Question

A 70-year-old man with metastatic lung cancer presents with increasing confusion, constipation and polyuria. Blood tests show corrected calcium 3.2 mmol/L. What is the most appropriate immediate management?

Accepted Answer

Urgent intravenous 0.9% sodium chloride and consider intravenous Bisphosphonates

Answer

Encourage oral fluids only and review in a week

Answer

Start oral Bisphosphonates only

Answer

Start oral loop diuretics to promote calciuresis without fluids

Answer

No treatment is needed unless calcium exceeds 3.5 mmol/L

Practice question

A 70-year-old man with metastatic lung cancer presents with increasing confusion, constipation and polyuria. Blood tests show corrected calcium 3.2 mmol/L. What is the most appropriate immediate management?