Kidneys In this experiment, you will investigate how the kidneys handle fluid loads. These include water alone, and isosmotic salt and monosaccharide solutions, as well as a hyperosmotic monosaccharide solution. Learning Objectives By the end of today's laboratory you will be able to: Describe how the Kidneys handle a water load Distinguish between the handling of water and isosmotic salt loads Explain the pattern of fluid excretion following isosmotic and hyperosmotic monosacchahde loads Discuss the relationship between urine osmolarity and specific gravity and how osmolartty is affected by changes in urine flow rates Claude Bernard (1813 - 7867; - the first to express the concept of the constancy of the internal environment. Carl Ludwig (1816 - 1895) - a pioneer of renal physiology. LabTutor Kidneys EN_1 A 2 of 14: Setup Equipment: Refractometer, urine collection container, urine transfer pipette to refractometer, test strips, measuring container and paper napkins. 1. Optical prism 2 Translucent cup 3 Calibration screw 4 Rubber handle 5 Eyepiece with focus Urine collection container ^^^^^^^^^^^^^^^^^^^^^^ 1H. Pipete Urine measuring container 1. Applying a drop of urine to the prism of the refractometer. 2. Covering the prism with a transparent cup. 3. Reading the measured value from the scale 4. Cleaning the prism (be careful not to scratch the prism). LabTutor8 Kidneys EN_1 ® GH 14: Procedures D ® Logo«! (J) Back Next 00 Procedure: This laboratory involves the collection of urine at various time intervals and measurement of its volume and specific gravity (an indication of osmolarity). There are four different protocols, each requiring a different volunteer. Volunteer preparation The establishment of the diuresis depends upon fairly rapid absorption of the water so it is important not to start with a full stomach. Just eat a light meal and drink normally in the 3 to 4 hours before the laboratory starts. In addition, avoid fluids containing caffeine (coffee, tea. cola drinks) for at least 3 hours prior to the laboratory O Be sure to note the time at which you last urinated prior to coming to the laboratory. Refractometer measurement 1. Preparation for measurement (handle the device with care and do not touch optical lens). Set direction of the refractometer transparent cjp against the light, look into the eyepiece and sharpen the image to improve readability. You will see a circular space with a measuring scale 2. Refractometer calibration. Open the transparent cup, put 1 to 2 drops of the calibration solution (distilled water) on the optical pn'sm, close the cup and press it slightly for the solution to spread perfectly over the surface of the optical prism (without air bubbles and dry spots) Look into the eyepiece, the top of the visor should be blue, the bottom white, and the boundary should go through a calibration value of 1.3300 (left scale of the Rl) If not, turn the calibration screw until the desired condition is reached. 3. Measurement. Open the transparent cup, clean the optical prism with the Included cloth; then put 1 to 2 drops of the test liquid (urine) on it, close the cup and slightly press it so that the liquid can spread perfectly over the surface of the optical prism (without air bubbles and dry spots) The measured value will be represented by the intersection of the blue-white boundary on the right measuring scale (specific gravity) 4. Cleaning after measurement Clean the pn'sm and the transparent cup with a damp cloth and carefully place the device in to the case. To wet the cloth, use Desident CaviCide spray General procedures during the experiments for all volunteers 1. At the commencement of the experiment, note the time, collect your urine and measure its volume. Keep a small sample for measurement ot specific gravity 2. Immediately after the collection of the f rst sample, drink the required solution (except control) Once you have drunk this solution, do not drink anything else during the laboratory. 