BIOL 3327 Lecture Notes - Lecture 36: Carbonic Anhydrase Inhibitor, Torasemide, Extracellular Fluid

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Most of the sodium comes out of the pct (right away) Collecting duct is the final, little adjustment. The biggest effects on changing sodium would be. Even though you can adjust at the proximal tubule, like with a carbonic anhydrase activator, the problem is you adjust the sodium way too early in the pathway. What happens is you have these other pathways to hold on to sodium. Your best chances are later in the tubule, i. e. thick ascending/convoluted tubule. Our loop and thiazides is where we make the sodium adjustments. As you go through the nephron, more and more sodium is taken out normally, but it"s a feed forward process. Whatever you do in the pct affects the next tuule and what it adjusts. If you take out all the sodium in the pct you won"t have as much water leaving the thin ascending limb because it won"t be as concentrated.

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