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Excretion
GCE Study Buddy
Biology
Excretion
â—ŹThe process by which metabolic waste products and
toxic materials are removed from the body of an
organism.
Metabolism
â—ŹThe sum total of all the chemical reactions taking
place in living cells in order to keep an organism
alive.
â—ŹMetabolism = Catabolism + Anabolism
Catabolism
â—ŹChemical reactions in which complex substances are
broken down into simpler ones.
â—ŹEg. Tissue respiration:
C6H12O6 + 6O2 --> 6H2O +6CO2 + 2898 kJ
â—ŹEg. Deamination of proteins and amino acids
Anabolism
â—ŹChemical reactions in which simpler molecules are built up
into complex substances.
â—ŹEg. Photosynthesis
â—ŹEg. Formation of new proteins from amino acids
â—ŹEg. Conversion of glucose into glycogen in the liver and
muscles
Importance of Excretion
Metabolic reactions produce waste products which are
harmful if accumulated in the body.
Excretory product Excretory
organ
Remarks
Carbon dioxide Lungs Gas in expired air
Mineral salts Kidneys Constituents of urine
Nitrogenous waste products
- Mainly urea
â—Ź(from deamination of proteins)
- Creatinine
â—Ź(from muscle tissue breakdown)
- Uric acid
â—Ź(from breakdown of nuclear
materials)
Skin
Constituents of sweat, only
in small quantities for
nitrogenous waste products
Excess water Kidney
Skin
Lungs
Main constituent of urine
Main constituent of sweat
Water vapour in expired air
Bile pigments Liver Via the intestine
Kidneys
â—ŹContains a lot of nephrons which remove urea and excess water and
heat from the blood to form urine
â—ŹResponsible for osmoregulation
Ureter
â—ŹNarrow tube through which urine flows from each kidney to the
urinary bladder (by peristalsis)
Urinary bladder
â—ŹA hollow, distensible muscular bag which stores urine temporarily
Renal pelvis
â—ŹThe enlarged portion of the ureter inside the kidney
Sphincter muscle
â—ŹContracts or relaxes to control the flow of urine into the urethra
Kidneys
â—ŹA pair of dark red, bean-shaped organs embedded in a mass of
fat in the abdominal cavity
â—ŹThey are attached to the dorsal body wall, one on each side of
the vertebral column.
â—ŹThe left kidney is slightly higher than the right one.
Each kidney is covered by an
outer layer of protective cells
called the fibrous capsule.
It has two main regions:
a. Cortex: the outer dark red
region.
b. Medulla: the inner thicker
pale red region. In man, it
consists of 12-16 conical
structures, the pyramids.
Structure of a Kidney Tubule –
The Nephron
â—ŹThe functional unit of
the kidney.
â—ŹAbout 1 million of them
in each kidney.
â—ŹEach is about 3 cm
long
Kidney Tubule - The Nephron
â—ŹEach kidney tubule
(nephron) begins in the
cortex as a cup-like
structure called the renal
(Bowman’s) capsule.
â—ŹThe capsule leads into the
first (proximal) convoluted
tubule.
â—ŹIt then straightens out as it
passes into the medulla,
make a U-turn and passes
back into the cortex where it
becomes coiled again
Kidney Tubule - The Nephron
â—ŹIt then opens into a
collecting tubule/duct and
eventually opens into the
renal pelvis.
â—ŹThe U-shaped portion of
the tubule in the medulla
is known as the loop of
Henle.
Kidney Tubule - The Nephron
â—ŹBlood enters the kidney by the renal
artery which gives off numerous
branches or arterioles.
â—ŹEach branch breaks up into a mass of
blood capillaries in the renal capsule.
â—ŹThis mass of blood capillaries is called
the glomerulus.
â—ŹThe renal capsule with its glomerulus
is called the renal / Malpighian
corpuscle.
â—ŹBlood leaving the glomerulus enters
blood capillaries surrounding the
tubule.
