Question

A 68-year-old woman with metastatic breast cancer presents with confusion, constipation, and polyuria. Blood tests show corrected calcium 3.2 mmol/L. What is the most appropriate initial treatment?

Accepted Answer

Intravenous 0.9% sodium chloride followed by IV bisphosphonate

Answer

Oral calcium supplements

Answer

Immediate oral bisphosphonate alone

Answer

Restrict oral fluids to prevent overload

Answer

Start high-dose prednisolone only

Practice question

A 68-year-old woman with metastatic breast cancer presents with confusion, constipation, and polyuria. Blood tests show corrected calcium 3.2 mmol/L. What is the most appropriate initial treatment?