Question

A 60-year-old man with metastatic lung cancer presents with calcium 3.1 mmol/L, confusion and dehydration. What is the most appropriate initial management?

Accepted Answer

Aggressive IV hydration with isotonic saline and consideration of IV bisphosphonate

Answer

Fluid restriction

Answer

High-dose thiazide diuretic

Answer

Oral calcium supplements

Answer

No treatment required for mild abnormality

Practice question

A 60-year-old man with metastatic lung cancer presents with calcium 3.1 mmol/L, confusion and dehydration. What is the most appropriate initial management?