860, the blood pressure value of the dead man [Wan more to ask for subscription]

Roadside.

Everyone has a cup of milk tea and sits in a flower bed.

Gu Chen's transcript is recording Zhang Xiaomei's words.

"Doctor He shouldn't have offended anyone, right?" Gu Chen looked up at her.

"No, no, there are a lot of people who have offended, and I guess I can't count them. Zhang Xiaomei drank the milk tea given by Gu Chen, and couldn't help but say.

This was a bit unexpected by Gu Chen.

It stands to reason that a person with positive energy like Dr. He should be popular, but in Zhang Xiaomei's mouth, why does he feel that he has become a public enemy of his full name?

That doesn't make sense......

"Is Dr. He's personality bad?" Gu Chen asked.

Zhang Xiaomei raised her head and looked at the street lamp not far away, and also said with an analogy: "How can I say it? For example, that street lamp, it can illuminate an area, but if it is placed in this row of street lights, then the role of this street lamp is insignificant." ”

"And Dr. He is one of these street lamps, he has his role, but among many people, it doesn't seem so dazzling. ”

"Are you saying he's very ordinary in the unit?" Ms. Lu said.

Zhang Xiaomei thought for a moment, and then said: "So to speak, he is quite ordinary, he is the same as other doctors, but his personality is not social." ”

"For example?" Gu Chen asked.

"Let's say...... He's not the type of person who likes to be submissive. Zhang Xiaomei turned her head to look at Gu Chen, and said calmly: "For example, on the leader's birthday, everyone rushed to give gifts to the banquet, but he went home and didn't participate." ”

The unit gave bonuses, and everyone decided to go to karaoke, but he felt that it was a waste of time and did not participate. ”

"In the unit, everyone likes to talk about all kinds of gossip, but he likes to read books and go home after work, while everyone else goes out after work to fool around. ”

"You say that how can a person like him be popular? I feel that I have excluded myself from the Taoist group. ”

"Huh, how is this somewhat similar to Senior Brother Gu?" Lu Weiwei couldn't help but secretly said in her heart, but after glancing at Gu Chen, Lu Weiwei instantly knew the answer.

"Well, the key is that people are not handsome, their abilities are not as outstanding as their junior brothers, and the people around them are not positive, so it is of course that they are excluded. ”

Thinking of this, Lu Weiwei asked Zhang Xiaomei: "Then even if Doctor He is not social, has he ever formed a deep relationship with anyone......?" The kind that fire and water are incompatible?"

"Hmm...... I don't know. Zhang Xiaomei thought about it for a long time, but still chose to shake her head.

After Gu Chen recorded all of this, it didn't seem that much progress had been made.

But thinking of He Zhengjun's strange performance at the public welfare stall scene today, the doubts in my heart suddenly resurfaced.

"That's right, he didn't perform well at the charity stall today, and he didn't reach his normal level at all. ”

"And if a person is fine, how can he suddenly faint? This shows that He Zhengjun's physical condition has not been good before. ”

Thinking of this, Gu Chen asked Zhang Xiaomei directly: "By the way, Xiaomei, does Dr. He usually have any physical diseases? ”

"Disease, high blood pressure, right?" Hearing Gu Chen's words, Zhang Xiaomei blurted out directly.

"High blood pressure?" Gu Chen thought down, the flow of information in his mind seemed to be tumbling rapidly.

"What's wrong?" Lu Weiwei was a little surprised when she saw Gu Chen's face, so she asked weakly, "Is this directly related to Doctor He's fainting?"

"No, I'm just thinking that if a person has a physical problem, then he should know in advance, especially a professional like Dr. Ho. ”

"But today Dr. He gave me the feeling that he was completely defenseless, as if his physical condition was not online, so I had a new guess. ”

"Guess?" Zhang Xiaomei couldn't understand what Gu Chen was saying, so she asked again: "Then what does Officer Gu think is the situation?"

"It's simple. As Gu Chen spoke, the virtual panel in his mind also automatically opened.

