Temperature 2 weeks post chemo

Temperature 2 weeks post chemo

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surveyor

Original Poster:

18,291 posts

196 months

Monday 17th February
quotequote all
My wife had her last chemo treatment 2 weeks 3 days ago.

She has a temperature of 37.9 degree's tonight.

During the other treatments, especially if it was closer to the chemo we would have been on the phone to the cancer centre. I've been banned from calling them, and in any case am 3 hours away as she's meant to be safe now!

At this point, do we really need to ring, or is it likely that she's picked up a bug as she's out and about a bit more now..

I suspect it's an impossible question to ask... Sorry!

ucb

1,060 posts

224 months

Monday 17th February
quotequote all
Id as a minimum contact the out of hours GP service. She may well need admission regardless of how 'safe' 2 weeks post chemo is said to have been

tyrone1973

59 posts

222 months

Monday 17th February
quotequote all
Neutropenic sepsis until proven otherwise.

Definition: temperature ≥38⁰C, or temperature of ≥37.5⁰C on two occasions recorded 1 hour apart AND neutrophil count ≤1.0×109/L or other clinical signs of sepsis.

Infection should be suspected in any patient who is feeling generally unwell following chemotherapy (within 6 weeks).

GP out of hours won't be able to help - needs bloods urgently and clinical assessment.
Ideally attend the Emergency Department linked to where your wife is having ongoing chemotherapy.

ucb

1,060 posts

224 months

Monday 17th February
quotequote all
tyrone1973 said:
Neutropenic sepsis until proven otherwise.

Definition: temperature ?38?C, or temperature of ?37.5?C on two occasions recorded 1 hour apart AND neutrophil count ?1.0×109/L or other clinical signs of sepsis.

Infection should be suspected in any patient who is feeling generally unwell following chemotherapy (within 6 weeks).

GP out of hours won't be able to help - needs bloods urgently and clinical assessment.
Ideally attend the Emergency Department linked to where your wife is having ongoing chemotherapy.
Ageed, but I wouldnt drive 3 hours with a septic patient in my car just to be near somewhere that gives chemo.


Edited by ucb on Monday 17th February 23:13

Badda

3,100 posts

94 months

Tuesday 18th February
quotequote all
surveyor said:
My wife had her last chemo treatment 2 weeks 3 days ago.

She has a temperature of 37.9 degree's tonight.

During the other treatments, especially if it was closer to the chemo we would have been on the phone to the cancer centre. I've been banned from calling them, and in any case am 3 hours away as she's meant to be safe now!

At this point, do we really need to ring, or is it likely that she's picked up a bug as she's out and about a bit more now..

I suspect it's an impossible question to ask... Sorry!
As stated, your wife is likely to be neutropenic from the chemo and thus has minimal defences for infection. A raised temp could be a sign of infection and this could progress very quickly. Take it seriously and either call 999 or take her to nearest ED ASAP.

WelshnThirsty

644 posts

263 months

Tuesday 18th February
quotequote all
I had a an off and on fever two days after my chemo infusion.
It was from an abcess on the liver from complications ftom the surgery and chemo.
Get her to hospital emergency care and get her treated.

Both my surgeon and oncologist any fevers to come straight in to hospital.

This is my recent experience, I hope it helps

surveyor

Original Poster:

18,291 posts

196 months

Tuesday 18th February
quotequote all
Delayed response..

My issue last night was that I was 3 hours away from home, and also 3 hours away from my wife..

She refused to take advice, and was determined to wait until morning when her temperature was normal..

I'm back home now and if there is any spike we will be doing the sensible things and calling the Cancer Centre for advice (which usually means go straight to A&E, do not pass go..)

Thanks for the advice, which frustratingly was ignored.