3. Continue to collect urine approximately every 20 minutes, noting the time at which the bladder is emptied to the nearest minute 4. It will be found most convenient for each subject to be his or her own timekeeper; there is no necessity for the subjects to keep in step with each other The essential thing is that the intervals between uhnatlon are accurately recorded. Cautions -L Do not volunteer to be a subject In this laboratory class if you are suffering from kidney or circulatory problems, have any other medical problem or are on any medications Ji Urine Is a potentially Infectious body fluid. Therefore, students are directly responsible for all measurements of the volume and specific gravity of their own urine, and are required to clean up any spilt urine themselves. _ LabTutor Lo°out (x) KidneyS EN_1 Background Back Next [ 4 of 14: Protocols ▼ ^ (©) Experimental protocols: There are four different protocols. Protocol 1: Control - no fluid intake during experiment. 1. Drink nothing during this laboratory and collect specimens of urine each 20 minutes or so. 2. Measure the volume and specific gravity of your urine and then dispose of the sample down the toilet. 3. Enter the volume and specific gravity of the sample into your own table. Protocol 2: To illustrate a normal water diuresis. 1. Drink 800 mL of Solution 2. then collect specimens of urine each 20 minutes or so. 2. Measure the volume and specific gravity of your urine and then dispose of the sample down the toilet. 3. Enter the volume and specific gravity of the sample into your own table. Protocol 3: To illustrate effects of drinking the equivalent of an isosmotic sodium chloride solution. 1. Drink 300 mL of Solution 3, then collect specimens of urine each 20 minutes or so. 2. Measure the volume and specific gravity of your urine and then dispose of the sample down the toilet. 3. Enter the volume and specific gravity of the sample into your own table Protocol 4: To illustrate effects of drinking a hyperosmotic glucose solution. 1. Drink 300 mL of Solution 4: then collect specimens of urine each 20 minutes or so. 2. Measure the volume and specific gravity of your urine and then dispose of the sample down the toilet. 3. Enter the volume and specific gravity of the sample into your own table. _ LabTutor Kidneys EN_1 0 g« Background 14: Sample 1: 0 min 0 @ Hext 00 Back Next Sample 1: 0 min After collecting the first sample complete the fields in the table below, for each different protocol (Sample 1: 0 min). You must record the time in minutes that you last urinated) before you came to the laboratory Protocol 1: Control %i Sample No. 1 Time {min) | Volume {mL) | Flow {mL/min) Specific Gravity Priorto lab Sample 1 [0 min) 0 Protocol 3: Isosmotic Sodium Chloride Solution ^ IE Sample No. 1 Time {min) | Volume {mL) | Flow {mL/min) Specific Gravity Priorto lab Sample 1 [0 min) 0 Protocol 1: Hypo sm otic Solution I^=| Sample No. 1 Time {min) | Volume (mL) | Flow (mL/min) SpecificGravity | Priorto lab Sample 1 [0 min) D Protocol 4: Hyperosmotic Glucose Solution ^ Sample No. 1 Time {min) | Volume {mL) | Flow (mL/min) | SpecificGravity | Priorto lab Sample 1 [0 min) 0 Protocol 1: Control- HeptaPhan Test Sample No. pH Proteins Glucose Ketones Urobilinogen Bilirubin Blood Sample 1 (G min) Protocol 3: Is osmotic Sodium Chloride Solution - HeptaPhan Test l^=) SampleNo. pH Proteins | Glucose | Ketones] Urobilinogen Bilirubin | Blood Sample 1 (G min) Protocol 2: Hyposmotk:Solution - HeptaPhan Test SampleNo. pH Proteins Glucose Ketones Urobilinogen Bilirubin Blood Sample 1 [0 min) Protocol 4: Hyperosmotic Glucose Solution - HeptaPhan Test Sample No. pH Proteins Glucose Ketones Urobilinogen Bilirubin Blood Sample 1 [0 min) Study Question While waiting to collect the next sample, answer the following question. 