All kinds of data calculation chart sets were displayed in his mind, which facilitated Gu Chen's various analyses of the problem.

"I was thinking that Dr. He, as a professional doctor, must have some understanding of his physical condition. ”

"So as you just said, Dr. He has high blood pressure, so he should be able to take high blood pressure medication. ”

"Yes, Dr. Ho insisted on taking high blood pressure medication because his high blood pressure was related to genetics, and his parents' blood pressure was high. ”

Hearing Gu Chen's words, Zhang Xiaomei quickly determined the fact that Dr. He took high blood pressure medicine.

But after thinking about it, Zhang Xiaomei asked again: "So Officer Gu, do you think that Dr. He's fainting is related to high blood pressure medicine?"

"I didn't say that, I was just speculating. Gu Chen took the milk tea next to the flower bed in his hand, took a sip and said, "I'm just thinking, Dr. He usually works at the same intensity, and there are no bizarre incidents like today." ”

"I first fainted without warning at a public welfare stall, and then on the way home on a battery bike, I experienced dizziness. ”

"So I've been wondering, what kind of drug is it that causes dizziness and fainting?"

Or ...... Could it be that Dr. Ho accidentally ingested certain medicines, which caused this abnormal symptom?"

"Ingesting medicine by mistake?" Zhang Xiaomei was stunned, shook her head at Gu Chen and said, "I feel that the possibility is very small, because Dr. He has always had a very regular schedule and exercises. ”

"Usually he is the most taboo, and it is even more impossible to accidentally take drugs. ”

Regarding the possibility proposed by Gu Chen, in fact, Zhang Xiaomei also knew in her heart that this assumption completely existed.

After all, in the unit, Dr. He is a mediocre-looking and unpopular little doctor.

Usually everyone communicates, and sometimes they deliberately avoid Dr. He.

But now the most ordinary person in the department suddenly turned into a celebrity who was reported and forwarded by many mainstream media, and became an Internet celebrity for a while.

At this speed of popularity, many people in the department have never imagined, and they are even a little jealous.

It is not excluded that someone deliberately did something to Dr. He, after all, everyone has always been calm before, but after Dr. He became popular, so many things happened.

This will inevitably make Zhang Xiaomei want to be crooked.

Gu Chen typed a draft on the side of the transcript and began to list some of the attributes of the drugs he knew.

Gu Chen first wrote the three big words "high blood pressure", and then drew pictures in groups around high blood pressure.

I kept asking myself, did anyone else want Dr. Ho to look like he had died of natural causes?

Or at least an accidental death due to an overdose of prescription medication?

And according to the situation of He Zhengjun obtained from his own investigation, dizziness accounts for a large factor in the way He Zhengjun is now.

"Is there any kind of cardiology medication that mainly targets blood pressure or other conditions, and if taken in normal doses, the side effects are few or mild, but when taken in large quantities, they can cause dizziness or syncope?"

"Or the state is lighter, how much dose will an individual feel dizzy or dizzy when taking it, but not to the extent of really fainting, just very shaky and unstable, or confused?"

Thinking of this, Gu Chen even wanted to test He Zhengjun in a coma to see if he could find out if there was too much content of this kind of drug?

However, in Gu Chen's cognition, patients often do not know their own medication status, and they are generally elderly.

Either taking too much and forgetting to take medicine, or taking multiple drugs at the same time on an empty stomach, so that the body can absorb faster and the effect of the medicine will be enhanced.

And each of these conditions can cause serious side effects.

But......

This is just happening to the elderly.

The elderly have a bad memory, and if there is no family supervision to supervise them, taking medicine is indeed dangerous.

Gu Chen suddenly remembered that when he was a child, an old man in the community once forgot the doctor's advice and couldn't remember how to use medicine.

In addition, the family was not at home at the time, which led to an overdose of pills by mistake, and finally fainted while walking in the community garden.

If Gu Chen, who was playing with his friends at the time, found out and called the adults to be rushed to the hospital for treatment, I'm afraid the old man wouldn't have survived that day.

