Management of Fluid and Electrolyte problems in Children


Signalling to the kidney

The following signalling mechanisms are in place:

Hormone Stimulus Site of action Effect
Angiotensin II or ß adrenergics via renin release Low ECF volume Proximal convoluted tubule Increased reabsorption of NaHCO3 & NaCl
Aldosterone Angiotensin II
Hyperkalaemia
Cortical distal nephron Reabsorption of NaCl
Secretion of K+
Atrial natriuretic peptide Vascular volume expansion GFR
Medullary collecting duct
Increased GFR
Reduced reabsorption of NaCl


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