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| Potassium is generally in the range of 2 to 8 mmol/l. Hypokalaemia in reptiles will occur from inadequate intake or excessive loss (diarrhoea). In mammals hyperkalaemia with excessive potassium intake, decresed secretion or shift from intracellular to extracellular fluid (e.g.severe acidosis). | | Potassium is generally in the range of 2 to 8 mmol/l. Hypokalaemia in reptiles will occur from inadequate intake or excessive loss (diarrhoea). In mammals hyperkalaemia with excessive potassium intake, decresed secretion or shift from intracellular to extracellular fluid (e.g.severe acidosis). |
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| + | ==Potassium== |
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| + | ===Importance of Regulation=== |
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| + | ====Decreased Extracellular Potassium==== |
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| + | If the concentration of potassium in the ECF is reduced then the plasma membranes hyperpolarize resulting in decreased firing of action potentials. This causes skeletal muscle weakness and cardiac abnormalities. |
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| + | ====Increased Extracellular Potassium==== |
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| + | In this state the membrane is depolarised and is inappropriately triggered by action potentials. This can make the membrane insensitive to further stimulation causing cardiac abnormalities. |
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| + | ===Sources=== |
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| + | * Potassium is absorbed via passive diffusion from the [[Small Intestine Overview - Anatomy & Physiology|small intestine]] |
| + | * Also via active transport from the [[Colon - Anatomy & Physiology|colon]] |
| + | ** Affected by [[Aldosterone]] |
| + | * Highly efficient |
| + | * It's recovered from cellular breakdown |
| + | ** Haemolysis |
| + | ** Tissue damage |
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| + | ===Methods of Control=== |
| + | The K<sup>+</sup> in the ECF only represents a very small amount of the total K<sup>+</sup> in the body however its concentration is maintained within very strict parameters. The homeostasis of K<sup>+</sup> is managed by three routes: |
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| + | =====Cellular translocation===== |
| + | *Potassium is moved either into or out of the cells |
| + | *Acute response |
| + | * Main method of control |
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| + | =====Renal excretion===== |
| + | * Makes up 90% of the chronic response |
| + | * Takes 4-6 hours to respond |
| + | * Allows fine control |
| + | * Influenced by [[Aldosterone|Aldosterone]] |
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| + | =====GI excretion===== |
| + | * Makes up the other 10% of the chronic response |
| + | * Also influenced by [[Aldosterone]] |
| + | * Most important in renal failure |
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| + | ===Cellular Translocation=== |
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| + | * Vital for rapid control of potassium loads |
| + | * Helps control plasma concentration |
| + | * Moves potassium into the cell |
| + | * Stores potassium in skeletal muscle and liver |
| + | * Balances ECF and ICF |
| + | * Controlled by insulin and beta2 adrenoreceptors |
| + | ** Increases the activity of Na<sup>+</sup> / K<sup>+</sup> ATPases causing sodium efflux and potassium influx |
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| + | ===Renal Control=== |
| + | * Potassium ions are reabsorbed and secreted at different points along the nephron |
| + | * Active reabsorption of potassium occurs along the [[Reabsorption and Secretion Along the Proximal Tubule - Anatomy & Physiology|proximal tubule]] (70%) and along the ascending limb of the [[Reabsorption and Secretion Along the Loop of Henle - Anatomy & Physiology| Loop of Henle]] (10-20%) |
| + | * This results in there only being 10% of the original amount left in the [[Reabsorption and Secretion Along the Distal Tubule and Collecting Duct - Anatomy & Physiology#Distal Tubule|distal tubule]] |
| + | * However net reabsorption / secretion of potassium occurs in the distal tubule and first part of collecting duct |
| + | ** Depends on bodies need |
| + | * Under the influence of [[Aldosterone]] |
| + | * This is where the amount of potassium excreted is determined |
| + | * Reabsorption occurs in the final part of the collecting duct |
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| + | ===Potassium and Aldosterone=== |
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| + | * [[Aldosterone]] is the most important regulator of potassium |
| + | * It causes increased secretion of potassium |
| + | * Increased potassium directly stimulates [[Aldosterone]] secretion |
| + | * Increases the activity and number of Na<sup>+</sup> / K<sup>+</sup> ATPase in basolateral membranes of the principal cells in the collecting duct and distal tubule |
| + | * Potassium moves into the cells and is then excreted down an electro-chemical gradient |
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| + | ===Factors Influencing Potassium Excretion=== |
| + | ====Sodium==== |
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| + | * High sodium = increased potassium excretion |
| + | ** More sodium into cells |
| + | ** Increased Na<sup>+</sup> / K<sup>+</sup> ATPase |
| + | ** Pumps sodium into peritubular renal interstitium |
| + | ** The resulting increased cellular uptake of potassium results in it moving down the electrochemical gradient into the nephron |
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| + | ====Potassium==== |
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| + | * High potassium = increased potassium excretion |
| + | * Triggers aldosterone |
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| [[Category:Lizard_and_Snake_Glossary]] | | [[Category:Lizard_and_Snake_Glossary]] |