So since then, the family members of the elderly have also brought fruit to thank them.

When I thought of this situation when I was a child, it suddenly happened in front of my eyes.

Gu Chen couldn't help but think about it and was extremely frightened.

"At that time, he was an old man, but now Dr. He ...... He's a middle-aged man!"

"If Dr. Ho has been taking high blood pressure medication, then high blood pressure medication fits the bill perfectly. ”

"And this type of drug is designed to lower blood pressure, and the type and dose that each person needs is very different in Bunsen. ”

Thinking of this, Gu Chen seemed to have his own ideas.

Lu Weiwei asked him puzzled: "Senior Brother Gu, what did you say about high blood pressure medicine just now?" Do you mean that Dr. He overdosed on high blood pressure medicine to cause dizziness, right?"

"It's completely possible!" As if he had made a major discovery, Gu Chen directly flipped the transcript to the blank space and introduced it with a pen.

"You see, the cardiovascular system, in fact, contains the heart and blood vessels, forming a closed system. ”

"High blood pressure is an increase in the internal pressure of this system, just like a car tire, and the easiest way to increase or decrease the pressure of a tire is to pump or deflate to release excess air. ”

"But for the human body, this 'deflating operation' has to be done with diuretics. ”

"What...... What is a diuretic?" Yuan Shasha heard in a fog, a little confused.

Gu Chen paused for a moment, and then wrote the English word diuretic on it.

"Diuretics, or 'diuretices', refer to a class of drugs that can increase urine output by promoting the excretion of electrolytes, mainly sodium ions, and water in the body. ”

"Because diuretics force salt and water to be expelled through the kidneys, and when the amount of salt and water decreases, the pressure decreases. ”

"Another way to reduce the pressure in the tire is to make the tire bigger, of course, this can't be done, but if the tire expands, the internal volume increases, and no air is added, then the pressure in the tire will naturally drop. ”

"And the condition of high blood pressure that we often talk about has to be completed by drugs that dilate arteries and blood vessels, do you understand?"

Gu Chen did not say it quickly, and also used image examples to fight with you to explain the status of high blood pressure treatment.

Lu Weiwei and Yuan Shasha looked at each other and nodded their heads in understanding.

Of course, Officer Wang can understand.

The principle was told by Gu Chen's imagination, which was naturally easy to understand.

Zhang Xiaomei, who was on the side, was stunned, and couldn't help but say: "Officer Gu, you even know this? This doesn't seem to be the knowledge that you police should have, right?"

"It's okay. I also felt that Zhang Xiaomei was making a fuss, so Gu Chen said again: "I once learned the use of some drugs in Forensic Doctor Liu's forensic notes. ”

"Later, I copied down the terms of drugs and drug principles mentioned in the transcript and went to the library to look them up, so I ......"

Pointing to his head, Gu Chen said again: "So...... It's always in my head. ”

"That'...... You've got a good brain. Zhang Xiaomei couldn't believe it, Gu Chen was even better at these medical knowledge than many professional doctors.

Although I know a little about this principle, I definitely can't remember the English word "diuretics" for this diuretic.

But Gu Chen could blurt out.

It can be seen that Gu Chen's memory has thrown his peers out of several streets.

However, Zhang Xiaomei deserted here, and Gu Chen had to explain the principle clearly with Lu Weiwei, Officer Wang and Yuan Shasha.

Gu Chen flipped the transcript to the next page and continued to write: "In fact, this type of drug can increase the internal volume of the closed vascular system, while the blood volume remains the same, so the pressure drops. ”

"And high blood pressure drugs are also divided into several categories, or good children. ”

"According to what we just discussed, there are two types of calcium channel blockers and β-blockers that are most effective. ”

"The former is mainly used to dilate the arteries, while the latter is used to slow the heart rate and reduce the force of the heart's contractions. ”

"Their net effect is that if you use the right amount, you can regulate high blood pressure to a relatively healthy level, and too much can reduce blood pressure to dangerous levels. ”

"It can cause dizziness, loss of consciousness, and can be fatal at any dose, but Dr. Ho's previous condition told me that he seemed to be very consistent with these symptoms. ”

"That's right. When Lu Weiwei heard Gu Chen's words, she also nodded silently: "Isn't this the case of Doctor He at that time? Dizziness and loss of consciousness have all happened." ”

Looking at everyone, Lu Weiwei gestured with her hands: "When I was at the public welfare stall, did Dr. He have any symptoms of dizziness?"

