19th February 2025

A 74-year-old woman with breast cancer has been admitted to the oncology ward with severe confusion

A 74-year-old woman with breast cancer has been admitted to the oncology ward with severe confusion. On taking a collateral history, her husband tells you that she has had a several-week history of reduced appetite, excessive thirst, generalised aches and constipation. Bloods reveal calcium 3.94 mmol/L. Admission CT head is normal. Recent staging by whole body CT-PET showed metastases in her thoracic lymph nodes and ribs. What is the appropriate emergency management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.