The patient who has been consuming a very low-calorie diet (VLCD) of 450 kcal/day should be assessed for which of the following high-risk complications? Select all that apply

A)
Irregular heart rhythms
B)
Bone/joint inflammation
C)
Abdominal pain related to gallstones
D)
Flank pain and spasm associated with kidney sludge
E)
Elevated cholesterol levels


Ans:
A, C

Feedback:

VLCDs have higher risks, including abnormal heart rhythms and cholelithiasis. Anyone on this diet should be under direct supervision of a medical professional. Usually bone/joint pain/inflammation decreases with weight loss. Kidney sludge is usually related to the amount of water a person consumes.

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