Symptoms

  • Fatigue
  • Muscle pain
  • Nausea and vomiting
  • Confusion
  • Anorexia
  • Constipation

 

Signs

  • Difficult to distinguish from general deterioration
  • Signs of delirium
  • Can mimic opioid toxicity
  • Reduced tendon reflexes and globally reduced power

 

Management

  • Check adjusted calcium if treatment felt appropriate
  • Admission for intravenous (IV) rehydration and IV bisphosphonates
  • (Refer to the management of hypercalcaemia)