Acute Myelogenous Leukemia (AML)
is a fast-growing cancer of the blood and bone marrow. In AML, the bone marrow makes many unformed cells called blasts. Blasts normally develop into white blood cells that fight infection. However, the blasts are abnormal in AML. They do not develop and cannot fight infections. The bone marrow may also make abnormal red blood cells and platelets. The number of abnormal cells (or leukemia cells) grows quickly. They crowd out the normal red blood cells, white blood cells and platelets the body needs.

Wednesday, April 4, 2012

Day 114 -- (Day +6)

Wednesday. 
This mornings line up.  Pills that cannot be switched to IV, but have a liquid form. (easier to go down:) and mouthwashes.
From left to right:  Ursodiol (liver), Amlodipine (blood pressure medicine), Tylenol (for his fever this morning),  Sodium Bicarbonate mouthwash,  saline mouthwash,  Chlorhexidine mouthwash.


The IV medications on his massive IV pole right now...

Cyclosporine (anti rejection medicine)
Methotrexate chemo (given on day +1, +3, +6 and +11 to suppress his immune system to allow the new cells to take over)
Voriconazole  (anti fungal)
Acyclovir  (antiviral)
vancomycin  (antibiotic)
cefepime  (antibiotic)
TPN  (IV nutrition)
Morphine  (pain)


Labs today:
White blood cells: .1   (normal 4.5 - 13.5)
Red Blood cells:  8.8   (normal 13.5 - 17.5)
Platelets:  41  (normal 150 - 425)
ANC:   0   ( < 500 = severely neutropenic) (normal 2,000 - 5,000)






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