â—ŹThese blood capillaries then unite to
form venules, which in turn join to form
Associated blood vessels
Renal Arteries
Bring oxygenated blood
containing urea, excess
water and heat to kidneys
Renal Veins
Take away
deoxygenated blood
(from which urea, excess
water and heat have
been removed) from the
kidneys.
Blood exits
the kidney
via the renal
vein
1
2
branch
of
renal
vein
3
4
5
6
7
7 June 2011
Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd.
Renal artery
branches into
many arterioles
Blood enters
the kidney via
the renal
artery
1
2
Blood
capillaries
unite to form
venules
Blood leaves
Malpighian
corpuscle
and enters
tubule
Arterioles
further divide
into a mass of
blood
capillaries
(glomerulus)
3
4
5
Venules join to
form renal vein
6
7
How blood enters the kidney tubule
Urine Formation
Two main processes are involved:
â—ŹA. Ultrafiltration of small molecules from
the blood.
â—ŹB. Selective reabsorption of useful
materials.
A. Ultrafiltration
â—ŹBlood passes from the renal artery into the
glomeruli in the renal capsules.
â—ŹMechanical filtration occurs in each
glomerulus.
â—ŹBlood plasma is forced out of the glomerular
blood capillaries into the renal capsule.
â—ŹThe afferent arteriole that brings blood into the
glomerulus is wider than the efferent arteriole
that carries blood away.
â—ŹA high pressure is built up in the glomerulus,
squeezing the blood through two living
membranes: the capillary wall of the
glomerulus (partially permeable membrane)
and the inner wall of the renal capsule.
â—ŹIt is this blood pressure that provides the main
Why is it called Ultrafiltration?
â—ŹIt is caused by very high blood pressure.
â—ŹThe membrane around the glomerular
blood capillaries is like a very fine filter.
â—ŹOnly very small molecules are filtered off
the blood. These include water, mineral
salts, glucose and urea.
â—ŹMost proteins and fats are too big, so they
stay in the blood, together with the blood
cells.
Ultrafiltration
â—ŹIn human, the kidneys filter about 60
litres of blood an hour, and it takes
only 5 minutes to filter an amount
which is equal to the body’s entire
blood supply (5 litres).
â—ŹThe filtration process produces about
7.5 litres of glomerulus filtrate an
hour, and this liquid contains not only
urea, but many useful substances
(e.g. glucose).
â—ŹIf all of this is excreted, the body
would lose most of its water and
soluble food supplies in a few hours.
â—ŹHowever, this does not happen
because 99% of the filtrate is
B. Selective
Reabsorption
â—ŹThis takes
place in the
kidney tubules /
nephrons.
â—ŹThe useful
materials are
taken back into
the blood
stream through
the capillaries
which surround
the tubules.
Selective
reabsorption at
Description
Proximal Convoluted
Tubule
â—ŹThese include all the glucose, amino acids and most
mineral salts.
â—Źby diffusion and active transport.
â—ŹMost of the water is reabsorbed by osmosis back into
the blood stream (through surrounding blood capillaries).
the Loop of Henle and
Distal Convoluted
Tubule
â—ŹSome of the water is reabsorbed back into the blood
stream (through surrounding blood capillaries).
the Distal Convoluted
Tubule
â—ŹSome salts are reabsorbed.
the
Conducting Duct
â—ŹSome water is reabsorbed.
Selective Reabsorption
Selective Reabsorption
â—ŹExcess water, mineral salts, and
nitrogenous wastes (e.g. urea, uric acid
and creatinine) pass out of the collecting
duct into the renal pelvis as urine.
