Tumor Lysis Syndrome and Oncologic Emergencies · NCLEX Exam

In hypercalcemia of malignancy, which initial therapy is most appropriate for a patient with calcium level of 15 mg/dL?

  1. IV saline, loop diuretic, and a bisphosphonate
  2. Fluid restriction with digoxin and observation
  3. Oral calcium supplements together with vitamin D
  4. Immediate hemodialysis as the sole intervention
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Correct answer: IV saline, loop diuretic, and a bisphosphonate

Hypercalcemia of malignancy is treated with hydration, loop diuretics, and bisphosphonates to reduce resorption.

Difficulty: Medium Question 6 of 20

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