Ace the Cardiac Vascular Nursing Exam 2025 – Pump Up Your Success!

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In which stage of shock does the mean arterial pressure (MAP) decrease by 10-15 mmHg from baseline?

Compensatory stage

In the compensatory stage of shock, the body employs various mechanisms to maintain perfusion and oxygen delivery to vital organs despite a decrease in mean arterial pressure (MAP). Typically, during this stage, MAP may decrease by approximately 10-15 mmHg from baseline values. The body compensates for this drop through increased heart rate, vasoconstriction, and enhanced myocardial contractility, aiming to preserve perfusion to critical organs, such as the brain and heart.

Understanding the compensatory mechanisms is crucial, as they represent the body's initial response to a potential life-threatening situation. While the compensatory stage can sustain organ function temporarily, if the underlying causes of shock are not addressed, the condition may progress to more severe stages, including progressive shock, where the body's compensation fails, and perfusion to vital organs becomes significantly compromised. The other stages reflect more severe declines in MAP and function, so recognizing the compensatory stage assists in early identification and timely intervention.

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Progressive stage

Refractory stage

Non-progressive stage

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