Ara-C stay updates from morning to early evening

This stay, as with all Ara-C stays has been a rough one. The diarrhea started last night, the fevers are starting the morning and the N/V has been going on since before we even started the chemo yesterday. He is feeling ok for the moment, but his temp is rising. However, we look at it as... if it is making him feel this bad then it must be doing it's job. We got the GCSF shots delivered today and he will be starting those tomorrow after his Erwinia shot. We are supposed to go home tomorrow but w/ the fevers and vomiting it isn't likely. They usually keep us at least one extra day if not 2 b/c he gets his Erwinia tomorrow and then he is due again Monday so they hate to send us home Sunday to turn around and come back up Monday. But during these two weeks it doesn't really matter a whole lot, we are here at least every other day anyway. We just pray that he doesn't get sick and we are happy. But it took the GCSF 2 weeks last time to makes his counts recover... We really hate the nightly shots of GCSF followed by the every other day shots of Erwinia but he understands that it is all to make him better. That is about all for now, just overall sick feeling. Praying he starts to feel better soon... at least as soon as he finishes his last dose of Ara-C at 6 am tomorrow. Thanks for the prayers.

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Late Morning

His temp is now 104.7, and he is a little hypovolemic. His feet are pale and he's tachycardic so they are giving him a bolus of normal saline now. They gave him trilasate to take the fever down and hopefully that will start working soon. They are also going to schedule Benadryl. One of the doctors feels that the fevers from the Ara-C may have an allergic component. So we are going to try that, I hope it works but if it does I just wish we had figured that out sooner as we only have 1 more Ara-C stay after that. They drew cultures which is standard when they spike a fever, and a CBC if he is neutropenic they will start antibiotics as a precaution. They are monitoring his BP, last check was 85/63 which is a little low but he usually runs low anyway. I'll keep you posted with any new updates.

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4pm

His fever is on it's way down. It has been fluctuating most of the afternoon and he ended up getting 2 bolus's of NS. But they did the trick. His capillary refill is good now and so is his coloring. His temp was back up to 104.7, so they gave Tylenol and have that scheduled for every 4 hours in hopes that once we get it down it will stay there. The last time they checked it it was down to 102.5 which was a big improvement in just 30 minutes or so. He is playing with his cars in his bed now which is a huge improvement from the rest of the day. That is about all for now.