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Clinical pharmacy 2024/2025                   Level 2 Pharm D                       Physiology and Pathophysiology (MD303)
                                                             Glomerular Filtration Membrane

                              Endothelial capillary pores are large fenestrae.

                    100-400 times more permeable to plasma, H2O, and dissolved solutes

                   than capillaries of skeletal muscles.

                    Pores are small enough ➔ to prevent RBCs, platelets, and WBCs from
                   passing through the pores.

                       ▪  Filtrate must pass through the basement membrane:

                               (Thin glycoprotein layer-Negatively charged)

                                            •  Podocytes:
            ✓  Foot pedicels form small filtration slits.

            ✓  Passageway through which filtered molecules must pass.

                                                                  Glomerular Ultrafiltration


                    ultrafiltrate                            Glomerular filtration                              •  Glomerular filtration rate (GFR):
            Fluid  that  enters  glomerular  -  Mechanism of producing ultrafiltrate under hydrostatic  -  Volume of filtrate produced by both kidneys each
            capsule                            pressure of the blood.                                       minute.

                                           -  Process similar to the formation of tissue fluid by other  -  Averages 115 ml/min. in women.
                                               capillary beds.                                          -  125 ml/min. in men.












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