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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).
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| − | ==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. |
| | + | ==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|aldosterone]] levels and recovery from cellular breakdown during haemolysis or tissue damage. |
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| − | ===Importance of Regulation===
| + | ==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: |
| − | ====Decreased Extracellular Potassium====
| + | #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. |
| − | | + | #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]] |
| − | 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.
| + | #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|aldosterone]] |
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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]]
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| − | * Also via active transport from the [[Colon - Anatomy & Physiology|colon]]
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| − | ** Affected by [[Aldosterone]]
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| − | * Highly efficient
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| − | * It's recovered from cellular breakdown
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| − | ** Haemolysis
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| − | ** Tissue damage
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| − | ===Methods of Control===
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| − | 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=====
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| − | *Potassium is moved either into or out of the cells
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| − | *Acute response
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| − | * Main method of control
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| − | =====Renal excretion=====
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| − | * Makes up 90% of the chronic response
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| − | * Takes 4-6 hours to respond
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| − | * Allows fine control
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| − | * Influenced by [[Aldosterone|Aldosterone]]
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| − | =====GI excretion=====
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| − | * Makes up the other 10% of the chronic response
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| − | * Also influenced by [[Aldosterone]]
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| − | * Most important in renal failure
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| − | ===Cellular Translocation===
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| | + | ==Cellular Translocation== |
| | * Vital for rapid control of potassium loads | | * Vital for rapid control of potassium loads |
| | * Helps control plasma concentration | | * Helps control plasma concentration |
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| | ** 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 |
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| − | ===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%) |
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| | * However net reabsorption / secretion of potassium occurs in the distal tubule and first part of collecting duct | | * However net reabsorption / secretion of potassium occurs in the distal tubule and first part of collecting duct |
| | ** Depends on bodies need | | ** Depends on bodies need |
| − | * Under the influence of [[Aldosterone]] | + | * Under the influence of [[Aldosterone|aldosterone]] |
| | * This is where the amount of potassium excreted is determined | | * This is where the amount of potassium excreted is determined |
| | * Reabsorption occurs in the final part of the collecting duct | | * Reabsorption occurs in the final part of the collecting duct |
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| − | ===Potassium and Aldosterone===
| + | ==Potassium and Aldosterone== |
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| | * [[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 |
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| | * 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 |
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| − | ===Factors Influencing Potassium Excretion===
| + | ==Factors Influencing Potassium Excretion== |
| − | ====Sodium====
| + | 1.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
| + | 2.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
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| − | ====Potassium====
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| − | * High potassium = increased potassium excretion
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| − | * Triggers aldosterone
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| | [[Category:Electrolytes]] | | [[Category:Electrolytes]] |
| − | [[Category:Lizard_and_Snake_Glossary]] | + | [[Category:Minerals]] |
| − | [[Potassium - Reptiles]]
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