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What is A 75 years female patient with fracture neck of femur 1 month back, presents with 2 days history of altered sensorium & decreased urine output Urea is 140 mg/dl, creatinine is 2 mg/dl, Ca is 15.5 mg/dl. All of will be useful in immediate treatment except - and explain in detail?
Answer is option 4.. Bisphosphonates Bisphosphonates have a delayed onset of action beginning after days and are not recommended in patients with renal failure Furosemide saline and dialysis act immediately Ref Harrison 19/e p2481