A 75 year old lady with fracture neck of femur presents with two days history of altered sensorium and decreased urinary output. Serum calcium is 15.5 mg dl, Urea is 140 mg/dl, Creatinine is 2 mg/d1. All of the following are useful for immediate management of Hypercalcemia, Except:
Answer is D (Bisphosphonates): Bisphosphonates have a delayed onset of action beginning after days and are not recommended in patients with renal failure. Bisphosphonates is the single best answer by exclusion.
Normal saline
Furosemide
Dialysis
Bisphosphonates