Nuclear thermal rockets use pretty much whatever working fluid you want. Water, ammonia, hydrogen... IRL NTR designs are low-thrust/high ISP due to the mass of the reactor. This is why the majority of nuclear thermal rockets intended for launch vehicles are used to drive the upper stages. You can also dump liquid oxygen into the exhaust for a nice afterburner effect - more thrust but it halves your ISP. That is a really optimistic view. VASIMR is a complete power hog - which is why the fast mission reference design uses a gas core reactor for power. D-T fusion is gonna take more then the hundred kW power draw they needed to bust out the exotic nuclear engineering for. Plus you have to deal with the neutrons. Cue embrittlement, activation, and fitting additional shielding into your payload mass.