Question

A 65-year-old man with metastatic lung cancer presents with confusion, constipation and polyuria. Corrected serum calcium is 3.3 mmol/L. He is clinically dehydrated. Intravenous 0.9% sodium chloride is commenced. Which additional therapy is most appropriate to lower his calcium in the medium term?

Accepted Answer

Intravenous bisphosphonate therapy

Answer

Oral calcium supplements

Answer

High-dose oral vitamin D

Answer

Thiazide diuretic

Answer

No further therapy once hydrated

Practice question

A 65-year-old man with metastatic lung cancer presents with confusion, constipation and polyuria. Corrected serum calcium is 3.3 mmol/L. He is clinically dehydrated. Intravenous 0.9% sodium chloride is commenced. Which additional therapy is most appropriate to lower his calcium in the medium term?