Per 100 cm3
Water 96.0g
Mineral salts (mainly sodium chloride) 1.8g
Urea 2.0g
Other nitrogenous substances 0.2g
Total 100.0g
Normal constituents of urine
Composition of urine
Varies depending on several factors:
â—ŹRich protein diet higher content of urea
â—ŹHeavy sugary food in the diet some sugar in urine
â—ŹLarger intake of fluid urine lighter in colour ; more
urine
â—ŹCold weather (less sweat) more urine
â—ŹSalty food in the diet excess salt excreted in urine
Abnormal situation
●Sugar diabetes (diabetes mellitus) – large amounts
of glucose in urine
Kidneys as Osmoregulators
â—ŹThe water potential of the blood has to be kept relatively
constant.
â—ŹIf the blood plasma is too dilute, water will enter the
blood cells by osmosis and the blood cells will swell and
burst.
â—ŹIf the blood plasma is too concentrated, water will leave
the blood cells by osmosis and the blood cells will
become dehydrated and shrink (may be fatal).
â—ŹThe water potential of the blood depends on the amount
of water and salts in the plasma.
â—ŹKidneys help to regulate the water or salt concentration
in the blood, thus maintaining a constant water potential
Osmoregulation by kidneys –
an example of Homeostasis
â—ŹIf the water content of the blood is lower than usual (eg. through
heavy perspiration), the additional quantities of water needed are
taken in through the tubule. How?
â—‹Hypothalamus of the brain produces vasopressin or antidiuretic hormone
(ADH).
â—‹Dehydration of the body is detected by the hypothalamus.
â—‹The pituitary gland is stimulated to release ADH into bloodstream to increase
the water reabsorption by the kidney tubules.
â—‹Water content of the blood is thus restored.
â—‹Urine production drops and urine becomes more concentrated.
â—ŹIf the blood becomes too diluted (eg. large intake of water), the
secretion of ADH is inhibited.
â—‹The tubules will reabsorb less water.
â—‹Urine production increases and urine becomes less concentrated.
Summary of the Kidney Functions
1.Excretion of metabolic wastes, especially the nitrogenous
wastes (e.g. urea), & excess water, mineral salts.
2.Regulation of composition of the blood plasma – by the
selective reabsorption of useful substances (salts and water)
along the kidney tubules.
3.Regulating the water content
4.Regulating the salt content.
â—‹If there is too much sodium chloride in the plasma, less of them is
reabsorbed from the glomerulus filtrate.
5.Regulating the pH of the blood to be around pH 7.3 to 7.4 by
the exchange of ions when the acidity or alkalinity of the blood
tends to rise.
â—ŹHigh blood pressure and diabetes are
common causes of kidney failures.
â—ŹA person can still lead a normal life if only
one kidney fails to function.
â—ŹBut if both kidneys fail to work, urea and
other wastes will accumulate in the blood.
The patient can die unless prompt medical
treatment is given.
â—ŹTreatment: Dialysis or kidney transplant.
Kidney Failure
Dialysis or Kidney Machine
â—ŹWhat the kidney performs by ultrafiltration and selective reabsorption, a
kidney machine performs in one step – diffusion.
●Blood is drawn from an artery in the patient’s arm and allowed to be
pumped through the tubing in the dialysis machine.
â—ŹThe tubing is bathed in a dialysis fluid which contains the same
concentration of essential substances (e.g. mineral salts) as the blood,
but without metabolic waste products.
â—ŹThe walls of the tubing are partially permeable.
â—ŹSubstances pass from a higher concentration to a lower concentration
along a concentration gradient through this membrane
â—ŹSince there is no urea, uric acid and creatinine in the dialysis fluid, they
diffuse out of the tubing into the dialysis fluid. Excess water and mineral
salts also diffuse out of the tubing. These waste products are thus
removed from the blood.
â—ŹBig molecules like proteins and blood cells remain in the blood.
Dialysis or Kidney Machine
Other points to take note:
â—ŹThe tubing is narrow, long and coiled to increase the surface
area to volume ratio. This speeds up the rate of exchange of
substances between the blood and the dialysis fluid.
â—ŹThe direction of blood flow is opposite to the flow of the dialysis
fluid. This maintains the concentration/diffusion gradient for the
removal of waste products.