Seeing that everyone nodded silently, Lu Weiwei said again: "Then at the place where the car accident occurred, did he lose consciousness?"

"Yes. Officer Wang nodded slightly, and couldn't help but say: "At that time, we all saw in the video of the traffic police force that Dr. He did lose consciousness at the intersection, and then the battery car would leave the road and collide directly with the white off-road vehicle." ”

Yuan Shasha shuddered when she heard this, and said, "Then you really have to be careful with this medicine? It's a three-point poison, and it's really not just a casual talk." ”

"If you take the right amount of medicine, you may be able to save your life, but if you take it illegally, you may be fatal. ”

Gu Chen nodded slightly, and also explained to her: "Xiao Yuan, don't be so nervous, we pay attention to a science in everything." ”

"You have to know that commonly used calcium channel blockers, including nifedipine, are known as Guandayue. ”

Gu Chen wrote all these Chinese terms in a small book, and said: "The typical dose is 30, 60 or 90 mg per day, and verapamil hydrochloride, that is, isopapamil, which is another alias for verapamil hydrochloride, 180 or 240 mg per day." ”

"Whereas β-blockers include propranolol, also known as propranolol, alias propranolol, 10 to 80 mg twice daily. ”

"Atenolol, also known as atenol, 50 to 100 mg twice daily, and metoprolol, known as betaloclix, 50 to 200 mg daily."

Looking up at everyone and seeing that everyone was listening carefully, Gu Chen continued to explain: "If someone deliberately gave Dr. He four to five times the normal dose, then it could greatly lower Dr. He's blood pressure, making him dizzy or unconscious, which could lead to a car accident. ”

"So that's the case?" Lu Weiwei listened attentively, and then asked: "Then if you take four or five times the normal dose, when does your blood pressure start to drop?"

"Well, not necessarily. Gu Chen turned the pen in his right hand and continued to explain: "When blood pressure starts to drop varies from person to person, and it also depends on the type of medicine. ”

"If someone deliberately puts effort into the process, then there needs to be an interval of one to two hours between taking the medication and having a car accident, and it can be that he is given all the pills after a meal. ”

Officer Wang pondered, and then asked, "Then is there any faster way to speed up the absorption of drugs?"

After all, he is an old comrade, and Officer Wang's questions are very constructive, and he faces the problem head-to-head.

Gu Chen nodded slightly, and said indifferently: "There is also this situation that Senior Brother Wang said, if it only takes 10 to 30 minutes, then crush the pills, or open the capsules and pour out the powder, and arrange for Doctor He to take it with a small amount of food." ”

"In this way, the absorption rate of the drug will be much faster, the effect of the drug will be faster, and the impact will be more intense. ”

Gu Chen closed the transcript, stood up directly, and said, "What I'm most worried about now is whether Dr. He's emergency situation this time is what I reasoned about?"

"Gu Chen. Officer Wang also stood up, patted him on the shoulder and asked, "I have another question, if we test Dr. He, will we find an increase in drug concentration?"

"Yes. Gu Chen didn't think about it, and blurted out directly: "Although it will, you must deliberately look for it to find it." ”

"Because some drugs have to be measured by the amount of blood in the blood, hypertension drugs are not included in this list, because their therapeutic effect is determined by measuring blood pressure. ”

"So what I'm worried about now is whether Dr. Ho can survive, and if Dr. Ho dies unexpectedly, then it can't be assessed, because the blood pressure of the deceased person is ...... It's ......"

"What is it?" asked Lu Weiwei with a nervous expression.

Gu Chen took a deep breath and said indifferently: "It's 0 /0." ”

......

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