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now lets review shock shock is a critical condition where the body has decreased tissue perfusion eventually leading to organ failure and death the classic sign to know for your exams and the NCLEX is low blood pressure so the memory trick just think of the double ss s for shock we see severely low blood pressure and so oxygen cant get to the organs leading to organ failure and death now for the four stages of Shock first is the initial stage theres too little oxygen in the blood to feed the organs resulting in anaerobic metabolism meaning metabolism without oxygen but the signs and symptoms are absent in this stage now the second is compensatory stage this is where the body is trying to compensate for that low oxygen so the heart will pump faster going into tachycardia the respiratory rate will increase to get more oxygen so we see tachypnea and the body come sensates with the sympathetic nervous system to speed up the vital signs and the renin Angiotensin activation to maintain