Review the key concepts, formulae, and examples before starting your quiz.
🔑Concepts
Deamination: This occurs in the liver where excess amino acids are broken down. The nitrogen-containing amino group () is removed to form ammonia ().
Urea Synthesis: Ammonia () is highly toxic and alkaline. In the liver, it is combined with carbon dioxide () to form urea (), which is less toxic and soluble in water.
Transport and Excretion: Urea is released into the bloodstream, transported to the kidneys, filtered out of the blood in the glomerulus, and excreted as a component of urine.
Principles of Dialysis: Kidney dialysis is a treatment for kidney failure. It uses a partially permeable membrane to separate the patient's blood from dialysis fluid (dialysate).
Dialysis Fluid Composition: The fluid contains a glucose and salt concentration equal to that of 'normal' blood to ensure no net loss of these essential substances. However, it contains urea to create a steep concentration gradient.
Counter-current Flow: In the dialysis machine, blood and dialysis fluid flow in opposite directions. This maintains a concentration gradient for urea across the entire length of the membrane, maximizing the removal of waste products.
📐Formulae
💡Examples
Problem 1:
Explain why the dialysis fluid must be constantly replaced during the treatment session.
Solution:
As dialysis progresses, urea diffuses from the blood into the dialysis fluid. If the fluid is not replaced, the concentration of urea in the fluid () will eventually equal the concentration in the blood ().
Explanation:
According to the principles of diffusion, net movement stops when an equilibrium is reached (). Constantly replacing the fluid ensures remains near , maintaining a steep concentration gradient for maximum urea removal.
Problem 2:
Calculate the amount of urea produced if of is processed in the liver (Molar masses: , ).
Solution:
. From the equation , moles of urea = . Mass of urea = .
Explanation:
Based on the stoichiometry of the urea cycle, two molecules of ammonia are required to produce one molecule of urea.