to 20 mg/dL.
  • AKI Serum Creatinine Increase (48 hours): 0.3 mg/dL.
  • AKI Serum Creatinine Increase (7 hours): 50%.
  • AKI Urine Volume (6 hours): Less than 0.5 ml/kg/hr.
  • Stage 1 CKD GFR: Over 90.
  • Stage 2 CKD GFR: 60-89.
  • Stage 3 CKD GFR: 30-59.
  • Stage 4 CKD GFR: 15-29.
  • Stage 5 CKD GFR: Less than 15.
  • Intracellular Fluid Percentage: Two-thirds.
  • Extracellular Fluid Percentage: One-third.
  • Intravascular Fluid Percentage: One-quarter.
  • Interstitial Fluid Percentage: Three-quarters.

Definitions and Concepts

  • Hyponatremia Plasma Sodium: Below 135 mEq/L.
  • Hypernatremia Plasma Sodium: Above 145-147 mEq/L.
  • Hyponatremia (Primary Polydipsia) Urine Osmolality: Below 100 mOsm/kg.
  • Hyponatremia (Effective Circulating Volume Depletion) Urine Sodium (UNa): Less than 25 mEq/L.
  • SIADH Urine Sodium (UNa): Usually above 40 mEq/L.
  • Male IBW Formula: 50 kg + 2.3 kg for each inch over 5 feet.
  • Female IBW Formula: 45.5 kg + 2.3 kg for each inch over 5 feet.
  • Adjusted Body Weight (AdjBW) Formula: IBW + 0.4 x (TBW - IBW).

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