1. What changes in urine output do you expect to see in each of the protocols during this laboratory? I Protocol 1 -Control I Proto co I 2 - Hy po sm otic Solution I Protocol 3 - Isosmotic Sodium ChIoride Solution Protocol 4 - Hyperosmotic Glucose Solution _ LabTutor Kidneys EN_1 ®c £ of 14: Sample 2: 20 min D ® Logout ^() Back Next 00 Sample 2: 20 min After collecting the 20 minute sample complete the fields in the tables below, for each different protocol. Protocol 1: Control Sample No. | Time {min) | Volume [mL) Flow {ml_/min) Specific Gravity Priorto lab Sample 1 [0 min] 0 Sample 2 [20 min) Protocol 3: Isosmotic Sodium Chloride Solution L^ä Sample No. | Time {min) | Volume [mL) Flow {ml_/min) Specific Gravity Priorto lab Sample 1 [0 min) 0 Sample 2 [20 min) Protocol 2: Hypo sm otic Solution ^ Sample No. Time [min) Volume [mL) Flow{mL/min) SpecificGravity Priorto lab Sample 1 [0 min) 0 Sample 2 [20 min) Protocol4: Hyperosmotic Glucose Solution ^ Sample No. Time [min) Volume [mL) Flow{mL/min) SpecificGravity Priorto lab Sample 1 [0 min) 0 Sample 2 [20 min) Protocol 1: Control HeptaPhan Test ^ Sample No. pH 1 Proteins | Glucose Ketones Urobilinogen Bilirubin Blood | Sample 1 [0 min) Sample 2 [20 min) Protocol 3: Isosmotic Sodium Chloride Solution - HeptaPhan Test I pH I Proteins | Glucose | Ketones- Urobilinogen | Bilirubin | Blood I Sample 1 [0 min) I Sample 2 [20 min) Protocol 1: HyposmoticSolution - HeptaPhan Test Sample No. pH Proteins Glucose Ketones Urobilinogen Bilirubin Blood Sample 1 [0 min) Sample 2 [20 min) Protocol4: Hyperosmotic Glucose Solution - HeptaPhan Test Sample No._| pH | Proteins | Glucose | Ketones| Urobilinogen | Bilirubin | Bio od | Sample 1 [0 min) Sample 2 [20 min) Urine Flow Rate [ Protocol 1 Protocol 2 Protocol 3 Protocol -4 :: too Time (ruin) Urine Specific Gravity HI ~= 1 V ■ o. H vi a 50 too Time (min) 150 Study Questions While waiting to collect the next sample, answer the following questions. 2. What is the osmolality of the fluid in the interstitial space in the renal cortex? Is it the same throughout that space? 3. What is the osmolality of the fluid in the interstitial space in the renal medulla? Is it the same throughout that space? _ La bTu tor-Kidneys EN_1 ©c 7 of 14: Sample 3: 40 min 0 ® Logout ^ Back Next 00 Sample 3: 40 min After collecting the 40 minute sample complete the fields in the table below, for each different protocol. Protocol 1: Control % Sample No. Time [min) Volume [mL) Flow {mL/min) Specific Gravity Priorto lab Sample 1 [0 min) 0 Sample Z{Z0 min) Sample3{4Q min) Protocol 3: Isosmotic Sodium Chloride Solution ^ Sample No. Time [min) Volume [mL) Flow [mL/min) Specific Gravity Priorto lab Sample 1 [0 min) 0 Sample Z{Z0 min) Sample3{4Q min) Urine Flow Rate Time (min] ■ Protocol 1 H ♦ Protocol 2 1+ Protocol 3 I' Protocol 4 Protocol 2: Hypoämotic Solution ^ Sample No. Time [min) Volume [mL) Flow{mL/min)| Specific Gravity Priorto lab Sample 1 [0 min) 0 Sample Z [Z0 min) Sample 3 {40. min) Protocol 4: Hype ros not ic Glucose Solution ^ Sample No. | Time {min) | Volume {mL) | Flow (mL/min) | Specific Gravity Priorto lab Sample 1 [0 min) 0 Sample Z [ZO min) Sample 3 {40 min) Urine Specific Gravity a a H u ■ B- 0 50 100 L50 Time (min] Study Question While waiting to collect the next sample, answer the following qjestion. 4. What hormone is involved in regulating renal water excretion? What normally inhibits the of this hormone? LabTutor Kidneys EN_1 (ft) ( *