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QQ-3207 Ms Kelly Fernandez - Nursing – Dayana Sheeba – Diabetic Ketoacidosis


Ms Margaret Sam

Diabetes Specialist Nurse

Timberlake Health Education Centre

Suite 548

34 Collins Street


15 February 2019

Dear Ms Sam,

Re: Ms Kelly Fernandez, date of birth:02 April 1975

I am writing to request a home visit for Ms Fernandez,to provide instructions regarding diabetic diet and insulin compliance.Presently,she has been diagnosed with diabetic ketoacidosis and known case of diabetes.

On admission MsFernandez, was unconscious; consequently her blood pressure- 90/45 mm hg, pulse rate -128/ minute,body mass index -33 above the ideal level and the laboratory studies revealed abnormal values. According to her condition treated and managed well. Apart from her tiredness,cramps and aches,she shows significant improvement.

MS Fernandez, lives with her husband. She follows a irregular diet pattern and moderate consumption of alcohol. In addition she has minimal physical activity.

It would be highly appreciated if you could monitor her diet pattern and insulin compliance as well as urine ketones level.

Please do not hesitate to contact me,if you have any queries.

Yours sincerely

Registered nurse

Brookville Hospital



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