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Old 12-31-2012, 12:55 PM
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As a layperson, I would say an ER visit would be a good idea. Or at least a call to his doctor.
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Old 12-31-2012, 01:24 PM
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He has cancer,stage 4, i have a thread super prayers, tells about his cancer, yes he can not stay hydrated, nurses come to give him fluids daily here at home.
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Old 12-31-2012, 04:45 PM
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Retired nurse here. Haven't worked in over a yr.
Thoughts:
Dehydration?what's his pulse rate. Typically, dehydration creates a rapid pulse.
Infection? How long since last chemo. If his white count is low from chemo he could have an infection without showing a fever.
Do you have a Doctor who would make a house call. If not, maybe you should take him into your local emerg for an assessment.
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Old 12-31-2012, 05:13 PM
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The Home Health Nurses report to someone. Call the nurse back and ask what the doctor said.
You can call 911. They will evaluate and transport, if needed.

Good question about chemo. What regimen is he on - that determines the nadir/low point.
Bathroom - is he going? What color is the urine - can range from clear to deep orange. The darker the color, the more concentrated it is. And therefore, the more likely he is to be dehydrated. Not going because he is dehydrated?
Gently grab a hunk of skin on the back of his hand, making a pinch, then let loose. It should return to its flat position quickly. If not, he is dehydrated.
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Old 12-31-2012, 05:18 PM
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The doctor was called yesterday, chemo was i think 3 weeks ago, like i said, this dehydration is a big prpblem, they just don't know why it is so bad.
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Old 12-31-2012, 05:21 PM
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Can you call the Doctor? a Nurse?
You can call the ambulance to get to the emergency room.
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Old 12-31-2012, 05:23 PM
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This was yesterday.
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Old 12-31-2012, 05:48 PM
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I am assuming they have done bloodwork, as this now appears to be an ongoing problem.
The body is 60% water. Sodium is one of the minerals that help regulate water balance - think about some people who eat a salty meal and complain about fluid retention. As the extra sodium is released, the retained water is also released.
OTOH, a low sodium balance encourages the kidneys to release more water. The body strives to keep a balance/ratio between between certain minerals and water. And there are proteins in the body that encourage retention/excretion of water.
There is also a hormone that works on the kidneys to excrete/retain water. Antidiuretic Hormone encourages the body to retain water. A low level encourages low of water.
Diabetes Insipidus causes the loss of a large amount of water.
Those are the ones off the top of my head.

Urine analysis? Was it normal? That could eliminate the kidney function as the cause.
How is his food intake?
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Old 12-31-2012, 06:15 PM
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I agree with above posters. You always worry about infection with someone after chemo and a low blood pressure. There doesn't have to be a fever. do you have a recent ANC?
If it was a low blood pressure with a change of position, did the pressure recover after a little bit of time. Is his heart rate high? Those are Signs of dehydration. Is he peeing? Peeing with a low blood pressure is more important than most lay people know. It tells you if the kidneys are being perfused with such a low pressure, which can give you an estimate that his other organs are being perfused.
Is he peeing too much? In that case I would ask if he is still on steroids, it could lead to diabetes. Is that why he is dehydrated?
If he is not remaining stable in between daily nurse visits, his doctor doesn't think that he should be admited?? If that is the case, and you don't agree, you can always call 911
You mentioned that he has stage 4? If he is peeing a lot, do you know if there is any brain involvement? What BajaOklahoma mentioned about lab work is a very good idea, they should be able to some answers from that.
I'm so sorry that you are struggling with such a difficult time, and I hope you have answers soon.
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Old 12-31-2012, 06:50 PM
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