●The filtered blood is then returned to a vein in the patient’s arm.
â—ŹThe patient needs to be treated about 2-3 times a week. Each
treatment takes several hours.
Patient’s blood
enters dialysis
machine
Exchange of Substances between the Blood
and the Dialysis Fluid
7 June 2011
Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd.
essential
mineral salt
red blood cell
protein
molecul
e
urea
molecul
e
dialysis
fluid
patient’s
blood
partially
permeable
membran
e
dialysi
s fluid
dialysis
machine
2
1
Dialysis fluid contains the same
concentration of essential
substances as blood. No metabolic
wastes present
Concentration
gradient set up
between dialysis
fluid and blood
3
Removal of
metabolic
waste
products from
the blood
dialysis fluid with
waste products
4
Filtered
blood is
returned to
the patient
filtered blood
5
Blood flows in the opposite
direction to flow of dialysis fluid
Larger molecules
(e.g. plates and
blood cells)
remain in the
tubing
The filtered
blood is
returned to a
vein in the
patient’s arm
arter
y
dialysis
tubing
pum
p
filtere
d
blood fresh
dialysis
fluid
dialysis
machin
e
dialysi
s
fluid
vei
n
1
2
3
6
4
5
7 June 2011
Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd.
Blood is drawn
from an artery in
the patient’s arm
1 Blood is pumped
through a tubing
to the dialysis
machine
2
The tubing is
bathed in a special
dialysis fluid and
the tubing is semi-
permeable
3
Small molecules
(e.g. urea) and
metabolic waste
products diffuse
out of the tubing
4
5
6
How Is Blood Cleaned in a Dialysis Machine?
Excretion
7 June 2011
Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd.
is carried out
by
Excrete carbon
dioxide
and water (water
vapour)
Lungs
Excretory Organs
Kidneys
Structure Function
s
Excretio
n
Osmoregulati
on
Maintenance of
composition
of blood plasma
Kidney
dialysis
In the case of kidney failure, blood is drawn out,
cleaned in a dialysis machine and returned to the
patient
Liver
Excrete bile
via the
intestines
Skin
Produces and
removes sweat
containing waste
products, e.g.
creatinine

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Excretion.pptx

  • 2. Excretion â—ŹThe process by which metabolic waste products and toxic materials are removed from the body of an organism. Metabolism â—ŹThe sum total of all the chemical reactions taking place in living cells in order to keep an organism alive. â—ŹMetabolism = Catabolism + Anabolism Catabolism â—ŹChemical reactions in which complex substances are broken down into simpler ones. â—ŹEg. Tissue respiration: C6H12O6 + 6O2 --> 6H2O +6CO2 + 2898 kJ â—ŹEg. Deamination of proteins and amino acids
  • 3. Anabolism â—ŹChemical reactions in which simpler molecules are built up into complex substances. â—ŹEg. Photosynthesis â—ŹEg. Formation of new proteins from amino acids â—ŹEg. Conversion of glucose into glycogen in the liver and muscles Importance of Excretion Metabolic reactions produce waste products which are harmful if accumulated in the body.
  • 4. Excretory product Excretory organ Remarks Carbon dioxide Lungs Gas in expired air Mineral salts Kidneys Constituents of urine Nitrogenous waste products - Mainly urea â—Ź(from deamination of proteins) - Creatinine â—Ź(from muscle tissue breakdown) - Uric acid â—Ź(from breakdown of nuclear materials) Skin Constituents of sweat, only in small quantities for nitrogenous waste products Excess water Kidney Skin Lungs Main constituent of urine Main constituent of sweat Water vapour in expired air Bile pigments Liver Via the intestine
  • 5.
