Day minus 3

Day -3

Jordan’s Levels Normal Range
Weight 55.3
WBC 3.35 3.84 to 9.84
Hemoglobin 10.0 10.8 to 13.3
Platelet Count 173 175 to 345

Chemo day 5 – Cytoxan and ATG

Jordan is done with the Busulfan but will still take Dilantin for 48 hours afterwards, to continue to prevent seizures.

She had a rough day today, for the first time this hospital stay she is now feeling sick and throwing up. She did each lunch today, but didn’t eat anything else.

The Cytoxan requires her to get up every two hours and go pee. Cytoxan is known to cause bladder and kidney problems, so you cannot keep urine in your bladder, it must be expelled every two hours.

She will get Cytoxan for two days.

They also give her other meds to prevent bladder and kidney problems. It seems that all the chemo drugs have some possibility of bad side effects and yet they try to counteract them as much as they can with alternative drugs.

ATG is the rabbit serum. This drug has to be pre-medcated because it can cause a severe allegric reaction. They gave Jordan Benadryl, Tylenol, Atvian and Solu-Medrol (a steroid) prior to giving her the ATG. The ATG runs over an 8 hour period and during the first hour the nurse stays in her room and monitors her vitals every 15 minutes and titrates the does, speeding it up until it gets to the correct volume to run over the 8 hours.

Jordan’s vitals were stable and she didn’t have an allergic reaction to the ATG. She did spike a fever at around 9pm. Her fever was 102.8. The fever is a normal side effect from ATG. They did draw cultures per procedure, but don’t expect them to be positive for any bacteria.