24 hours after

Activity

• Physical Therapy (PT) will come today to help your child sit and take steps.
• Occupation Therapy (OT) will help your child with arm stretches and taking care of his/her personal hygiene.
• Sit next to bed at least 3 times today.
• Stand or walk in room 3 times today.

Diet

• Chew mint gum.
• Continue to advance eating food as your child tolerates.
• Your child will be getting medicine for nausea in his/her IV.
• Constipation medicines will be given throughout the day. Medicine may include a combination of:
  • Colace (docusate - stool softener) - in the morning
  • Senna (a laxative) - in the morning & afternoon
  • Miralax (mixed with juice, water, soda, or sport drink) - in the morning & evening. If given Miralax, your child must drink it within 20 minutes for it to help with bowel movements.
  • Enemeez (a 1 teaspoon enema) - in the evening if child does not have a bowel movement

Pain

• The Pain Team will come by and make adjustments based on how often your child used the pain button & based on how much pain he/she is having.
• Continue anti-inflammatory (Ketorolac) in the IV
• Begin using liquid or pills for many pain medicines. We often use:
  • Tylenol (acetaminophen)
  • Valium (diazepam)
  • Oxycodone
• Child Life Specialists can help with distraction and other techniques to help with pain.

Treatments

• Lab will come draw blood to check blood counts.
• Continue with IV fluids.
• Continue with tubes & drains such as the catheter & drain in the back.
• We will check bandages often.