Question

A 68-year-old man with metastatic lung cancer presents with increasing confusion, constipation and polyuria. Serum adjusted calcium is 3.2 mmol/L. What is the most appropriate initial treatment?

Accepted Answer

Intravenous 0.9 percent sodium chloride followed by intravenous Bisphosphonate

Answer

Oral calcium supplements

Answer

Oral Bisphosphonate alone

Answer

Immediate haemodialysis

Answer

High-dose oral Prednisolone only

Practice question

A 68-year-old man with metastatic lung cancer presents with increasing confusion, constipation and polyuria. Serum adjusted calcium is 3.2 mmol/L. What is the most appropriate initial treatment?