S3G3 TNBCer here:
ASK FOR EXTRA FLUIDS DURING CHEMO (Ok’d of course by your MO)
So, yesterday was infusion 3 of docetaxol, carboplatin, and infusion 2 of keytruda (juries out on wether or not keytruda is tryna kill me). Round 1 took out my liver.
Round two, MO skipped the keytruda, but I still begged for a bag of saline because I’d been having heart palpitations, muscle twitiches, and my urine had been dark regardless of being meticulous about hydration (Kidney function was stone cold normal on tests) but I managed to get an extra 500ml of NACL. If I could compare 1 and 2, it was night and day with how my body handled everything. I felt 1000% better with no keytruda and the 500ml extra hydration. No sore throat/mouth, no fevers, exhaustion cut by 50%. My taste buds were normal!!!!! No bloody noses. It was wild the difference I felt but chalked it up to skipping the keytruda.
Third time (yesterday), we restarted the keytruda but dropped the DC 20% and I asked for a full 1000ml bag.
Woke up today and I feel GREAT (well, still pukey and physically exhausted but salt water isn’t gonna fix that). Made my ER doc husband do some doctor research on it- turns out that it’s being used more and more as an adjuct during chemo and it doesn’t flush out the chemo (which I mused about before bed last night). Studies are showing it actually acts to protect many organs from the toxic effects of chemo across MANY different cancers (though it’s contraindicated with a few specific drugs- none that I’ve come across in my research into Breast Cancer).
I’m not talking about IV vitamin bags or the stuff you get at those IV med spa clinics- I’m talking about plain old fashioned saline water NaCl.
Here’s one link of many that shows how it protects the kidneys for those of us on the car-platin drugs. I hope this helps! https://pmc.ncbi.nlm.nih.gov/articles/PMC10836314/#:\~:text=Prehydration%20was%20defined%20as%20hydration,NaCl%200.45%25%20as%20hydration%20fluid.&text=The%20European%20Society%20of%20Clinical,about%20the%20optimal%20hydration%20scheme.&text=A%20hydration%20scheme%20should%20consist,is%20shown%20in%20Table%201.