  • 6. Kidneys â—ŹContains a lot of nephrons which remove urea and excess water and heat from the blood to form urine â—ŹResponsible for osmoregulation Ureter â—ŹNarrow tube through which urine flows from each kidney to the urinary bladder (by peristalsis) Urinary bladder â—ŹA hollow, distensible muscular bag which stores urine temporarily Renal pelvis â—ŹThe enlarged portion of the ureter inside the kidney Sphincter muscle â—ŹContracts or relaxes to control the flow of urine into the urethra
  • 7. Kidneys â—ŹA pair of dark red, bean-shaped organs embedded in a mass of fat in the abdominal cavity â—ŹThey are attached to the dorsal body wall, one on each side of the vertebral column. â—ŹThe left kidney is slightly higher than the right one. Each kidney is covered by an outer layer of protective cells called the fibrous capsule. It has two main regions: a. Cortex: the outer dark red region. b. Medulla: the inner thicker pale red region. In man, it consists of 12-16 conical structures, the pyramids.
  • 8. Structure of a Kidney Tubule – The Nephron â—ŹThe functional unit of the kidney. â—ŹAbout 1 million of them in each kidney. â—ŹEach is about 3 cm long
  • 9. Kidney Tubule - The Nephron â—ŹEach kidney tubule (nephron) begins in the cortex as a cup-like structure called the renal (Bowman’s) capsule. â—ŹThe capsule leads into the first (proximal) convoluted tubule. â—ŹIt then straightens out as it passes into the medulla, make a U-turn and passes back into the cortex where it becomes coiled again
  • 10. Kidney Tubule - The Nephron â—ŹIt then opens into a collecting tubule/duct and eventually opens into the renal pelvis. â—ŹThe U-shaped portion of the tubule in the medulla is known as the loop of Henle.
  • 11. Kidney Tubule - The Nephron â—ŹBlood enters the kidney by the renal artery which gives off numerous branches or arterioles. â—ŹEach branch breaks up into a mass of blood capillaries in the renal capsule. â—ŹThis mass of blood capillaries is called the glomerulus. â—ŹThe renal capsule with its glomerulus is called the renal / Malpighian corpuscle. â—ŹBlood leaving the glomerulus enters blood capillaries surrounding the tubule. â—ŹThese blood capillaries then unite to form venules, which in turn join to form
  • 12. Associated blood vessels Renal Arteries Bring oxygenated blood containing urea, excess water and heat to kidneys Renal Veins Take away deoxygenated blood (from which urea, excess water and heat have been removed) from the kidneys.
  • 13. Blood exits the kidney via the renal vein 1 2 branch of renal vein 3 4 5 6 7 7 June 2011 Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd. Renal artery branches into many arterioles Blood enters the kidney via the renal artery 1 2 Blood capillaries unite to form venules Blood leaves Malpighian corpuscle and enters tubule Arterioles further divide into a mass of blood capillaries (glomerulus) 3 4 5 Venules join to form renal vein 6 7 How blood enters the kidney tubule
  • 14. Urine Formation Two main processes are involved: â—ŹA. Ultrafiltration of small molecules from the blood. â—ŹB. Selective reabsorption of useful materials.
  • 15. A. Ultrafiltration â—ŹBlood passes from the renal artery into the glomeruli in the renal capsules. â—ŹMechanical filtration occurs in each glomerulus. â—ŹBlood plasma is forced out of the glomerular blood capillaries into the renal capsule. â—ŹThe afferent arteriole that brings blood into the glomerulus is wider than the efferent arteriole that carries blood away. â—ŹA high pressure is built up in the glomerulus, squeezing the blood through two living membranes: the capillary wall of the glomerulus (partially permeable membrane) and the inner wall of the renal capsule. â—ŹIt is this blood pressure that provides the main
  • 16. Why is it called Ultrafiltration? â—ŹIt is caused by very high blood pressure. â—ŹThe membrane around the glomerular blood capillaries is like a very fine filter. â—ŹOnly very small molecules are filtered off the blood. These include water, mineral salts, glucose and urea. â—ŹMost proteins and fats are too big, so they stay in the blood, together with the blood cells.
