Question

A 70-year-old man with metastatic lung cancer presents with confusion, constipation and polyuria. Corrected serum calcium is 3.1 mmol/L. What is the most appropriate initial management?

Accepted Answer

Intravenous 0.9% sodium chloride followed by intravenous bisphosphonate

Answer

Observation only and repeat calcium in 1 week

Answer

Oral calcium supplements

Answer

Immediate haemodialysis

Answer

Restrict fluids to prevent overload

Practice question

A 70-year-old man with metastatic lung cancer presents with confusion, constipation and polyuria. Corrected serum calcium is 3.1 mmol/L. What is the most appropriate initial management?