It’s been two days since my husband had his third chemo treatment. His response after this treatment has not been as severe as after his second treatment. I have to say the second treatment must have been distorted by the developing blood clot and thrush. So far this treatment appears to have been better, however, it is still too early to tell.
Yesterday my husband was able to take a litre of hydration given over the course of 5 hours. Today he was not so lucky. When the visiting nurse arrived to set up the drip his blood pressure was remarkably high, we felt it was too high for him to take the hydration. He’s had heart issues in the past and the saline solution might put too much strain on his heart. We opted to forgo the treatment for today and try again tomorrow. This meant that we had to focus on getting him to drink around 2 litres of clear fluid on a day when he felt quite nauseous. The day is almost over and I am afraid we have missed the mark by between 1/2 to 3/4 of a litre. The visiting nurse will come by in the morning so we have to hope that his blood pressure is at a more respectable rate. The hydration is key to flushing out the chemo drugs and improving how he feels.
The blood clot continues to be a concern in his leg. The swelling is still significant, however, it has not moved to any other area of his body as far as we can see. He was not able to get much exercise in today at all. He has very low energy and feels under the weather – which is normal for this point in the chemo cycle. So a day where very little was said or done but where he has managed to get a lot of rest. Tomorrow is a new day.
Today started off the same as yesterday. A very unhappy and cranky man. We argued first thing in the morning, most of the argument was about the things I was doing wrong or wrong about. Personally I think he has thoughts in his head that he is not sharing and it is influencing his behaviour, that he is sad and perhaps a little depressed. From observation, I know that his fluid intake has been down now for 36 hours at least. He asks for drinks but doesn’t drink them. Everything has a metallic taste, or it is too sweet or too salty. So I make the drinks and leave them around, but he’s still not really drinking. He’s not really eating either; same issue – nothing tastes right. It’s a vicious circle that I suspect could really take him down quick.
This morning he was remarkably light headed. We had planned on a shower, even wrapped his arm up (where the picc line is) and had the water going, but to stand was too much. He felt like he was going to fall over and that brought on nausea. We do have a chair in the shower, but the effort of getting there was just too much. So we decided not today. I decided it was time to have the visiting nurse in for an assessment. He may be slightly dehydrated, or it may be a normal part of the process – I don’t know but our nurse, who has been doing this for years – should be able to do a little mental health intervention which will do both me and my husband some good. Its is almost 2 o’clock in the afternoon, she should be here soon and hopefully we can get back on track.
Today is five days post chemo treatment and today I called the visiting nurse to come and administer hydration. The first two or three days after his chemo treatment were okay, but we had two strong anti nausea medications for those days. Once the meds ran out (day 4) things started to slip a little. It became harder and harder for him to drink the required fluids and his appetite, although reasonably good on Sunday, was completely gone this morning. He awoke this morning feeling quite lightheaded and we had to move slowly to get him up and about. He was somewhat despondent and listless, with little to no energy to even move. His sister came for a visit and stayed for the long haul, helping him keep his mind occupied and encouraging him to eat.
Right now he’s resting while his saline is being administered through his picc line. I will need to call the nursing agency when he gets down to his last 100ml and then a nurse will come and disconnect the IV and flush the picc line out. It seems silly not to take advantage of the services that are available. Hopefully he will be back on track after this, and good enough for an outing tomorrow, weather permitting.