  • 17. Ultrafiltration â—ŹIn human, the kidneys filter about 60 litres of blood an hour, and it takes only 5 minutes to filter an amount which is equal to the body’s entire blood supply (5 litres). â—ŹThe filtration process produces about 7.5 litres of glomerulus filtrate an hour, and this liquid contains not only urea, but many useful substances (e.g. glucose). â—ŹIf all of this is excreted, the body would lose most of its water and soluble food supplies in a few hours. â—ŹHowever, this does not happen because 99% of the filtrate is
  • 18. B. Selective Reabsorption â—ŹThis takes place in the kidney tubules / nephrons. â—ŹThe useful materials are taken back into the blood stream through the capillaries which surround the tubules.
  • 19. Selective reabsorption at Description Proximal Convoluted Tubule â—ŹThese include all the glucose, amino acids and most mineral salts. â—Źby diffusion and active transport. â—ŹMost of the water is reabsorbed by osmosis back into the blood stream (through surrounding blood capillaries). the Loop of Henle and Distal Convoluted Tubule â—ŹSome of the water is reabsorbed back into the blood stream (through surrounding blood capillaries). the Distal Convoluted Tubule â—ŹSome salts are reabsorbed. the Conducting Duct â—ŹSome water is reabsorbed. Selective Reabsorption
  • 20. Selective Reabsorption â—ŹExcess water, mineral salts, and nitrogenous wastes (e.g. urea, uric acid and creatinine) pass out of the collecting duct into the renal pelvis as urine.
  • 21. Per 100 cm3 Water 96.0g Mineral salts (mainly sodium chloride) 1.8g Urea 2.0g Other nitrogenous substances 0.2g Total 100.0g Normal constituents of urine
  • 22. Composition of urine Varies depending on several factors: â—ŹRich protein diet higher content of urea â—ŹHeavy sugary food in the diet some sugar in urine â—ŹLarger intake of fluid urine lighter in colour ; more urine â—ŹCold weather (less sweat) more urine â—ŹSalty food in the diet excess salt excreted in urine Abnormal situation â—ŹSugar diabetes (diabetes mellitus) – large amounts of glucose in urine
  • 23. Kidneys as Osmoregulators â—ŹThe water potential of the blood has to be kept relatively constant. â—ŹIf the blood plasma is too dilute, water will enter the blood cells by osmosis and the blood cells will swell and burst. â—ŹIf the blood plasma is too concentrated, water will leave the blood cells by osmosis and the blood cells will become dehydrated and shrink (may be fatal). â—ŹThe water potential of the blood depends on the amount of water and salts in the plasma. â—ŹKidneys help to regulate the water or salt concentration in the blood, thus maintaining a constant water potential
  • 24. Osmoregulation by kidneys – an example of Homeostasis â—ŹIf the water content of the blood is lower than usual (eg. through heavy perspiration), the additional quantities of water needed are taken in through the tubule. How? â—‹Hypothalamus of the brain produces vasopressin or antidiuretic hormone (ADH). â—‹Dehydration of the body is detected by the hypothalamus. â—‹The pituitary gland is stimulated to release ADH into bloodstream to increase the water reabsorption by the kidney tubules. â—‹Water content of the blood is thus restored. â—‹Urine production drops and urine becomes more concentrated. â—ŹIf the blood becomes too diluted (eg. large intake of water), the secretion of ADH is inhibited. â—‹The tubules will reabsorb less water. â—‹Urine production increases and urine becomes less concentrated.
  • 25.
  • 26. Summary of the Kidney Functions 1.Excretion of metabolic wastes, especially the nitrogenous wastes (e.g. urea), & excess water, mineral salts. 2.Regulation of composition of the blood plasma – by the selective reabsorption of useful substances (salts and water) along the kidney tubules. 3.Regulating the water content 4.Regulating the salt content. â—‹If there is too much sodium chloride in the plasma, less of them is reabsorbed from the glomerulus filtrate. 5.Regulating the pH of the blood to be around pH 7.3 to 7.4 by the exchange of ions when the acidity or alkalinity of the blood tends to rise.
