A 57-year-old woman with a 4-year history of metastatic breast cancer was found by her family to be very lethargic and sleepy. She had previously been acting strangely and complaining of nausea, constipation, abdominal pain, and constant thirst.
An ECG shows:
What is the most important initial step in the emergency treatment of this patient’s likely acute problem?
- Mithramycin 25 micrograms/kg every 4 to 5 days
- Calcitonin 4-8 IU/kg body weight
- Saline fluid bolus
- Prednisone 60-80 mg/day
This question appears in Med-Challenger Emergency Medicine Review with CME
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