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[Music] hello and welcome to compensation in heart failure my name is david woodruff im the editor of critical care nursing made incredibly easy i hope to make this incredibly easy for you too compensation in the body occurs because we want to be able to maintain homeostasis when we move from one position to another so when you take a look at these diagrams here and you see we have our heart rate lets go to the right the heart rate and our blood pressure when the patient is laying down now in order to maintain that same blood pressure as we sit up and then as we stand the heart rate would increase we also get some vasoconstriction as well but you notice the difference in the heart rates there when shes laying flat her heart rate is 72 when she moves to the sitting position her heart rate moves up to 83 and then in the standing position at 123. now you may take your heart rate right now and say well my resting heart rate while im standing isnt 123. the point of this is to show that