  • 27. â—ŹHigh blood pressure and diabetes are common causes of kidney failures. â—ŹA person can still lead a normal life if only one kidney fails to function. â—ŹBut if both kidneys fail to work, urea and other wastes will accumulate in the blood. The patient can die unless prompt medical treatment is given. â—ŹTreatment: Dialysis or kidney transplant. Kidney Failure
  • 28. Dialysis or Kidney Machine â—ŹWhat the kidney performs by ultrafiltration and selective reabsorption, a kidney machine performs in one step – diffusion. â—ŹBlood is drawn from an artery in the patient’s arm and allowed to be pumped through the tubing in the dialysis machine. â—ŹThe tubing is bathed in a dialysis fluid which contains the same concentration of essential substances (e.g. mineral salts) as the blood, but without metabolic waste products. â—ŹThe walls of the tubing are partially permeable. â—ŹSubstances pass from a higher concentration to a lower concentration along a concentration gradient through this membrane â—ŹSince there is no urea, uric acid and creatinine in the dialysis fluid, they diffuse out of the tubing into the dialysis fluid. Excess water and mineral salts also diffuse out of the tubing. These waste products are thus removed from the blood. â—ŹBig molecules like proteins and blood cells remain in the blood.
  • 29.
  • 30. Dialysis or Kidney Machine Other points to take note: â—ŹThe tubing is narrow, long and coiled to increase the surface area to volume ratio. This speeds up the rate of exchange of substances between the blood and the dialysis fluid. â—ŹThe direction of blood flow is opposite to the flow of the dialysis fluid. This maintains the concentration/diffusion gradient for the removal of waste products. â—ŹThe filtered blood is then returned to a vein in the patient’s arm. â—ŹThe patient needs to be treated about 2-3 times a week. Each treatment takes several hours.
  • 31. Patient’s blood enters dialysis machine Exchange of Substances between the Blood and the Dialysis Fluid 7 June 2011 Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd. essential mineral salt red blood cell protein molecul e urea molecul e dialysis fluid patient’s blood partially permeable membran e dialysi s fluid dialysis machine 2 1 Dialysis fluid contains the same concentration of essential substances as blood. No metabolic wastes present Concentration gradient set up between dialysis fluid and blood 3 Removal of metabolic waste products from the blood dialysis fluid with waste products 4 Filtered blood is returned to the patient filtered blood 5 Blood flows in the opposite direction to flow of dialysis fluid
  • 32. Larger molecules (e.g. plates and blood cells) remain in the tubing The filtered blood is returned to a vein in the patient’s arm arter y dialysis tubing pum p filtere d blood fresh dialysis fluid dialysis machin e dialysi s fluid vei n 1 2 3 6 4 5 7 June 2011 Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd. Blood is drawn from an artery in the patient’s arm 1 Blood is pumped through a tubing to the dialysis machine 2 The tubing is bathed in a special dialysis fluid and the tubing is semi- permeable 3 Small molecules (e.g. urea) and metabolic waste products diffuse out of the tubing 4 5 6 How Is Blood Cleaned in a Dialysis Machine?
  • 33. Excretion 7 June 2011 Copyright © 2006-2011 Marshall Cavendish International (Singapore) Pte. Ltd. is carried out by Excrete carbon dioxide and water (water vapour) Lungs Excretory Organs Kidneys Structure Function s Excretio n Osmoregulati on Maintenance of composition of blood plasma Kidney dialysis In the case of kidney failure, blood is drawn out, cleaned in a dialysis machine and returned to the patient Liver Excrete bile via the intestines Skin Produces and removes sweat containing waste products, e.g. creatinine

Editor's Notes

  1. Figure 11.7 page 225
  2. Figure 11.15 page 234
  3. Concept Map page 237