Line 1: |
Line 1: |
− | 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== | + | ==Introduction== |
| + | Potassium is carefully regulated in the body - the consequences of altered Potassium levels are significant, including: |
| + | *reduced concentration of potassium in the ECF leads to plasma membranes hyperpolarization resulting in decreased firing of action potentials. This causes skeletal muscle weakness and cardiac abnormalities. |
| + | *increased concentration of potassium in the ECF leads to membrane depolarisation which is inappropriately triggered by action potentials. This can make the membrane insensitive to further stimulation causing cardiac abnormalities. |
| | | |
− | ===Importance of Regulation=== | + | ==Sources of Potassium== |
| + | Potassium is absorbed via passive diffusion from the [[Small Intestine Overview - Anatomy & Physiology|small intestine]] and via active transport from the [[Colon - Anatomy & Physiology|colon]]. It is regulated efficiently by [[Aldosterone]] levels and recovery from cellular breakdown during haemolysis or tissue damage. |
| | | |
− | ====Decreased Extracellular Potassium====
| + | ==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: |
− | 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.
| + | #Cellular translocation |
− | | + | This is the main method of control; it is an acute response that triggers Potassium movement either into or out of the cells. |
− | ====Increased Extracellular Potassium====
| + | #Renal excretion |
− | | + | This method makes up 90% of the chronic response (takes 4-6 hours to respond). It allows fine control and is regulated by [[Aldosterone|Aldosterone]] |
− | 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.
| + | #GI excretion |
− | | + | This route makes up the other 10% of the chronic response and becomes significant in cases of renal failure. This response is also influenced by [[Aldosterone]]. |
− | ===Sources===
| |
− | | |
− | * 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
| |
− | | |
− | ===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: | |
− | | |
− | =====Cellular translocation=====
| |
− | *Potassium is moved either into or out of the cells
| |
− | *Acute response
| |
− | * Main method of control
| |
− | | |
− | =====Renal excretion=====
| |
− | * Makes up 90% of the chronic response
| |
− | * Takes 4-6 hours to respond
| |
− | * Allows fine control
| |
− | * Influenced by [[Aldosterone|Aldosterone]]
| |
− | | |
− | =====GI excretion=====
| |
− | * Makes up the other 10% of the chronic response
| |
− | * Also influenced by [[Aldosterone]]
| |
− | * Most important in renal failure
| |
− | | |
− | ===Cellular Translocation===
| |
| | | |
| + | ==Cellular Translocation== |
| * Vital for rapid control of potassium loads | | * Vital for rapid control of potassium loads |
| * Helps control plasma concentration | | * Helps control plasma concentration |
Line 52: |
Line 26: |
| ** Increases the activity of Na<sup>+</sup> / K<sup>+</sup> ATPases causing sodium efflux and potassium influx | | ** Increases the activity of Na<sup>+</sup> / K<sup>+</sup> ATPases causing sodium efflux and potassium influx |
| | | |
− | ===Renal Control===
| + | ==Renal Control== |
| * Potassium ions are reabsorbed and secreted at different points along the nephron | | * 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%) | | * 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%) |
Line 62: |
Line 36: |
| * Reabsorption occurs in the final part of the collecting duct | | * Reabsorption occurs in the final part of the collecting duct |
| | | |
− | ===Potassium and Aldosterone===
| + | ==Potassium and Aldosterone== |
− | | |
| * [[Aldosterone]] is the most important regulator of potassium | | * [[Aldosterone]] is the most important regulator of potassium |
| * It causes increased secretion of potassium | | * It causes increased secretion of potassium |
Line 70: |
Line 43: |
| * Potassium moves into the cells and is then excreted down an electro-chemical gradient | | * Potassium moves into the cells and is then excreted down an electro-chemical gradient |
| | | |
− | ===Factors Influencing Potassium Excretion===
| + | ==Factors Influencing Potassium Excretion== |
− | ====Sodium====
| + | #Sodium: High sodium = increased potassium excretion and: |
− | | + | * More sodium into cells |
− | * High sodium = increased potassium excretion
| + | * Increased Na<sup>+</sup> / K<sup>+</sup> ATPase |
− | ** More sodium into cells
| + | * Pumps sodium into peritubular renal interstitium |
− | ** Increased Na<sup>+</sup> / K<sup>+</sup> ATPase
| + | * The resulting increased cellular uptake of potassium results in it moving down the electrochemical gradient into the nephron |
− | ** Pumps sodium into peritubular renal interstitium
| + | #Potassium: High potassium = increased potassium excretion which triggers the release of aldosterone. |
− | ** The resulting increased cellular uptake of potassium results in it moving down the electrochemical gradient into the nephron
| |
− | | |
− | ====Potassium====
| |
− | | |
− | * High potassium = increased potassium excretion
| |
− | * Triggers aldosterone
| |
| | | |
| [[Category:Electrolytes]] | | [[Category:Electrolytes]] |
| [[Category:Lizard_and_Snake_Glossary]] | | [[Category:Lizard_and_Snake_Glossary]] |
| [[Potassium - Reptiles]] | | [[Potassium - Reptiles]] |