Question

A 62‑year‑old man with metastatic lung cancer presents with confusion, polyuria and constipation. Corrected serum calcium is 3.2 mmol/L. What is the most appropriate initial management?

Accepted Answer

Aggressive intravenous normal saline and IV bisphosphonate

Answer

Oral calcium supplements

Answer

No treatment; this level is not clinically significant

Answer

Long‑term thiazide diuretic

Answer

Oral vitamin D supplementation

Practice question

A 62‑year‑old man with metastatic lung cancer presents with confusion, polyuria and constipation. Corrected serum calcium is 3.2 mmol/L. What is the most appropriate initial management?