Today was Raul's first day of chemo, and he did great! He 
was actually particularly happy today! He started increased IV fluids 
last night, as the Cytoxin can be hard on the bladder. He has to pee a 
certain amount every two hours to make sure it is being flushed out of 
the bladder (this will go until noon tomorrow). He didn't pee enough the
 first two hours, so got half a dose of lasix, which seemed to solve the
 problem! He also received an IV medication during the day to help protect his bladder. 
The other chemo med. he got today was Fludarabine. The Fludarabine will
 be given daily for 5 days, while the Cytoxin was just one dose. He also
 started receiving a preventative anti-fungal medication, and got a 
continual zofran drip (which was a huge help for his nausea from his 
antibiotics). 
He had a great day, and was friendly and talkative
 with everyone who came in. He got to have PT today, and had fun playing
 on his floor mats. We did have to do a bandage change with a sponge 
bath, and will have to do that daily during the chemo. Raul did spike a fever late in the day today, so they drew blood 
cultures. Tonight the nausea seems to be hitting him a but more, but not
 too severely yet.



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